Employer: Guangxi Zhuang Autonomous Region Highway and Bridge Engineering Company ContractNo. A4 Contract Section Supervisor: Sichuan Highway Engineering Consulting and Supervision CompanyNo.:

Watch 9

To J4 director's office:

Our department has completed the following sub-projects according to the contract and specifications:, and passed the self-inspection and inspection by our department.

Sub-project inspection and approval form table 9, pile cap site quality inspection table 69, subgrade inspection record (general) table 2, formwork, bracket, arch bridge installation inspection record table 5, total station plane position detection table 10, leveling record table 3, concrete pouring report. Concrete Construction Inspection Record Form Bridge Record Form 1, Cement Concrete Compressive Strength Test Report, Pile Cap Quality Inspection Evaluation Form 68, Sub-project Intermediate Completion Certificate Supervision Form 10, and Key Process Delivery Form Supervision Form 42.

Signature of the contractor: opinions of on-site supervision:

Signature: Year Month Day

Opinions of supervision engineer of test specialty:

Signature: Year Month Day

Opinions of supervision engineer of surveying specialty:

Signature: Year Month Day

Opinions of professional supervision engineer:

Signature: Year Month Day

Opinions of the chief supervision engineer:

Signature: Year Month Day