"CONTRUCCION OF THE OPERATION ZONE (ZOP) AND THE ENTRANCE COMPLEX (CI) FOR CHANCAY

MULTIPURPOSE TERMINAL PROJECT, PERU"

Document Revew 0.00

SURVEY ACCEPTANCE PROTOCOL
Approvat Date 9/16/2022

CODE: CHECSAC-CCCC4TH-SUV-ITR-180-CI - 00130 Date of Verification: 7/9/2023

Client:
COSCO SHIPPING PORTS CHANCAY PERÚ S.A. Page: 1 de 2
Berth #4 and Junction
FRONT OR SECTOR : BERTH 4 Unit: Plateform 180 REFERENCE PLAN

JOB DESCRIPTION : inspection the coodinates and level of beam TB-301 top formwork Branch: Upper Structure P114143-E-180-MS-DWG-082-R0

In-situ Casting tranverse and

PK OR LOCATION : BEAM TB- 301 TOP AXIS A-F / 49 Subentry: longitudinal beam P114143-E-180-MS-DWG-012 R0

EQUIPMENT: TOTAL STATION X LEICA X MODEL: TS10 2" R500 SERIE: 3317955

CALIBRATED EQUIPMENT: SI X NO CALIBRATION EXPIRY: D: 02 M: DECEMBER Y: 2023

X: 252165.3155 1.- Location of control points 5.- Marking and layout of Track Axes
-BASE 1: CHEC-12 Y: 8717612.3838
Z: 46.5350 2.- Placing templates with level coordinates 6.- Slope Control

X: 252079.532 3.- Line marking and stake out 7.- Verification of concrete levels
BASE 2 CHEC-11 Y: 8717943.5941
Z: 67.183 4.- Tracing and Layout of structures 8.- Others:

X:
BM N-5 Y:
Z: 4.523
Datos de campo

DESIGN ACTUAL
progressive / DIFFERENCES OBSERVATION
N° Pto Axis / level / COORDINATES COORDINATES
Name
East (x) North (y) Level (Z) East (x) North (y) Level (z) East (x) North (y) Level (z)
1 TB-301 251332.010 8717667.865 3.410 251332.009 8717667.863 3.414 -0.001 -0.002 0.004

2 TB-301 251319.108 8717654.053 3.410 251319.110 8717654.056 3.407 0.002 0.003 -0.003

3 TB-301 251304.431 8717638.342 3.410 251304.429 8717638.339 3.414 -0.002 -0.003 0.004

4 TB-301 251302.897 8717639.775 3.410 251302.893 8717639.772 3.410 -0.004 -0.003 0.000

5 TB-301 251317.573 8717655.487 3.410 251317.569 8717655.484 3.411 -0.004 -0.003 0.001

6 TB-301 251330.475 8717669.298 3.410 251330.472 8717669.297 3.408 -0.003 -0.001 -0.002

COMENTARIOS

Inspection Accepted. YES NO Inspection Accepted. YES NO Inspection Accepted. YES NO

Signature: Signature: Signature:

Name: JOSE JARAMILLO M. Name: Name:

Date: 7/9/2023 Date: Date:
SURVEYOR HEAD OF TOPOGRAPHY
SUPERVISIÓN
CHECSAC-CCCC4TH CHECSAC-CCCC4TH
 "CONTRUCCION OF THE OPERATION ZONE (ZOP) AND THE ENTRANCE COMPLEX (CI) FOR CHANCAY
MULTIPURPOSE TERMINAL PROJECT, PERU"

Document Revew 0.00

SURVEY ACCEPTANCE PROTOCOL
Approvat Date 9/16/2022

CODE: CHECSAC-CCCC4TH-SUV-ITR-180-CI - 00130 Date of Verification: 7/9/2023

Client:
COSCO SHIPPING PORTS CHANCAY PERÚ S.A. Page: 2 de 2

Berth #4 and Junction

FRONT OR SECTOR : BERTH 4 Unit: Plateform 180 REFERENCE PLAN

JOB DESCRIPTION : inspection the coodinates and level of beam TB-301 top formwork Branch: Upper Structure P114143-E-180-MS-DWG-082-R0

In-situ Casting tranverse and

PK OR LOCATION : BEAM TB- 301 TOP AXIS A-F / 49 Subentry: longitudinal beam P114143-E-180-MS-DWG-012 R0

EQUIPMENT: TOTAL STATION X LEICA X MODEL: TS10 2" R500 SERIE: 3317955

CALIBRATED EQUIPMENT: SI X NO CALIBRATION EXPIRY: D: 02 M: DECEMBER Y: 2023

X: 252165.3155 1.- Location of control points 5.- Marking and layout of Track Axes
-BASE 1: CHEC-12 Y: 8717612.3838
Z: 46.5350 2.- Placing templates with level coordinates 6.- Slope Control

X: 252079.532 3.- Line marking and stake out 7.- Verification of concrete levels
BASE 2 CHEC-11 Y: 8717943.5941
Z: 67.183 4.- Tracing and Layout of structures 8.- Others:

X:
BM: N-5 Y:
Z: 4.523
Datos de campo

PLANT
48 49 50 51
6 1

PREVIOUS VERIFIED BEAM

E

AXIS 51 49

BEAM CODE TB-302 TB-301

SECTION

5 2 49
C
TB-212

TB-301

TB-302

A
4 3 TB - 301
P114143-E-180-MS-DWG-201-R0
COMENTARIOS

Inspection Accepted. YES NO Inspection Accepted. YES NO Inspection Accepted. YES NO

Signature: Signature: Signature:

Name: JOSE JARAMILLO M. Name: Name:

Date: 7/9/2023 Date: Date:
SURVEYOR HEAD OF TOPOGRAPHY
SUPERVISIÓN
CHECSAC-CCCC4TH CHECSAC-CCCC4TH