XXX公路修复、升级工程
Road Rehabilitation/Upgrading Project from xxx to xxxx
(检查记录表)Record Form of Inspection
承包商:XXX(集团)有限公司
Contractor: XXX Engineering (Group) Company
监理单位:XXX工程监理有限责任公司
Supervising Unit: XXXX Construction Supervising & Consultation Co., Ltd
工程部位project section:工程地点及桩号project location andpile point检查项目inspection item粘层adhesive layer施工时间:construction time检验时间:inspection timeNO:
K______ +______ —K______+______检测结果inspection results宽度width每平方米用量dosage per cubic 合格 qualified 不合格 unqualified 合格 qualified 不合格 unqualified承包商自检意见review of contractor self-inspection: 签字signature: 日期date:现场监理意见review of site supervisor: 可以Yes 不可以 No 签字signature: 日期date: