TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA,

MATERIAL SAMPLES, OR MANUFACTURER'S

CERTIFICATES OF COMPLIANCE

PROJECT TITLE ANA 2/205 RCC/MP/Trans & Thicken @ Qalat

LOCATION Qalat, Zabul Province, Afghanistan

DATE

CONTRACT NO.

W5J9LE-12-C-0017

TRANSMITTAL NO.

PAGE

Attachment to ENG FORM 4025-R Range: Selected Transmittals

12/05/2012 01451-6

Item Description Variation QA Code

7 QC.Electrical&Lab Engineer Qualification F

7.1 Mr. D. Dharma Rao- QC. Elec Engineer F

7.2 Mr. C. Dharmalingam-Lab Engineer F

SECTION III - GOVERNMENT REVIEW REMARKS

No remarks

1 of 1

TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES, OR

MANUFACTURER'S CERTIFICATES OF COMPLIANCE

(Read instructions on the reverse side prior to initiating this form)

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)

DATE TRANSMITTAL NO.

TO: FROM: CONTRACT NO. CHECK ONE:THIS IS A NEW TRANSMITTAL

THIS IS A RESUBMITTAL OFTRANSMITTAL ___________

SPECIFICATION SEC. NO. (Cover only one section with eachtransmittal)

PROJECT TITLE AND LOCATION 01-Main Register CHECK ONE: THIS TRANSMITTAL IS

FOR FIO GA DA CR

ITEMNO.

a.

DESCRIPTION OF ITEM SUBMITTED(Type size, model number/etc.)

b.

MFG OR CONTR.CAT., CURVEDRAWING OR

BROCHURE NO.(See instruction no. 8)

c.

NO.OF

COPIES

d.

CONTRACT REFERENCEDOCUMENT

SPEC.PARA. NO.

e.

DRAWINGSHEET NO.

f.

FORCONTRACTOR

USE CODE

g.

VARIATION(See

InstructionNo. 6)

h.

FORCE

USECODE

i.

REMARKS I certify that the above submitted items have been reviewed

in detail and are correct and in the strict conformance with the

contract drawings and specifications except as otherwise

stated.

NAME AND SIGNATURE OF CONTRACTOR

SECTION II - APPROVAL ACTION

ENCLOSURES RETURNED (List by item No.) NAME, TITLE AND SIGNATURE OF APPROVING AUTHORITY DATE

ENG FORM 4025, MAR 95 (ER 415-1-10) EDITION OF SEP 93 IS OBSOLETE. (Proponent: CEMP-CE)

12/05/2012 01451-6

01451

W5J9LE-12-C-0017 NA

Afghanistan South District

US ARMY CORPS OF ENGINEERS

KANDAHAR, AFGHANISTAN

APO, AE 09355

Contrack International, Inc.

6862 ELM St SITE 500

McLean, VA 22101

ANA 2/205 RCC/MP/Trans & Thicken @ Qalat Qalat, Zabul Province, Afghanistan

X

X

- Attached with this submittal CV's of Mr. D. Dharma Rao, QC. Electrical Engineer and Mr. C. Dharmalingam, Lab Engineer for yourinformation.

7 QC.Electrical&Lab Engineer Qualification 2 A N F

7.1 Mr. D. Dharma Rao- QC. Elec Engineer CERTIFICATES 2 2.3.1 A N F

7.2 Mr. C. Dharmalingam-Lab Engineer CERTIFICATES 2 2.3.1 A N F

SHEET 1 OF 1