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Sama Global Quality Management Plan                                                                         January 2023

      Appendix A Table 2: Material Approval Submittal                                                                MATERIAL APPROVAL SUBMITTAL

                                                                       FROM: (Contractor)                                                              DATE
‫ﻟﻤﯿـــــــﺔ‬S‫ﻌﺎ‬A‫اﻟ‬M‫ـﺎ‬A‫ـــ‬G‫ـــ‬L‫ـــ‬O‫ﻤ‬B‫ﺳ‬AL
CONTRACT Number               SUBMISSION NUMBER                                                                                 SUBMITTAL
                                                                                                                                 NEW  RESUBMITAL

PREVIOUS SUBMISSION NUMBER                                  PROJECT NUMBER

                              TO BE COMPLETED BY CONTRACTOR                                                                     FOR GOVERNMENT USE ONLY

ITEM  SPECIFICATION SECTION/                                               DESCRIPTION OF MATERIAL                              APPROVED      DIS-           SEE REVERSE  INITIAL
NO    PARA NO. DRAWING NO.                                      (Includes Type, Model,, Catalog Number, Mfg., etc.)                       APPROVED

                              BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

                              THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE                          TYPE OR PRINT NAME AND TITLE                                                           SIGNATURE

TO:                                                                      FOR CLIENT USE ONLY                         SIGNATURE
                              TYPE OR PRINT NAME AND GRADE
FOR EVALUATION AND ACTION.

DATE

TO:

RECOMMEND  Approval         Disapproval as indicated above and subject to any applicable commends on the reverse.  SIGNATURE

DATE                             TYPE OR PRINT NAME AND GRADE

TO: (Contractor)

  Approved  Disapproved as indicated above and subject to any applicable commends on the reverse side

Request re-submittal on disapproved items within ______ days of date shown below.

DATE                          TYPE OR PRINT NAME AND GRADE                                                           SIGNATURE

      Revision C              For Sama Global Use Only                                                                                    Page 20 of 36
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