基础验收表格.doc

储罐基础检查验收记录 Tank Foundation inspection and acceptance records Page 1 of 1 Project Name 项目名称：工程编号：Project No：订单号 PURCHASE ORDER NO 顾客订单号 Customer P.O.No.UAN 储罐名称 name of the storage tank 储罐位号 tank number 检查项目 Check items 允许值 allowable values 实测值measured values 检查项目 Check items 允许值allowable values 实测值 measured values 基础中心标高偏差 Foundation Center elevation deviation 环墙周向标高差Wall circumference elevation difference 10 米内任意两点 any two points in 10 meters 6mm 基础中心轴线标高偏差 foundation central axis elevation deviation 全圆周任意两点 any two points in all circumference 12mm 基础直径偏差 foundation diameter deviation 沥青砂表面平整度 tar sands surface roughness 周向 circumferential direction 12mm 基础环墙宽度偏差 Foundation wall circumference width deviation 径向 radial direction 25mm 同心圆编号 concentric circle 计算标高 calculated elevation（m）实 测 点 标 高 measured point elevation（m）同心圆及测点编号示意图：Diagram of concentric circles and testing point numbers:交出单位 handing over unit 代表：Representative:年 月 日 代表：Representative:年 月 日 代表：Representative:年 月 日 说明：本表由土建施工单位填写，经安装单位和监理（建设）单位检查合格后签字认可，交安装施工单位组卷。环墙标高差和沥青砂表面平整度实测值，可由下部各测点标高记录得出，实测点格位不够时，可加附表填写。Note:This table is completed by the civil engineering construction unit,and after the inspection is passed and signed for approval by the installation unit and supervision(construction)unit,and then hand over to installation unit to form documentation.The wall circumference elevation difference and tar sands surface flatness measured values may be got by the statistics on the measuring point elevation of the lower parts,when there is no sufficient forms for measuring points to fill,attached table can be added.