|
MANUFACTURER/INSTALLER COMPLIANCE AGREEMENT
|
| |
|
PROJECT:
|
|
|
LOCATION:
|
|
|
OWNER:
|
|
|
GEOMEMBRANE MANUFACTURER:
|
|
|
GEOMEMBRANE INSTALLER:
|
|
|
INSTALLER REPRESENTATIVE:
|
|
| |
| _____________________ (Representative), hereby confirms that
_______________ (Manufacturer's) and _______________ (Installer's) personnel
have reviewd the design, specification, and quality documents listed below
and in Section 1 of the project CQA Plan, and certifiy that both can, and
will, comply with all design, specification, test, procedural, and quality
requirements therein: |
- Design drawing numbers
- Project Specifications - "title", date, published by
- CQA Plan - "title", date, published by
- Contract documents: numbers, titles, dates
|
|
Manufacturer: |
Installer:
|
|
|
Signature: |
Signature:
|
|
|
Name: |
Name:
|
|
|
Position: |
Postion:
|
|
|
Date: |
Date:
|
|