PASS

A3

Fill Material' shall be used for all fills except where 'Select Fill Material' is

specified. As a minimum, 'Select Fill Material' shall be used within 0.6 m

(2 ft) of the bottom elevation of foundations, spread footings, or slabs-on-

grade when fill is required to achieve final grade. 'Select Fill Material'

shall also be specified for backfill which will be in contact with concrete

or steel structures.

SAES-A-114

Sec. 6.2

FAIL N/A

A Fill Materials

SAES-A-114

Sec. 6.2.1

B Select Fill Materials

A1

Gravel, sand and/or marl materials-maximum size shall be 75mm.

Note:If of lift thickness is less than 75mm, the maximum sieve size

allowed shall be equal to of lift thickness.

A2Delivered fill materials shall be free of frozen lumps, organic material,

trash, chunks of highly platic clay or other unsatisfactory materials.

SAES-A-114

Sec. 6.2.1

CONTRACTOR INSPECTION LEVEL

RE-INSP DATE

31-Aug-10Rev 5SAUDI ARAMCO ID/PID -18-MAY-05 - REV 0 (Standards Cutoff - AUGUST 2010)

ITEM

No.ACCEPTANCE CRITERIA REFERENCE

SAUDI ARAMCO INSPECTION LEVEL

REV. NO. PURCHASE ORDER NUMBER

SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER

LAYOUT DRAWING NUMBER EC / PMCC / MCC NO.

SCHEDULED INSPECTION DATE & TIME TRAVEL TIMEQUANTITY INSP.

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION PLANT NO.EQPT CODE SYSTEM ID.

WORK PERMIT REQUIRED?

ACTUAL INSPECTION DATE & TIME

SAUDI ARAMCO USE ONLYMH's SPENT

QR NUMBER

PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

Fill, Select-Fill and Marl Cap Materials Receiving Inspection

SAUDI ARAMCO INSPECTION CHECKLISTSAIC NUMBER DATE APPROVED

SAIC-A-1002 31-Aug-11 CIVIL-

C Marl Cap Materials

C1

Maximum size of marl materials being received shall be 75mm, and shall

have between 11-35% passing the No. 200 sieve. The capping material

shall have a maximum liquid limit of 35 and maximum plasticity index of

12, per D4318.

SAES-A-114

Sec. 6.3.2.10

B2Select fill are composed only of inorganic materials and are free of

frozen lumps, trash, or other unsatisfactory materials.

B1Maximum size of sand and gravel materials being received shall be

50mm diameter particles.

SAES-A-114

Sec. 6.2

SAES-A-114

Sec. 6.2.2

Page 1 of 2

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

QC Inspector

Name, Initials and Date:

Contractor / Third-Party

Name, Initials and Date:

QC SupervisorQC Record Reviewed

Work Verified

Name, Sign and Date:

Work Verified Quality Record Approved:Name, Organization,

Initials and Date:

T&I Witnessed

Proponent and Others

DATE APPROVED QR NUMBER

SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0(Standards Cutoff - AUGUST 2010) Rev 5 31-Aug-10

SAUDI ARAMCO INSPECTION CHECKLISTSAIC NUMBER

CONTRACTOR / SUBCONTRACTOR

Fill, Select-Fill and Marl Cap Materials Receiving Inspection SAIC-A-1002 31-Aug-11 CIVIL-

PROJECT TITLE WBS / BI / JO NUMBER

Work is Complete and Ready for Inspection:

PASS FAIL N/A RE-INSP DATE

REMARKS:

C2

1- SAES-A-114 -- Excavation and Backfill, 23 February 2010

Work Verified

Delivered fill materials shall be free of orgainic material, trash, or other

unsatisfactory materials.

SAES-A-114

Sec. 6.2.1

PMT Representative

REFERENCE

Name, Initials and Date:

Performed Inspection Work / Rework May Proceed

ITEM

No.ACCEPTANCE CRITERIA

T&I Witnessed QC Record Reviewed

PID Representative

REFERENCE DOCUMENTS:

QC Record Reviewed

Construction Representative*

Name, Initials and Date:

T&I Witnessed

Saudi Aramco

Page 2 of 2