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    RFI Number:

    RFI Edition number:

    RFI Issue Date:

    To the Engineer: From the Contractor:JV of Nippon Koei - JBSI - TEDI JV of CIENCO 8 - TLG - TSC - VINACONEXThe Engineer is notified of the REQUEST FOR INSPECTION of the following:

    Description of

    Work:

    Location of Work/

    Inspection:Date of Inspection: Time of Inspection: 8h45 AM/PM

    Site Inspection and/or Testing :Examination/ Measurement before Covering Up:Concrete Pouring:

    Factory Inspection and/or Testing: Address as above Location of inspection:

    Other(specify):Overtime required:

    Engineer's Representative is to acknowledge receipt by signing and returning one copy to the Contractor

    Name: Le Van Trung Name: Tran Huu Dung Name:

    Signature: Signature: Signature:

    Date: Date: Date:To the Engineer: From the Contractor:JV of Nippon Koei - JBSI - TEDI JV of CIENCO 8 - TLG - TSC - VINACONEXThe Engineer's response to the above REQUEST FOR INSPECTION is as follws:The Inspection was attended by the following:The Engineer side The Contractor side

    The Inspection is:o Approved o Rejectedo Approved with conditions o PostponedThe Enginerr's Reasons / Comments are as follows:

    Enginerr's Response not valid unless signed by the Enginerr's Representative.Contractor is to acknowledge receipt by signing and returning one copy to the Enginerr's Reprenentative.

    Name: Name: Name: Trinh Thi Phuong ThaSignature: Signature: Signature:Date: Date: Date:Note: Request for Inspection shall be submitted to the Enginerr 24 hours in advance.Distribution: Employer (CP-1 Site) - 1, Enginerr;s Representative - 1, Contractor - 1.

    Tran Quoc Minh Nguyen Ngoc Dinh

    Reviewed by Enginerr Issued by Resident Enginerr Reviewed by on behalf of

    Time ofInspection (stateYES in

    appropriate box):

    Reviewed by Contractor Issue by Contractor' Representative

    Engineer

    Km 31+00 -:- Km 31+ 100 (Left)

    11/04/2011

    PK-2 PACKAGE: SECTION SOC SON - THAI NGUYEN

    REQUEST FOR INSPECTION (RFI)......./PK2-TSC

    Ln 1

    10/04/2011

    Inspection, test altitude, density, size up the K95 embankment grade 22(Kim tra cao , cht, kch thc hnh hc p nn K95 Lp 22)

    new national highway no. 3 and

    JV OF JV OF

    CIENCO8 - TLG - TSC - VINACONEX NIPPON KOEI - JBSI - TEDI

    regional road network construction Project

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    1.works to be Accepted (Cng vic nghim thu)-Work Item No.(Hng mc s): 03400-03

    - Location (V tr): Km 30+000 - Km31+200- Scale of Acceptance (Phm vi nghim thu): Km 31+00 -:- Km 31+1 (Left)Layer(lp): 222. Participants of Acceptance (Thnh phn tham gia nghim thu):

    3. Time of Acceptance (Thi gian nghim thu):- Begin (Bt u)- End (Kt thc)- Place (a im) At site - Package 2 - section of Soc Son - Thai Nguyen - NH3 Contruction Proje

    Ti hin trng gi - on Sc Sn - Thi Nguyn - D n xy dng QL3 mi4. Evaluation of the Construction Results (nh gi kt qu xy dng):a)Reference Document for Acceptance (Cn c nghim thu):1.Request No.(Phiu yu cu nghim t 6. Equipment Quality check & Test Result (KQKT T.b):2. Working Drawing (Bn v thi cng): 7. Daily Record (Nht k cng trnh)3. Specification (Tiu chun k thut): 8. Inspection Sheets ( Bin bn kim tra hin trng):4. Method Statement (Bin php thi cn 9. Internal Acceptance Minute (BBNT ni b)5. Material Cerfieates (Chng ch vt liu):

    b) Construction Quality ( Ch t lng cng vi c):..c) Other opinion ( ki n khc):..d) Comments by the Engineer on the Acceptance of the Construction parts/ctates ( ki n k s):..

    . ommen s u n....

    PROJECTS MANAGEMENT UNIT 2New national highway no.3 and regional road network constructionproject

    PACKAGE 2 : Section of Soc Son Thai NguyenConsultant: Nippon Koei - JBSI - TEDI Contractor: Cienco8 - TLG - TSC - Vinaconex

    b) The Contractor (Nh thu):

    c) The Sup - Contractor (Thu p - Team leader (i trng) Nguyn c Hin

    - anager c ng : - n ng- Main Contractor (Ban iu hnh): -Trn Hu Dng

    minutes of acceptance(Bin bn nghim thu)

    - Work Deseripsion. (Tn cng vic): Construction of Embankment (below Subgrade) /p nn K95(bn di lp Subgrade)

    a) The Consutlant (K s t vn):- Highway Engineer ( K s ng): - Nguyn Hu Hnh- Inspector: (Gim st hin trng) - Trn Quc Minh

    Nguyen Huu Hanh

    Sub -Contractor(TEAM LEADER)

    MAIN- CONTRACTORQUANLITYCONTROL

    inspector

    Contractor'S signature(Ch k ca nh thu)

    Consultant'S signature(Ch k ca KSTV)

    Date: Date: Date: .Date: Date:

    HIGHWAY ENGINEER

    Nguyen Duc Hien Tran Huu Dung o Van Luong Tran Quoc Minh

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    1. Works to be Accepted : (Cng vic nghim thu )

    - Work Item No (Hng mc s ) : 04100-03- Work Description (Tn cng vic): p t K95- Location (V tr ): Km31+00 - Km31+100- Scale of Acceptance (Phm vi nghim thu ) : Tri tuyn- Layer (Lp ): 222. Participants of Acceptance :a) The Consu ltant :

    Mr .......................... Position : Highway EnginneerMr ............................... Position : Inspector

    b) The Contractor :

    Mr.......................... Position : Main Contractor

    Mr.......................... Position : QC Managerc) The Sub-Contractor :

    MrNguyen Duc Hien Position : Team leader3. Time of Acceptance :

    Begin:.h.. ../../2011

    End:...h.. ../../2011

    Place : Km31+00 - Km31+1004. Evaluation on the construction Results :a) Reference Documents for acceptance:

    1. Request No : 6. Equipment Quality check & Test Result :2. Working Drawing : 7. Daily Record :3. Specification : 8. Inspection Sheets :

    4. Method Statement : 9. Internal Acceptance Minute :5. Material Certificateb) Construct ion Qual i ty :t yu cu...

    c) Other Opinion :

    ..

    d) Commonts by the Engineer on the Acceptance of the Construct ion p arts /c tates:

    ..

    5. Comments :- Chp nhn nghim thu cho n v thi cng hon thnh hng mc 04100-03- L trnh : Km31+00 - Km31+100

    - ng cho n v tip tc thi cng.

    PROJECTS MANAGEMENT UNIT 2

    New national highway no.3 and regional road network construction project

    PACKAGE 2 : Section of Soc Son Thai Nguyen

    Consultant: Nippon Koei - JBSI - TEDI Contractor: Cienco8 - TLG - TSC - Vinaconex

    Contractor consultant

    minutes of acceptance(Bin bn nghim thu)

    Nguyen Duc Hien Tran Dang Thuc

    highway engineerSub - Contractor main - Contractor quanlity control inspector

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    DATE: 11/04/2011WORK ITEM : Construction of Embankment Bench mark no:item no : 04100-03 LEVEL:CHAINAGE : Km31+00 - Km31+100 Main Road Frontage RoadLayer : 22 Right side Left side

    1 6.942 0.000

    2 6.928 0.515

    1' 7.190 7.192 0.002 0.000 0.001 0.001

    2' 7.173 7.175 0.002 0.808 0.808 0.000

    1 6.970 0.001

    2 6.914 2.546

    1' 7.221 7.223 0.002 0.000 0.000 0.000

    2' 7.157 7.155 -0.002 2.909 2.909 0.000

    1 6.985 0.001

    2 6.918 3.075

    1' 7.236 7.235 -0.001 0.000 0.002 0.002

    2' 7.162 7.164 0.002 3.383 3.383 0.000

    1 7.096 0.001

    2 7.074 1.009

    1' 7.347 7.350 0.003 0.000 0.000 0.000

    2' 7.319 7.320 0.001 1.304 1.304 0.000

    1 7.340 0.000

    1' 7.418 7.417 -0.001 0.000 0.002 0.0022' 7.421 7.420 -0.001 0.153 0.153 0.000

    8

    3

    4

    5

    6

    Km31+30.45

    Km31+67.45

    Km31+40.00

    Km31+43.48

    Km31+60.00

    Tran Quoc Minh Nguyen Huu Hanh

    CONSULTANT

    Difference

    Do Van Luong

    CONTRACTOR

    SUB - CONTRACTOR QC MANAGER

    Nguyen Duc Hien

    Design

    HIGHWAY ENGINEERINSPECTOR

    PROJECTS MANAGEMENT UNIT 2New national highway no.3 and regional road network construction project

    PACKAGE 2 : Section of Soc Son Thai Nguyen

    Consultant: Nippon Koei - JBSI - TEDI Contractor: Cienco8 - TLG - TSC - Vinaconex

    Actual Actual

    DISTANCE TO CL(M)ELEVATION (M)

    Difference

    check sheet of level and width

    NO STATIONPOINTNAME

    ILLUSTRATIONDesign

    BeforeConstruction

    2 1

    3 4 5

    1'

    1

    1'1

    2'

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    DifferenceDesignActual Actual

    DISTANCE TO CL(M)ELEVATION (M)

    DifferenceNO STATION

    POINTNAME Design Before

    Construction

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    DATE: 11/04/2011WORK ITEM : Construction of Embankment

    item no : 04100-03CHAINAGE: Km31+00 - Km31+100 Main Road Frontage RoadLayer: 22 Right side Left side

    1 0.000 6.942 0.000 1 0.001 7.096 0.000

    2 0.515 6.928 -3.575 2 1.009 7.074 -7.153

    2' 0.808 7.175 -1.903 2' 1.304 7.320 -1.839

    1' 0.001 7.192 5.804 1' 0.000 7.350 9.584

    1 0.000 6.942 0.007 1 0.001 7.096 -0.007

    0.167 0.293

    1 0.001 6.970 0.000 1 0.000 7.340 0.000

    2 2.546 6.914 -17.739 2' 0.153 7.420 -1.123

    2' 2.909 7.155 -1.896 1' 0.002 7.417 1.120

    1' 0.000 7.223 21.012 1 0.000 7.340 0.015

    1 0.001 6.970 -0.007

    0.685 0.006

    1 0.001 6.985 0.000

    2 3.075 6.918 -21.472

    2' 3.383 7.164 -1.374

    1' 0.002 7.235 24.462

    1 0.001 6.985 0.007

    0.810

    Km31+60.00

    Km31+67.45

    Nguyen Huu Hanh

    CONSULTANT

    INSPECTOR

    Km31+43.48

    CONTRACTOR

    SUB - CONTRACTOR QC MANAGER

    Km31+30.45

    Tran Quoc MinhNguyen Duc Hien Do Van luong

    Km31+40.00

    PROJECTS MANAGEMENT UNIT 2New national highway no.3 and regional road network construction project

    PACKAGE 2 : Section of Soc Son Thai Nguyen

    Consultant: Nippon Koei - JBSI - TEDI Contractor: Cienco8 - TLG - TSC - Vinaconex

    SECTION CALCULATION

    Ref. PointArea(m2)

    HIGHWAY ENGINEER

    PointOFFSET TO

    C.L (m)Ref.

    OFFSETTO C.L (m)

    ELEVATION(m)

    Area(m2)

    ELEVATION(m)

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    Ref. PointArea(m2)

    PointOFFSET TO

    C.L (m)Ref.

    OFFSETTO C.L (m)

    ELEVATION(m)

    Area(m2)

    ELEVATION(m)

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    DATE: 11/04/2011WORK ITEM : Construction of Embankmentitem no : 04100-03Chainage : Km31+00 - Km31+100 Main RoadLayer: 22 Right side

    NO STATIONDISTANCE

    (M)AREA(M2)

    QUANTITY(M3)

    Km31 Km31+0.0020.000 0.000

    1 Km31+20.00 0.000

    5.670 0.0002 Km31+25.67 0.0004.780 0.399

    3 Km31+30.45 0.1679.550 4.068

    4 Km31+40.00 0.6853.480 2.601

    5 Km31+43.48 0.81016.520 9.093

    6 Km31+60.00 0.2933.160 0.463

    7 Km31+63.16 0.000

    4.290 0.0008 Km31+67.45 0.000

    5.870 0.0009 Km31+73.32 0.000

    6.680 0.00010 Km31+80.00 0.000

    20.000 0.000H1 Km31+100.00 0.000

    16.62416.624

    QUANTITY SURVEYOR

    Nguyen Duc Hien Do Van Luong

    PROJECTS MANAGEMENT UNIT 2New national highway no.3 and regional road network construction pr

    PACKAGE 2 : Section of Soc Son Thai Nguyen

    Consultant: Nippon Koei - JBSI - TEDI Contractor: Cienco8 - TLG -

    QUANTITY CALCULATION SHEET

    SUB - CONTRUCTOR

    Total (m3)Khi lng thanh ton (m3): = Total

    CONTRACTOR

    Pham Van Truong

    QC MANAGERCONSU

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