1ban qun l d n 2- project management unit 2Project (Tn d n): Lach Huyen Port Infrastructure Construction Project (D n xy dng cng Lch Huyn)Contract Package 6 Construction of KM 0+00 KM15+630(Gi thu 6 Xy dng t Km0+00 n Km15+630)

Consultant(TV): OC/JBSI/NK in association with TEDI/TIDICC/APECOContractor (Nh thu): STC JV

CHECKING OF BEARING INSTALLATION (1/4)(BIN BN KIM TRA LP T GI CU) Date (d/m/y - ngy, thng, nm): Work Item (Hng mc): Name of Part (Tn b phn): Based on (cn c vo):Request No. (Yu cu nghim thu s):Pier No. ( ): Base plate:

1. General Check(1) CleanlinessOkNot Ok() Setting bolt for bearing installation 1) Size of bolt for bearing installation (Dia. )OkNot Ok 2) Elevation and Position of boltOkNot Ok

PositionElevation(mm)ToleranceDesignActualDifferenceABCD

The Contractor (Nh thu)The Engineer (T vn gim st)Sub-contractorTech.Superintendent InspectorEngineer In Charge(Nh thu ph)(Qun l k thut)(Gim st vin)(K s ph trch)

2ban qun l d n 2- project management unit 2Project (Tn d n): Lach Huyen Port Infrastructure Construction Project (D n xy dng cng Lch Huyn)Contract Package 6 Construction of KM 0+00 KM15+630(Gi thu 6 Xy dng t Km0+00 n Km15+630)

Consultant(TV): OC/JBSI/NK in association with TEDI/TIDICC/APECOContractor (Nh thu): STC JV

CHECKING OF BEARING INSTALLATION(2/4)(BIN BN KIM TRA LP T GI CU) Date (d/m/y - ngy, thng, nm): Work Item (Hng mc): Name of Part (Tn b phn): Based on (cn c vo):Request No. (Yu cu nghim thu s):

2. Bearing installation(1) Marking center line on bearing and surface of pierToleranceOkNot Ok(2) Distance between center to center of bearingOkNot OkPositionDistance(m)ToleranceDesignActualDifferenceS1-S2

(3) Checking depth of anchor bolt holesOkNot Ok(4) Bearing condition before installation - Accessories (Anchor bolt, anchor bar, washer, shear key)OkNot Ok - Rust conditionOkNot Ok - Painting conditionOkNot Ok - Accepted for InstallationOkNot Ok - Bearing elevation checkOkNot OkPositionElevation(mm)ToleranceDesignActualDifferenceA1B1C1D1

The Contractor (Nh thu)The Engineer (T vn gim st)Sub-contractorTech.Superintendent InspectorEngineer In Charge(Nh thu ph)(Qun l k thut)(Gim st vin)(K s ph trch)

3ban qun l d n 2- project management unit 2Project (Tn d n): Lach Huyen Port Infrastructure Construction Project (D n xy dng cng Lch Huyn)Contract Package 6 Construction of KM 0+00 KM15+630(Gi thu 6 Xy dng t Km0+00 n Km15+630)

Consultant(TV): OC/JBSI/NK in association with TEDI/TIDICC/APECOContractor (Nh thu): STC JV

CHECKING OF BEARING INSTALLATION(3/4)(BIN BN KIM TRA LP T GI CU) Date (d/m/y - ngy, thng, nm): Work Item (Hng mc): Name of Part (Tn b phn): Based on (cn c vo):Request No. (Yu cu nghim thu s):

- Inclination in longgitudinal and transverse directionToleranceOkNot Ok

4. FormworkDimension and location of formworkOkNot Ok

5. Pouring mortar(1) Checking material and equipment (Mortar, crane,..)OkNot Ok(2) Pouring methodOkNot Ok(3) Total weight of non-shrinkage mortarOkNot OkPositionNon-shrinkage mortar(kg)DesignActual

The Contractor (Nh thu)The Engineer (T vn gim st)Sub-contractorTech.Superintendent InspectorEngineer In Charge(Nh thu ph)(Qun l k thut)(Gim st vin)(K s ph trch)

4ban qun l d n 2- project management unit 2Project (Tn d n): Lach Huyen Port Infrastructure Construction Project (D n xy dng cng Lch Huyn)Contract Package 6 Construction of KM 0+00 KM15+630(Gi thu 6 Xy dng t Km0+00 n Km15+630)

Consultant(TV): OC/JBSI/NK in association with TEDI/TIDICC/APECOContractor (Nh thu): STC JV

CHECKING OF BEARING INSTALLATION(4/4)(BIN BN KIM TRA LP T GI CU) Date (d/m/y - ngy, thng, nm): Work Item (Hng mc): Name of Part (Tn b phn): Based on (cn c vo):Request No. (Yu cu nghim thu s):

(4) Frequency test of Non-shrinkage mortarMeasurementTolerance - TemperatureOkNot Ok - Flow Table SpreadOkNot Ok - Sampling for Compressive test3dayOkNot Ok28dayOkNot OkBack-upOkNot Ok

The Contractor (Nh thu)The Engineer (T vn gim st)Sub-contractorTech.Superintendent InspectorEngineer In Charge(Nh thu ph)(Qun l k thut)(Gim st vin)(K s ph trch)