1、 Form：civil-10斯里兰卡港务局H罐区项目(A024)Bunkering Facility & Tank FarmProject at Hambantota(A024)区域：消防水系统Area：Fire Water System混凝土基础几何尺寸结构检验表Dimension Inspecting For Foundation 部位：4001-B3a安全岗亭Section: 4001-B3a elevated security hut1 施工质量评定记录 evaluation record of construction quality基础 Foundation 15mm 3 2 8
2、6 1 6 5 3 3 4独立基础Isolated foundation 10mm / / / / / / / / / /墙、柱、梁Wall, column, beam 8mm / / / / / / / / / /2轴线位置Axis position 剪力墙Shear wall 5mm / / / / / / / / / /5mm 8mm / / / / / / / / / /层高 Floor height 5mm 10mm / / / / / / / / / /3 垂直度Verticality全高（H）Full height H/1000 且 30mm / / / / / / / / /
3、/层高 Floor height 10mm / / / / / / / / / /4 标高Elevation 全高 Full height 30mm / / / / / / / / / /5 截面尺寸Sectional dimension 8mm,5m 2 3 3 0 3 -2 -1 3 4 6井筒长、宽定位中心线The centerline of shaft length , width25mm,0m / / / / / / / / / /6电梯井Elevator shaft 井筒全高（H）垂直度 the verticality of shaft full-height H/1000且 30
4、mm/ / / / / / / / / /7 表面平整度 surface smoothness 8mm 2 3 2 3 2 2 4 5 5 1预埋件Embedded part 10mm / / / / / / / / / /预埋螺栓Embedded bolt 5mm / / / / / / / / / /8预埋设施中心线位置The position of embedded facilities centerlines 预埋管Embedded pipe 5mm / / / / / / / / / /一 般 项 目Items9 预留洞中心线位置 The position of preformed
5、hole centerline 15mm / / / / / / / / /符 合 要 求施工单位：Construction Dept. Inspector:年 月 日Date承包单位代表：HQCEC QA/QC Supervisor:年 月 日Date建设单位代表：SLPA representative:年 月 日Date HQCECForm： civil-11斯里兰卡港务局H罐区项目(A024)Bunkering Facility & Tank Farm Project at Hambantota(A024)区域：消防水系统Area：FIRE WATER SYSTEM混凝土工程验收记录Co
6、ncrete Work Inspection Record部位：4001-B3a安全岗亭Section: 4001-B3a elevated security hut 检验项目Description of the inspection:尺寸偏差、漏筋、蜂窝、麻面、夹渣、裂缝、试块检验等Dimension deviation, re-bar exposure, honeycomb, surface voids, inclusion, crack, cube test etc.施工图号Engineering drawing No.A024-20-30-341-4001-B3a- 001工程检查验收
7、内容：Contents of Inspection and Acceptance1、混凝土试块有检验报告。The concrete test cubes are with test reports. 2、混凝土的形状尺寸符合设计要求，偏差率符合设计规定的要求。The shape and size of concrete are in conformity with the design requirements, and the deviation rate is in conformity with design requirements. 3、混凝土表面无漏筋、蜂窝、麻面、夹渣、裂缝符合验
8、收要求。No rebar exposure, honeycomb, surface voids, inclusion, or crack is on the concrete surface, and it is in conformity with the acceptance requirements. 验收意见：Approved/ Not approved符合设计要求 In conformity with the design requirements.施工单位：Construction Dept. Inspector年 月 日Date承包单位代表：HQCEC QC Supervisor
9、年 月 日Date建设单位代表：SLPA representative年 月 日DateHQCEC混凝土工程报验申请表Foundation Inspection Request工程名称 Works Title：斯里兰卡港务局H罐区项目(A024)Bunkering Facility & Tank FarmProject at Hambantota(A024)编号 Item No：致: 中国寰球工程公司斯里兰卡 H罐区项目部To: HQCEC Bunkering Facility & Tank Farm Project at Hamtantota我单位已完成了4001-B3a安全岗亭基础混凝土工
10、作，经自检合格，现报上该工程报验申请表，请予以审查和验收。We have completed the foundation concrete works of 4001-B3a elevated security hut, which has passed our self inspection. Now we submit the inspection request for this works, please inspect and accept.附Attached：1、混 凝 土 基 础 几 何 尺 寸 检 验 表Dimension inspecting for foundation 2、混凝土工程验收记录Concrete Work Inspection Record施工单位（章）Construction （Chop） 项目经理Project Manager 日 期Date 审查意见 Review comments：专业工程师 Discipline Engineer 日 期Date HQCEC
