ML20127B839
| ML20127B839 | |
| Person / Time | |
|---|---|
| Site: | Waterford  |
| Issue date: | 01/03/1977 |
| From: | Billy Dickson EBASCO SERVICES, INC. |
| To: | |
| Shared Package | |
| ML17198A241 | List:
|
| References | |
| FOIA-84-455 QCIP-2, NUDOCS 8506220068 | |
| Download: ML20127B839 (16) | |
Text
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, , j- E11ASCO StavICJ' f. II:Coacou!:D
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l WATERFORD STEAH CLZCtRIC STATION - UNIT NO 3 l
l PROCEDURE FOR:
SOILS CONTROL PROCEDURE lM13ER:-
QCIP-2 ISSUE St2c!ARY g" -
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. .TSSUF/DATC PREPARED , APPROVED RDfARKS A/ Draft km j '"
A/ . 9/17/75 g'
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. LLu J. O. Booth
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[ j j $ B/Drafe M. Tameh .-
y z 9/30/75 * [.] p ge
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94 19/14/75 M. T hin 9
'J. O. Booth N C/ Draft M. Ta= chin 4/16/76 h Howard g Complete procedure revi. sed. ,
C/ 6-29-76 '.
Myron Tamchin
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W. C. Grig[sk H
D DRAFT 8-13-76 77 F. a Revised par. 2.0, 5.2. 5.5 N .
and 6.1 to incorporate E
- comments from Letter LPL
- f/ 5533.
D/ 8-20-76 F. d W. C. Gr1
- E DRAFT 8-31-76 hF. b~dT Revised par. 2.0 and 5.2 j
F DilAFT 10-1-76 at F. Howar Revised 2.0, 3.4, and 6.4.17.
Added 8.0.
8506220068 850222 55 PDR 4 hDE hm Ur ihrUhMA TON ,
E REQUEST
' FORM NO. E-1 (12-12-74) 84-%CC 4 hoj -
. 1 ESASCO SERVICES INCORPORATED 4 WATERfDRD STEAM ELECTRIC STATION - UNIT NO 3 I
Pit 0CEDURE'YOttr .- -
PROCEDURE NCGER: l SOII.S CONTROL l QCIP - 2 i
ISSUE SIDetARY l"
.E RDIARKS m ISSUE /DATE PREFA_am APPROVED F/10-15-76 dMelah S. Kalac b
W. C. Grigg u
g /a_L'y l G Draf B. Dickson Revised 6.6.5 a); added d).
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T0llM NO. ASF-III-1-3 (10-13-75)
. ,, l E::ASCO SER'!ICr.S INCORFORATED . NO. QCIP-2 ISSUE: C. WATERFORD, STEMI ELECTRIC STATION - UNIT NO 3 PACT.: 1 CF 10 4
1.0 PURPOSE This procedure outlines a means to verify and record compliance with applicable drawings, specifications, procedures, codes, regulatory requirements and documented instrucci.)ns relating to soils inspection at the construction site.
2.0 SCOPE The scope of the' procedure applies to safety-related items and services involving excavation and backfill operations. The soils control u activities'will be performed in the excavated areas, borrow-stockpile l areas, the plant backfill and eartA structure backfill areas. In-place inspections and tests as well as laboratory tests and analyses will
! be performed as a combined program for control of intergrated activities se in all areas.
m j Ihe scope of inspection activities shall be divided into two types
.of inspection, full scale Q. C. inspection of soils operations when
- 8 i aurance Program and Designated Inspe o a . $ ,
u quality Control activitier are perforned he o et r g .
E
3.0 REFERENCES
3 E 3.1 Ehasco Services Incorporated, d 7*.Ibasco Specification, E Excavation and Backfill, 5 Seismically Designed Category T Structures,
- E Project Identification No.
g I.00 1364.482 l l
8 3.2 J. A. Jones Construction Company, .
E Construction Weirk Procedure, l 5 Backfill and Compaction, U-WF-12
.a E 3.3 J. A. Jones Construction Company, S Site Inspection And Test Procedure
$ Backfill and Compaction Inspection g W-SITF-12 3.4 Barrow-Agee Labs., '
. I,aboratory and Field Testing l Backfill Macartals 98.% 5%.O %#A G #89% 99- .$ .4 .e ee. . w
ISSUE: l EBASCO SERVICES INCORPultATED NO. QCIP-2 .
G ;
WATERFORD STEMI EI.ECTRIC STATION - UNIT NO 3 PACE: 2 or10 -
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4.0' DEFINITIONS ^ )
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All definitions of material type, placement and compaction activities are I contained in Reference 3. '
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I j 5.0 . RESPONSIBILITIES .
- The responsibilities of performing Quality Control soil related activities i
shall be divided as follows:
5.1 Material Acceptance - The performance of inspections of the back-a fill material to determine material acceptability whether by test fills, g in the borrow pit, stockpiles or in trucks shall be performed by Ebasco Services Incorporated.
5 g 5.2 Construction Activities - Final inspection of excavated or stripped
, areas shall be performed by Ebasco Services Incorporated. When place-1 > aent and compaction operations are performed by a contractor that I does not have a Quality Assurance Program, first-level inspection of I, g . these operations shall be performed by Ibasco. When the contractor j has an accepted Quality Assurance Program, Designated Inspection of placement and compactions shall,be performed by Ebasco as. defined in u Procedure No. ASP-III-11.
i 5 5.3 Soils Testing - The in-place and laboratory soils testing shall be J
g I .
- s perforred by Barrow Agee Labs. under the direction of Ebasco Services ;
1 m Incorporated.
! U M . 5.4 Documentation - All Quality Control records required by this procedure i a shall be prepared by the proper agency as stated above and then '
compiled into a single package for each backfill lift by Ebasco Services Incorporated.
5.5 Acceptance 8 .
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E Preliminary Acceptance - All test data generated by the field labora-
" cory, for specification ahceptance shall be reviewed and signed for 5 acceptance in the field by Ebasco's Quality Control Inspector. This signature shall appear on each appropriate testing form.
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- 7 Final Acceptance - All soil related activities shall be the responsi-bility of Dasco Services Incorporated. Acceptability shall be h documented in writing on Fora QCIF-2-4 and attached to documentation package described above. .
< 5.6 To comply with the applicable sections of the above stated inspection -
requirements, Dasco Services Incorporated shall institute the
' following Quality Control program and personnel:
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l FORM No. ASF-III-1-4 (10-13-75) .._ '
ISSUE: l EBASCO SERVICES INCORITRATED NO. i QCIP-2 t
, g WATERFORD STEAM ELECTRIC STATION - UNIT NO 3 PACE: -3 OF 10 _
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5.6.1 The Senior Quality Control Supervisor is responsible for supervising and performing the following jobsite Quality Control activities:
a) Performing inspection of borrow pit. - stockpile =aterial to determine material acceptability.
b) Performing inspection of all soil construction activities and operations.
c) Directing Soils Laboratory and testing operations.
d) Enforcing quality control documentation requirements h" and preparing the quality control records required by this procedure for the final acceptance of the work.
" 5.6.2 Quality Control Civil Supervisor, reporting to a Lead 5 Quality Control Engineer (Civil) will receive technical j assistance from the Site Soils Engineer as required and g ,
shall be responsible for supervision of soils inspector (s) who shall perform inspections to verify a satisfactory quality level as defined in applicable documents. He shall u also be responsible for S'uepevising and directing the Soils
= Laboratory and observing Field Testing as well as:
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- g a) Assuring that tests, certifications and awa=4 nations .
. are accomplished in accordance with the applicable '
H design drawings, specifications and say other governing h ,
documents.
g a b) Accepting or rejecting work tests in accordance with the 2 specifications and procedures and documenting same, -
including preparation of Statistical Analysis of compacted h
g backfill where provided for by the specifications.
{ 5.6.3 Civil Quality Control Inspector ('s), reporting to the ,
s Quality Control Civil Supervisor, are responsible for the a following:
E a) Performing inspections of work and witnessing or y performing soil tests in the work areas.
g b) Provide the assistance during the performance of soils
> laboratory operations.
l j . c) Preparing documentation of all operations requiring
- specific reports and/or form completion, and submitting same to the Quality Control Civil Supervisor for review sad further action as required.
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FORM NO. ASP-III-1-4 (10-13-75) ._ _ _ . .
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. Er.ASCO SERVICES INCORP0 HATED . NO. QCIP-2 ISSUE: G WATERFORD, STTAM EI.ECTRIC STATION . UNIT NO 3 PACE: g 0F in -
. -9 5.6.4 The Site Soils Engineer, reporting to the Homa Office Supervising Soils Engineer and consulting with the Senior Resident Engineer shall be a qualified soils engineer who is familiar with the design intent and shall be responsible for the following: -
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a) Maintain liaison with the Supervising Soils Engineer of the Ibasco Home Office in order to ensure that field operations yield the design intent.
b) ' Consult with the Senior Resident Engineer, Quality g Control Supervisor, Field Superintendents and E- Contractors to provide technical assistance, in 5
a
- c"'d**** "*th th* 'P*cific*ti "* ' 1" **tablishing field methods and construction procedures for
", specified compliance.
c) The Site Soils Engineer, representing the Home g .
Office design organization responsible for the formation., review and approval of specification and its revisions, shall have the authority to
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deviate and qualify specifications in isolated g cases when in his technical opinion, the specifications g will not yield the required results (design intent) z in a certain situation. He shall in this case, g review sad approve detailed written documentation 4 of the deviation encountered and the earthwork
$ e performed on and Ebasco Nonconformance Report, 3 Field Change.Raquest or Desiga Change Notice.
6.0 PROCEDURE 8 6.1 Test Fills m -
E' Test fills will be constructed for the purpose of determining the optimum construction technique to achieve the design conditions.
5 Test fills shall be conducted, inspected and casted as required g by the specifications and the general requirements of this o Soils Inspection Frocedure, p . -
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The Senior Quality Control Supervisor or his inspector shall M observe and document results of the following operations when required by the specifications.
6.1.1 Surveying and layout 6.1.2 Excavation 6.1.3 Backfill 6.1.4 Compaction, including equipment performance and operational characteristics.
6.1.5 Field density tests
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,. . EDASCO SERVICES INCORPORATED NO.QCIP-2 ISSUE: G WATERFORD, STEM 1 ELECTRIC STATION - ll NIT NO 3 PAGE: 5 0F 10 4
6.1.6 Trench inspection'
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- 6.1.7 Mapping l
. I 6.,1.8 . Laboratory Tests l 2
6.1.9 They shall act as a liaison with the Supervising Soils Engineer and the Senior Resident Engineer concerning the progress of the test fill and obtaining the required approvals for any design changes.
- mi g 6.1.10 They shall be responsible for the maintenance of formal
- records of all operations and observations as required 5 Irr the specification and any ' approved changes thereto.
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, 6.2 Borrow and/or Stocknile Areas - Material Acceptance 6.2.1 Perform visual inspection either at the pit or on site .
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to assure that all s'ress are ' cleaned of all undesirable material such as trees, roots, vegetation, muck and silt in accordance with specification LOU 1564.482 and u document results on, Fora QCIP-2-1.
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l $ 6.2.2 Monitor loading or delivery of backfin asterial to 5 insure that only material which meet the specif1 cations g is used as backfin.
O Inspect, sample and test Class A borrow materials g 6.2.3 a to determine compliance of gradation and moisture content with the specifications and record the results on fora QCIP-2-1. One set of tests shall be run for every 1,000 cubic yards of borrow asterial or for each 8 working shif t whichever represents the sa=11er quantity i
g of material.
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6.3 Excavated or Strioned Areas g 6.3.1 Prior to start of backfill operations, excavated or o stripped areas shan be inspected to assure proper
- E drainage and a sound base and for conformance to the
[. specified requirements and the results recorded on M Fora QCIP-2-2.
~t 6.3.2 Material that exceeds the permissable moisture content -
any be dried by specified means or removed and replaced
, with new fill. Raworked fin asterial shall be tested for moisture content and the results recorded'on g Fora QCIP-2-2.
6.3.3 After satisfaction of a n specified prerequisites, proof compaction of the final excavated grade may begin if required. Proof compaction shall be accomplished to the satisfaction of the '_ugineer before the fill operation begins.
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,, . ERASCO SERVICES INCORPORATED NO.QCIP-2 ISSUE: G. . WATERFORD, STEAM EI.ECTRIC STATION - UNIT NO 3 PAGE: 6 0F 10 3
i 6.4 Soil Related Construction Activity Inspections
! All soila placements, inspection and testing operations shall be conducted in accordance with the drawings and specifications.
Inspections results shall be recorded on Fora QCIP-Z-3 for each shift by each inspector and shall include the following:
6.4.1 Material has been determined to be suitable and released for backfin.
6.4.2 Base to receive backfin has been properly prepared
" and compacted to the density required.
j 6.'4.'3 Backfining is accomplished in the proper sequence h is accor, dance with Ibasco Drawing No. LOU-1564-G490.
, .e g 6.4.4 Sand backfill materials for Class "A" fin are spread g and leveled in layers not exceeding 15 inches prior
- to compaction.
1 6.4.5 Clay for Class "A" backfill and material selected from u the excavation for Class "B" backfill is placed in
, , layers not exceeding ten inches prior to compaction.
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l4 6.4.6 Fin material is deposited uniformly over entire ares
, being tilled to a particular stage or level.
t e-l h 6.4.7 When required, ' fin asterial shan be disc-harrowed 4
g after spreading and before compaction to bland and a aerate the asterial into a texture that can be consolidated
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- into a homogeneous mass by the compaction operations.
] g 6.4.8 Surface of each lift is kept reasonably smooth and free of ridges or grooves which would ' dversely affect proper
, a i g- compaction of subsequent lifts.
. e a 6.4.9 Hauling equipment uses paths different from each other in order to aid compaction of the entire area and to 4
l avoid overcompaction of any given area. ,
i 4 6.4.10 If area to receive fin is an original escavation, or l compacted more than two days previously, surface shall ,
be cleaned of au loose debris and imp erl compacted 1 asterial. Area then sha n be proof ro d accepted * <
L, prior to subsequent backfill. !
l 6.4.11 When two sections of fill join, fill placed first must have its slope shaved a =4=4=== of three feet to espose undisturbed compacted material.
6.4.12 Compaccion'is achieved with proper equipment operatin's and proper speed.
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. CMSCO SERVICES INCORPORAT1?J . No. QCIP-2 ISSUE:.c . tiATEar0RD STEX1 EI.I'CTRIC STATION - UNIT NO 3 PAOC: 7 0F 10' 6.4.13 Compaccion is reasonably uniform within any one layer over entire area.
6.4.14 All layers are compacted to full width.
6.4.15 In restricted areas. fill does.not contain material greateit than three inches in size.
6.4.16 Reasonable care is taken to protect waterproofing ,
! anabrane boards.
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( 6.4.17 Backfill placed against waterproofins membrane boards does. not con't ain any particle greater than is inch in' size.
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'6.4.18 No fill is placed during heavy rain or on top of or into a pool of water.
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6.4.19 Material has been compacted until the specified density 0 -
is obtained and verified by in-place density testing.
6.4.20 Surface of fill areas to be rioped to effect drainage
,, away from building and into site draint:;e pattern.
u , Low areas to be pumped if required.
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.M 6.5 Soils Laboratory v ,-
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The following functions are performed by the soils laboratory '
g staff uns'.or the direction of the Quality Control Civil Supervisor.
6.5.1 Testing materials to be u* sed as backfills to determine I' their suitability; borrow materials are sampled and 8 gradation and compaction costs performed to deterimine d the asisture-density relationships with respect to the specified standatds.
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F, 6.5.2 Performing gradation tests (including noisture content l
determinations) on the estarials from the work points
- l. in the borrow and stockpile' areas or out of delivery .
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- trucks to determine their suitability for use in the ;
compacted backfill. -
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- 6.5.3 . Testing asterials being used as " test fill" to establish 3 *
, the optimum number of passes of the compactor to obtain the required density.- , I 6.5.4
- Forforming field density noisture and gradation tests
- on anterials from the compacted backfill in accordance with the specifications to assure the suitability of the asterials sad their proper compaction.
FORM NO. ASP-111-1-4 (10-13-75) , e i
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. EEASCO SERVICr.3 INCor.WKATED . NO. QCIP -2 ,
ISSUE:,G . WATERr0RD STi:.W CI.ECTRIC STATION - UNIT NO 3 PACE: 8 or 10 i l l
3 6.5.5 Forforming any additional tests as required to assure i j the adequacy of the tested sacerial as required by the
- l specifications.
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i j 6.6 Soil' Testian
- All soil testing shall be conducted in accordance with the drawings,
! specifications sad applicable codes and p'rocedures. Verification of a soil testing shall be~ indicated on the forms listed below for each fill u j ,
at each elevation for each shift.
i i g 6.6.1 Test Fills - These tests shall be run in accordance with g Section 6.1 of this procedure '
and recorded on.the appropriate 5 .
In 6*.6.2 Material Acceptance - These tests shall be run in accordance es. with Section 6.2.3 of this procedure and results recorded I .
on ror oCIr-2 j E 6.6.3 Escavated and stripped areas - These tests shall be run lg in accordance with Section 6.3 of this procedure and recorded on the appropriate forms.
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, 2 6.6.4 In Place Density Tests (Barrow-Ages f. abs Test Forms, OCIP-2-3)
E a) One test for every 20,000 ft.2 or less of C1dse A asterial placed. ,
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- $ b) One test'for every 40,000 ft. of less of Class 1 l asterial placed. ,
i 6.6.5 1aboratory Testing (Barrow-Agee I.abe. Forms, QCIP-2-3) 8 -
d G a) One 1 potat Proctor check and Gradation Test for every E' 10 la place densities.
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l 5 b) One 5 point Proctor Test .ad Gradation Test for every i .
100 in place densities.
! g c) One 6 point Proctor, one Gradazion, and 3 sets of ,.
! e Maximum-Mialmsa Relative Density Tests to be run on l M .
site (Proctor and Gradation) and off site (all tests)
, for every 200 in place densities.
j g d) Additional tests may be requested at the engineer's I discretion.
6.7 Documentation and Work Accostance
( All docuneatation concerning each fill shall be forverded to the Ebesco Senior Quality Control Supervisor upon its completion for final work acceptance. The documentation reviewed for the l
acceptance of each fill shall include the following forms when I applicable. .
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- 6.7.1 . Material Acceptance Inspection Fors No. QCIP-2-1.
i FORM NO. asp-III.1-4 (10-13-75) ,.
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l I ,,,' ,. . C3.tSCO SERVICOS INCOR1tRATED . NO. OCIP-2 ISSUE: C , . tJATERFORD ST:'.A t 21.ECTRIC STATION - t! NIT NO 3 PACE: g 0F 10 4
6.7.2 Excavation and Stripping Form No. QCIP-2-2.
6.7.3 Daily Backfill Inspection Report Form No. QCIP-2-3.
6.7.4 Soil testing forms including In Place Density, Proctor, and Gradation Test Summary forma in accordance with Feabody Services testing procedure.
6.7.5 At the completion of this review a Backfill Acceptance Form No. QCIF-2-4 shall be issued. If all areas of 8 the work are in accordance with the' drawings and ne specifications, this form shall be signed by the Senior h Quality Control Supervisor or.his inspector attached to the forms listed above'and filed by Ebasco. If any E of the areas reviewed indicates a nonconformance to k
the specifications, the remedial action required shall as- be noted on this form by the Senior Quality Control i
5 SuFervisor or his ins,ector and che for then forwaraed back to the responsible party for correction. This
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procedura shall continue until all areas are acceptable at which time the form shall be signed and filed.
,, 7.0 AI"fACEMENf3 .
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' Form No. QCIF-2-1, Borrow Material Inspection Raporr 7.1 *
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7.1 Form No. QCIF-2-2, Escavation and Stripping Inspection Rnport j 7.3 Form No. QCIF-2-3, Daily Backfill Inspection Report 3 7.4 Form No..QCIF-2-4, Backfill Acceptance Report
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8 8.0 INSPECTION AND TESTING DESIGNATION 8.1 Test Fills.(Faragraph 6.1) - 100% by Ibasco. .
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' 5 8.2 Borrow and/or Stockpile Areas - Naterial Acceptance (including
. asterials in trucks) - (Paragraph 6.2) - 100% by Ebasco.
I p: 8.3 Excavated or Stripped Areas - (Paragraph 6.3) Final inspection by *
- Ibssco. .
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8.4 Inspection of placement and compaction operations (Paragraph 6.4).
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- 8.4.1 lihan the work.is performed by a Contractor that does not ha,ve
. an acceptable Quality Assurance Program: 100% by Ebasco 8.4.2 *llhan the work is performed by a Contractor that has an acceptable Quality Assurance Program One per day, by checklist, when work is in progress.
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FORM NO. ASF-III-1-4 (10-13-73) . ,.
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. -ISSUE: EBASCO SERVICES INCORPJMAT:.2) M. QCIP-2 !.
G WATERFORD STE.W EI.ECTRIC STATION - CiIT NO 3 PACC:10 0F 10 .
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~ ~ ~~ 8. 5 In-place density testing and soils laboratory testing-100% by the soils laboratory staff under the direction of the E3asco Quality l Control Civil Supervisor.
8.6 'brk Acceptance (Paragragh 6.7) - Ebasco Senior Quality Control Supervisor, ,
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romt m. ASF-III-1 4 (10-13 73) ,
f EBASCO SERVICES INCORPORATED
, WATERFORD UNIT No. 3 BORROW MATERIAL INSPECTION REPORT Q. C. Inspector Date
- 1. Material I.ocation: Truck Borrow Pit Other
- 2. Material to be Placed on Fill No. El.
Reject
- See Comments
, _ Accept
- 3. Visual Inspection ,,
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- 4. Moisture Content Check Test No. Result % ~
- 5. Gradation Check: Test No. Result %
Comments:
Borrow Material Acceptable as Class A Fill
,, ,. , ,. . Q. C. Signature Date Forn No. QCIP-2-1 (6/16/76)
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Foru No. OCIP-2-2 6/16/76
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l ESASCO SERVICES INCORPORATED WATERFCSD UNIT NO. 3 i
EXCAVATION AND STRIPPING INSPECTION 9IPORT i .
Q. C. Inspector Date
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Fill location El.
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Accept l Reject i - See Coimeents ,
BASE f
j 1. Drainage Conditions: ,
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1 4 2. Regrading Of Base To Provide Adequate Drainage ,
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1 l 3. Composition of Base Materials
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} 4. Stripping of Objectionable Materials On Surface:
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- i j S. Hoisture Content of Base Material: Test No. Test Result _ %
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j 6. Moisture Content Of Reworked or Replaced Base Material:
Test No. Test Result t
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Base Density:
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Proof Compaction Performed Properly If Required:
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- 9. Stripping of Slopes: .
i Commaats:
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I Sees and Slopes Acceptable For' Backfill n e e....... n...
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i Fora Ns. QCIP-2-3 4 .
! . . 6/16/76 '
! E3ASCO GERVICES INCORPORATED WATERFORD UNIT NO. 3 DAILY BACKFILL INSPECTION REPORT i
Q. C. Inspector - w- Date
- 1. Fill Placement Ares / Location El.
1 Fill Surface Area it. , Nu:iber of tests required: In Place Density Gradation
- 2. Proctor Special
- 3.
- Verify fill location is release for placement and compaction:
2 Representative 1
2
- 4. Borrow material released as backfill: Material acceptable: Yes - No
- 5. Spreading and compaction equipment satisfactory: Yes No
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- 6. Base to receive fill properly prepared and compacted: Yes No j 7. Backfilling done in proper sequence: Yes No ;
- 8. Fill asterial properly placed and spread to a maximum loose thickness of 15 inches:
Yes No
- 9. Fill anterial disc-harrowed, if neesssary: Yes No
- 10. Surface of each life reasonably smooth and free of ridges or grooves: Yes No i
- 11. 11auling equipment using different paths: . Yes No l 12. Surface properly created: Yes No i, 13. Till junctions properly treated:' Yes No * -
l 14. Layers compacted to full width: Yes No
- 15. Fill material not greater than 3 inches in sise in restricted areas Yes No
- 16. Fill thickness not greater than 6 inches in the loose state in restricted areas
- Yes No _
i l 17. Waterproofing acabrana protected during backfilling operations: Yes No l 18. Backfill placed against unterproofing membrane contains no particles larger than h inch:
Yes No .
i 19. No fill placed during heavy rain or on top of or into standing water:
- Yes No In Place Density Yes No j 20. Material testing is properly performed: Lab Yests Yes No
. Not Required (
j Special Yests Yes No Not Required
! 21. Comments:
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- ,Beckfilling operations Acceptable
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, _ s ERASCO SERVICE 3$ INCORPORATED WATERFORD UNIT NO. 3 r
EACKFILL ACCEPTANCE REPORT
. s Q. C. Inspector Date Fill Location: . E1.
1
,' ' b .sj ect l Accept See Coments F
- 1. Material Acceptance Testing (Fora QCIP-1):
- 2. Excavation And Stripping Testing (For RCIP-2):
- 3. Backfill Construction (Fora QCIP-3):
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- 4. Laboratory Testing (Ba m h Test Fetu):
e Comments:
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Fill Accep'ted: )
Q. C. Signature Date t'l
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