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Master Test Company (Internal)
Speed Test |
Field Supervisor |
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| Name | Phone | Position | Role |
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| # | CODE | DESCRIPTION | QTY | RATE | Claim |
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| Customer or site representative has inspected the work, issues have been discussed and rectified as needed. Completed variations and proposed additional works and variations yet to be completed have been noted below | |||
| Work has been completed to my satisfaction with any outstanding items listed below. | New Material supplied is fit for purpose and acceptable | ||
List Completed Variation Works Here: |
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List any outstanding issues/variations here: |
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I am the Customer / Site Owner / Authorized Person and have inspected the works and acknowledge that the work completed to date has been completed to my satisfaction. All outstanding issues have been listed above. NAME: ________________________________ SIGNATURE ______________________________ DATE: ____/____/____ |
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