Document Title: MATERIAL SUBMITTAL FORM
Project Name:
Project
Project Number:
Consultant:
Project FIR Document
Consultant
Contractor: Ref. Number:
Contractor
SUBJECT:
Specs. Code & Ref. B.O.Q. Code Ref. Drawing No. Submittal No.
Date Received:
Date Returned:
Sub-contractor
Name: Address:
Address: Phone: Telex:
Manufacturer Supplier/Agent
Name: Name:
Address: Address:
Phone: Phone:
Fax: Telex: Fax: Telex:
Information submitted and attached:
Certificates Operation & Maintenance Manual
Technical Brochure Spare Parts List
Manufacturer’s Data & Specs. As Built Drawings
Shop Drawings Warranty
Samples Others (specify)
Contractor’s Comments:
See Attachment
Note: This review does not relieve the contractor (Contractor)
of his responsibilities under the terms of the Signature :
Contract nor authorize additional compensation.
Date :
Consultant’s Comments:
See Attachment
Status: Discipline Sign & Date Resident Engineer
Approved 1 Arch
Approved as noted 2 Civil Sign :
Revise and submit 3 Mech Date :
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-0178-00
Revision Number: 00
Date: 31 March 2016 Page: 1
Rejected 4 Elect
HVAC
LS
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-0178-00
Revision Number: 00
Date: 31 March 2016 Page: 2