Page 25 - SAMA Quality PLAN
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Sama Global Quality Management Plan                                                            January 2023

       Appendix A Table 5: Transmittal Log                      IS NOT APPLICABLE                                             REFERENCES TO USE
                                                                                                                              WHEN CQC CLAUSE
SUBMITTAL NO.                                                                                                                 IS NOT APPLICABLE

                                              CQC CLAUSE IS                                                                                 (A) DESIGNER

‫ﻟﻤﯿـــــــﺔ‬S‫ﻌﺎ‬A‫اﻟ‬M‫ـﺎ‬A‫ـــ‬G‫ـــ‬L‫ـــ‬O‫ﻤ‬B‫ﺳ‬ALREFERENCES TO USE                                                                                     (B) APPROVAL

WHEN CQC CLAUSE                             PART I - FOR CONTRACTORS USE                                                      (C) PERSON DESIGNATED
IS APPLICABLE                                                                                                                 BY CONTRACTOR AS
                                                                                                                              HAVING AUTHORITY TO
                         FROM (Contractor)                      TO (A)
                                                                                                                              (D) DETAILED REIVEW
(A) Sama Global                                                                                                               REQUIRED. STAMP
                                                                                                                              AND MARK EACH COPY
                    Al-Mamon Area , Dis.606 , St.48 , House 14                                                                AS APPROPRIATE.
                    Baghdad , Iraq
                                                                                                                              (E) CONTRACTOR
                    CONTRACT NO.                             CONTRACT TITLE                                                      (COPY TO OICC)

(B) (Check One)     THE FOLLOWING ITEM IS SUBMITTED FOR (B) PER SPECIFICATION AND SECTION NUMBER                                    Page 23 of 36
   RECORD
    APPROVAL

                    CERTIFICATION (This form shall not be used to forward proposed substitutions)

                    IT IS HEREBY CERTIFIED THAT THE          EQUIP. MATERIAL SHOWN AND MARKED IN THIS

                    SUBMITTAL IS THAT PROPOSED TO BE INCORPORATED INTO CONTRACT
                    IS IN COMPLIANCE WITH THE CONTRACT DRAWINGS AND SPECIFICATIONS, AND CAN BE INSTALLED
                    IN THE ALLOCATED SPACES.

(C) AUTHORIZED      CERTIFIED BY(C)                                                                                     DATE
CONTRACTOR
QUALITY                                                      PART II - FOR DESIGNER USE
CONTROL REPRESENT-
                                                                        TO (ROICC/REICC)
ATIVE

                    FROM (Designer)

                                    THIS SUBMITTAL HAS BEEN REVIEWED (D). THE FOLLOWING RECOMMENDATION IS MADE:
(D) CURSORY REVIEW

REQUIRED ON RECORD

COPIES - REPLY TO

ROICC ONLY IF APPRO-
RIATE. DETAILED
REVIEW REQUIRED ON

SUBMITTALS FOR

GOVT. APPROVAL

STAMP AND MARK      SIGNATURE                                                                      DATE
EACH COPY AS

APPROPRIATE.

(E) DESIGNER        FROM (CLIENT)                            PART III - FOR CLIENT USE
  (COPY TO OICC)
                                                                                TO (E)

                    ENCLOSURES ARE RETURNED WITH THE FOLLOWING COMMENTS:

                    SIGNATURE

Revision C                                                      For Sama Global Use Only
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