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Name of Work Na - e-Tendering

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96 Dy. E. E.<br />

TESTING STATEMENT<br />

Annexure<br />

Sr No Items Qty as per Specified Required test Test actual taken at Total test Deficiency in Remarks<br />

execution frequency as per Site <strong>of</strong>fice Laboratory<br />

testing<br />

frequency<br />

1 2 3 4 5 6 7 8 9 10<br />

Contractors :- ___________________________________________________<br />

<strong><strong>Na</strong>me</strong> :- ___________________________________________________<br />

Address :- ___________________________________________________<br />

Contractor No. <strong>of</strong> correction Executive Engineer

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