Form EPS 1-21

MANUAL REF. PMD/D/SOP/1

DATE ISSUED Nov. 2006

ISSUE NO. 1

REVISION NO. 0

SYARIKAT BEKALAN AIR SELANGOR SDN BHD PAGE NO. Page 1 of 3

PROJECT MANAGEMENT & DEVELOPMENT DIVISION

DEVELOPMENT PROCEDURES MANUAL

SUBJECT MANUAL FOR MONITORING OF CONSTRUCTION AND TAKING

OVER OF WATER SUPPLY SYSTEM FROM DEVELOPERS

4.1 c - Different Types of form to be used for External Permanent Water Supply System.

TYPE OF FORM TITLE OF FORM

FORM EPS 1 APPLICATION BY CONSULTANT FOR SYABAS TO CHECK

PRODUCT/MATERIAL

FORM EPS 2 NOTIFICATION OF PRODUCT/MATERIAL INSPECTION

FORM EPS 3 PIPE MATERIAL INSPECTION REPORT

FORM EPS 3A WATER FITTING / PIPE SAMPLE FOR TESTING

FORM EPS 4 WATER FITTINGS INSPECTION REPORT (Except for pipes)

FORM EPS 5 FORMAT FOR SITE PROGRESS REPORT BY CONSULTANT

FORM EPS 6 QUALITY MONITORING BY DISTRICT REPORT

FORM EPS 7 APPLICATION BY CONSULTANT FOR SYABAS TO CARRY

OUT PIPELINE/RESERVOIR TESTING

FORM EPS 7A NOTIFICATION OF PIPE / RESERVOIR TESTING

FORM EPS 8 HYDROSTATIC PRESSURE AND LEAKAGE TEST REPORT

FOR EXTERNAL PIPELINE

FORM EPS 8 A HYDROSTATIC PRESSURE TEST REPORT

TEST ON MAIN PIPE COMPLETE WITH FERRULE AND

COMMUNICATION PIPE

FORM EPS 9 WATERTIGHTNESS TEST REPORT FOR RESERVOIR

FORM EPS 10 APPLICATION BY CONSULTANT FOR SYABAS TO

CARRY OUT FINAL INSPECTION OF EXTERNAL SYSTEM

FORM EPS 10A NOTIFICATION OF FINAL JOINT INSPECTION



ISSUE NO. 1

REVISION NO. 0







FORM EPS 11 FINAL JOINT INSPECTION REPORT (EXTERNAL PIPELINE)

FORM EPS 12 FINAL JOINT INSPECTION REPORT

(RESERVOIR/PUMPHOUSE)

FORM EPS 13 LETTER REQUESTING BANK GUARANTEE FOR DEFECT

LIABILITY PERIOD (EXTERNAL WATER SUPPLY SYSTEM)

FORM EPS 14 APPLICATION BY CONSULTANT FOR SYABAS TO TAKE

OVER EXTERNAL WATER SUPPLY SYSTEM

FORM EPS 15 APPLICATION FOR TAPPING CONNECTION

FORM EPS 15A NOTIFICATION OF TAPPING CONNECTION

FORM EPS 16 APPLICATION FOR STERILIZING / FLUSHING / WATER

QUALITY

FORM EPS 16 A NOTIFICATION OF STERILIZING / FLUSHING / WATER

QUALITY

FORM EPS 17 STERILIZING / FLUSHING / WATER QUALITY PIPELINE

REPORT

FORM EPS 18 STERILIZING / WATER QUALITY RESERVOIR REPORT

FORM EPS 19 A CONFIRMATION FOR HANDING OVER BY

CONSULTANT

FORM EPS 19 B NOTIFICATION OF HANDING OVER OF PERMANENT

WATER SUPPLY SYSTEM

FORM EPS 19C LETTER FOR TAKE OVER SYSTEM



ISSUE NO. 1

REVISION NO. 0







FORM EPS 19D DISTRIBUTION OF PERMANENT WATER SUPLY SYSTEM HANDING OVER DOCUMENTS

FORM EPS 20 APPLICATION FOR WATER METERS

FORM EPS 20 A APPROVAL OF ISSUANCE OF WATER METERS

FORM EPS 21 END OF DEFECT LIABILITY PERIOD FOR RETICULATION

SYSTEM/INCOMING MAIN/PUMPING SYSTEM/RESERVOIR

FORM EPS 1

APPLICATION BY CONSULTANT FOR SYABAS

TO CHECK PRODUCT MATERIAL

(To be filled in by Consultant)

To : Head of District, SYABAS District …..………………………………. Consultant : ___________________________________________ Name of Development : ___________________________________________ File Ref. No. : ___________________________________________ Date : ___________________________________________ Approved Plan No. : ___________________________________________

APPLICATION FOR SYABAS TO CHECK PRODUCT/ MATERIAL

We, …………………………………………………………………, the consultant have checked the product/material as per SYABAS's approved list and hereby request to check the product/ material to be used for the above development as follows :-

Material

Product Brand / Name of Supplier

SYABAS Product

Certificate No.

Product/Material Details

Location to be used

Remarks by district

Enclosed is a copy of receipt of site inspection fees and attached herewith are necessary product/material brochures and technical specification (or any other supporting documents)

Please give a suitable date for the above products / materials to be inspected. _________________________________ Consultant Signature, Name and PE No: For SYABAS District Use We hereby agree to accept / reject the above list of product/material for the above development and to proceed / not to proceed with site material inspection. Checked and recommended by, Accepted by, Signature :__________________ Signature : _________________ Name : _________________ Name : _________________ Designation : Technical Manager Designation : Head of District Date : _________________ Date : _________________

FORM EPS 2

NOTIFICATION OF PRODUCT/MATERIAL INSPECTION

To, Consultant : ____________________________________________________ Address : ____________________________________________________ ____________________________________________________ Name of Development : ____________________________________________________ File No. : ____________________________________________________ Date : ____________________________________________________

NOTIFICATION OF PRODUCT/MATERIAL INSPECTION

With reference to your application letter for site product/material inspection dated ……………………, SYABAS wish to inform the site material inspection shall be as follows :-

a). Date : _________________________ b). Time : _________________________ c). Place to meet : _________________________ Please ensure that all products/materials listed in your letter are ready for inspection on the above date.

Signature : ______________________ Signature : ______________________ Name : ______________________ Name : ______________________ Designation : Technical Manager. Designation : Head of District SYABAS Date : ______________________ Date : ______________________

FORM EPS 3 SYABAS DISTRICT: ………………………………….

PIPE MATERIAL INSPECTION REPORT

Name of Development : ___________________________________________________ File No. : ___________________________________________________ Developer : ___________________________________________________ Consultant : ___________________________________________________ Pipe Supplier / Manufacturer : ___________________________________________________ Contractor Name : ___________________________________________________ Instrument Used : Calipers / Ultrasonic Thickness Equipment / Micrometer Inspection Date : ____________________________________________________ Location To Be Laid : ____________________________________________________

Total number of pipes to be inspected : ____________________________________________________

Delivery Order No : ____________________________________________________

Type of Pipe / Pressure Minimum Body

Pipe No/ ID

Int. Lining

Thickness Of Pipe

(mm) Remark

Diameter (mm) Rating Thickness (mm)

Thickness Socket End

Middle Spigot End

Passed (/)

Failed (X)

Note: a. Thickness Measurement shall be at random check and not less than 20% of the number of pipes supplied in each delivery order.

b. All new pipes and laid pipes must be end-capped.

a. Recommendation to be used

b. Recommendation to be rejected and removed from site

c. Other remarks: __________________________________

Inspected & measured by: (Consultant) Name : ___________________________ Post: ___________________ Signature: _______________ Date: ___________

a. Approved to be used based on site measurement. b. Reject to be used and removed from site. c. Subject to the result of laboratory test on samples.

If samples fail to meet the requirement, the batch materials will be rejected even after constructed and removed at site at their own costs.

General Remarks : _________________________________________________________________ Witnessed By : (SYABAS) Witnessed By : (SYABAS) Name : ___________________________ Name :_______________________ Post : Technician / Technical Supervisor Planning/ Post : Head of Planning/

Development section Development Section Signature : ___________________________ Signature : _______________________ Date :____________________________ Date :________________________

FORM EPS 3A

SYABAS DISTRICT: ………………………………….

WATER FITTING/PIPE SAMPLE FOR TESTING

Name of Development : ___________________________________________________________

File No. : ____________________________________________________________ Developer : ____________________________________________________________ Consultant : ____________________________________________________________ Date : ____________________________________________________________ We,……………………………………………….., the consultant hereby submit the following water fitting/pipe sample as requested by SYABAS for testing and agree to pay testing charges as imposed by the testing body /agency.

Type of water

fittings/pipes Sample Units Dimension SYABAS

Certificate

To be filled in by SYABAS AFTER

RESULT

No Nos Size mm No.

Name of Supplier/

manufacturer Pass (/) Fail (x)

Note : a. The certified test result of the selected sample issued by accredited laboratories need to be attached later.

We hereby agree to abide the outcome of the test result as follows: _ 1. We accept the outcome of the test result of the sample submitted for testing. 2. We accept that any sample that does not pass any specified requirement will result in the whole batch

of materials to be rejected and removed from site at developer's own cost. Agreed by : (Consultant) Signature : __________________ Name : ______________________ Designation : __________________ Date: ________________ Agreed by : (Developer) Signature : __________________ Name : ______________________ Designation : __________________ Date: ________________

(SYABAS TO FILL IN AFTER RESULTS) a). Approved to be used based on test result. b). Rejected and to be removed from site. c). Samples fail to meet the requirement. The batch materials will be rejected, even though

constructed, and removed from site at developer's own costs. Checked by : (SYABAS) Endorsed by : (SYABAS) Signature : ________________________ Signature : _______________________ Name : ________________________ Name : _______________________ Designation : Technician/ Technical Supervisor Designation : District Head of Planning/

District Planning/ Development Section Development Section Date : ________________________ Date : _______________________

FORM EPS 4

SYABAS DISTRICT: ………………………………….

WATER FITTINGS INSPECTION REPORT (Except for pipes)

Name of Development : _______________________________________________ Developer : _______________________________________________ Consultant : _______________________________________________ Inspection Date : _______________________________________________ File No. : _______________________________________________

Type of Fittings Product Brand SYABAS Certificate No

Name of supplier

Product Details ( Dimensions & Sizes)

Remarks (Visual Inspection) Good / Fair / Poor

General Remarks : ____________________________________________________________

(If any defective product is detected, head of planning and development section will report to SYABAS Standard, Material and Product Committee)

Witnessed by : Supplier/Contractor Witnessed by : Consultant Name : _________________________ Name : _________________________ Designation : _________________________ Designation : _________________________ Signature : _________________________ Signature : _________________________ Witnessed by : SYABAS Witnessed by : SYABAS

Name : __________________________ Name : __________________________ Designation : Technician/Technical Supervisor Designation : Head of Planning &

Planning & Development Section Development Section

Signature : __________________________ Signature : __________________________

a. All types of valves

b. All types of specials and fittings

c. All types of panel tanks

FORM EPS 5

FORMAT FOR SITE PROGRESS REPORT BY CONSULTANT

(One copy to SYABAS district and one copy to SYABAS HQ Development Department) Name of Development : ____________________________________________________________ File No. : ____________________________________________________________ Name of Consultant : ____________________________________________________________ Address : ____________________________________________________________ Name of Developer : ____________________________________________________________ Date of Submission Report : ____________________________________________________________ Period of Reporting : ____________________________________________________________ Content of report 1. Location plan (street map) : 2. Layout Plan (A3) : 3. Contract details :

4. Progress Summary Description with actual progress compare to planned progress (Fill where appropriate) i) External Works

a. Pipe laying works b. Suction tank c. Pump house d. Reservoir e. Installation of Mechanical works f. Installation of electrical works g. Installation of telemetry system h. Overall progress (actual/schedule)

ii) Internal Plumbing a. suction tank b. Storage tank

c. Pipe works 5. Quality control

a. Material inspection b. Work inspection c. Site testing

6. Progress photographs : 7. Expected Date of Completion : 8. Other Comments : Prepared by : Consultant Signature : ______________________ Name : ______________________ PE No. : ______________________ Designation : ______________________ Date : ______________________

Logo of

consultant

firm

FORM EPS 6

SYABAS DISTRICT : ………………………… QUALITY MONITORING BY DISTRICT REPORT

(EXTERNAL WATER SUPPLY SYSTEMS)

Name of Development : ____________________________________________________

File No. : ____________________________________________________

Developer : ____________________________________________________ Consultant : ____________________________________________________ Overall Progress Description : ____________________________________________________ Date of Site Visit : ____________________________________________________

Technical Comments against Specification Requirement (Fill in, where appropriate)

Activity Acceptable Unacceptable Comments

1. Plan Approval and Product approval

2. Work Permit (Digging)

3. Traffic management

4. Safety Measurement ( Signboard etc)

5. Site cleanliness

6. Excavation

7. Road Cutting

8. Capping of pipe end before and after laying

9. Laying of pipe

10. Jointing of pipes/valves

11. Backfilling material

12. Road reinstatement

13. Pipe protection internal and external before and after laying

14. Chamber construction / cover /marker post

15. Quality Material at site

16. Slope condition

17. Drainage within/outside worksite (Compliance to JPS/DOE)

18. Concreting works

19. Concrete tests/site tests

20. Others

Tick where relevant

Overall findings : _________________________________ Site Instruction to Consultant / Developer : _________________________________

( To be followed up by letter ) Inspected by : Endorsed by : (SYABAS Signature) : ______________________ (SYABAS Signature) : _________________________ Name : _______________________ Name : _________________________ Designation : Technician Planning Designation : Technician Supervisor

Development Planning &Development Section. Date : ______________________ Date : _________________________

Acknowledged By : Acknowledged By : (Consultant Signature) : ______________________ (Developer Signature) : _________________________ Name : ______________________ Name : __________________________ Designation : ______________________ Designation : __________________________ Date : ______________________ Date : __________________________

√

FORM EPS 7

APPLICATION BY CONSULTANT FOR SYABAS TO CARRY OUT PIPELINE / RESERVOIR TESTING

(To be filled by Consultant) To : Head of District, SYABAS Daerah …………………………..

Consultant : _____________________________________________________

Name of Development : _____________________________________________________

File No : _____________________________________________________

Date : _____________________________________________________

APPLICATION FOR SYABAS TO CARRY OUT PIPE/RESERVOIR TESTING

We ……………………………………………… the consultant has prepared the pipe / reservoir for pressure / leakage / water tightness tests. We have a) Cleaned the tank/pipeline

b) Obtained approval for water source for purposes of pressure and leakage testing from SYABAS

c) Filled the pipeline/reservoir

d) Visually inspected and repaired the external condition of the pipe/tank for any sign of leakage

e) Allowed for concrete absorption

f ) Request to increase the size of flow meter for testing purpose (from …….. mm to …….. mm)

g) Physical inspection internally (free from debris) for pipe size 700mm and above

h) Communication pipes, ferrule connections and main pipes are ready for pressure testing.

(Tick, where relevant) Thank you. Consultant Signature : ______________________________ Name : ______________________________ PE No : ______________________________ Designation : ______________________________ Date : ______________________________

FORM EPS 7A

NOTIFICATION OF PIPE / RESERVOIR TESTING

(EXTERNAL WATER SUPPLY SYSTEMS)

To, Consultant : ____________________________________________________ Address : ____________________________________________________ ____________________________________________________ Name of Development : ____________________________________________________ File No. : ____________________________________________________ Date : ____________________________________________________

NOTIFICATION OF PIPELINE / RESERVOIR TESTING

With reference to your application letter for pipeline / reservoir testing dated ……………………, SYABAS wish to inform the pipeline / reservoir testing shall be as follows :- a). Date : _________________________ b). Time : _________________________ c). Place to meet : _________________________ Please ensure that the preparation works are ready for testing on the above date. Signature : ______________________ Signature : ______________________ Name : ______________________ Name : ______________________ Designation : Technical Manager. Designation : Head of District SYABAS Date : ______________________ Date : ______________________

FORM EPS 8

HYDROSTATIC PRESSURE AND LEAKAGE

TEST REPORT FOR EXTERNAL PIPELINE


Consultant : ___________________________________________________________

Developer : ___________________________________________________________ Contractor : ___________________________________________________________

File No. : ___________________________________________________________

Date : _______________________ Type of Pipeline : _______________________ Location of Pipeline: _______________ Size of Pipe : _______________________ mm Pipe Material : _______________________ Pipe length : _______________________ m Preparations for Test : Satisfactory / Not Satisfactory ______________________________________________ (If not satisfactory, state details)

A) PRESSURE TEST Initial specified Pressure : ___________bar Final pressure after 10 minutes: ___________bar (Note: Leakage test shall

not continue if any drop in pressure (is noted)

RESULT PASS FAIL

B) LEAKAGE TEST Initial pressure : __________________________ Bar Final Pressure : __________________________ Bar (Approx. 24 hours) Total make-up water : __________________________ Liters Total test duration : __________________________ Hours Allowable Leakage : 0.34 liter x internal pipe dia.(mm)x pipe length(m) x Total test duration (hour) x Leakage Test (bar) (Liters) 10 x 1000 x 24 hr x 1 bar =

= ________________ liters

RESULT PASS FAIL

Tested by : Checked & Approved by, Witnessed by, Witnessed by, ____________________ ______________________ __________________ _________________ (Contractor Signature) (Consultant Signature) Head of Planning & Development Section Technical Manager Name : Name : Name : SYABAS Designation : Designation : Designation : Designation:

Pipe Material

Pressure Test (Bar)

Leakage Test (Bar)

HDPE (PN 12.5)

12.0

8.0

Steel 15.0 12.0

Ductile Iron

15.0 12.0

ABS (CL 12)

12.0 8.0

FORM EPS 8A

HYDROSTATIC PRESSURE TEST REPORT

TEST ON MAIN PIPE COMPLETE WITH FERRULE AND COMMUNICATION PIPE

Name of Development : _______________________________________________________ Area Location / Phase : _______________________________________________________

Consultant : _______________________________________________________

Developer : _______________________________________________________ Contractor : _______________________________________________________ Plumber : _______________________________________________________ File No. : _______________________________________________________

Date : ___________________________ Communication pipe Material : ___________________________ Size of communication pipe : ___________________________ Main pipe Material : ___________________________ Size of Main Pipe : _______________________ mm Main Pipe length : _______________________ m Preparations for Test : Satisfactory / Not Satisfactory ______________________________________________ (If not satisfactory, state details)

PRESSURE TEST

Initial specified Pressure : ___________bar Final pressure after 10 minutes : ___________bar

Note : The second pipe pressure test referred here shall include the main pipe, complete with ferrule

connection and communication pipe up to meter stand position.

Tested by : Tested by : Checked & Approved by: Witnessed by: Witnessed by:

_________________ ____________ _________________ _______________ ________________ (Contractor Signature) (Plumber Signature) (Consultant Signature) Head of Planning & Technical Manager Name : Name : Name : Development Section SYABAS Designation : Designation : Designation : Name : Name : Designation: Designation:

RESULT PASS FAIL

Communication Pipe Material

Pressure Test (Bar)

All type

6.0

FORM EPS 9

WATERTIGHTNESS TEST REPORT FOR RESERVOIR


Developer : ___________________________________________________________

Consultant : ___________________________________________________________ File No. : ___________________________________________________________

Date : ____________________________________________________________ Type of Reservoir : ____________________________________________________________ Capacity of Reservoir : ______________________________________________ml____________ Test Preparation : ____________________________________________________________ (If not satisfactory, please state details) Visual Inspection : ____________________________________________________________

WATERTIGHTNESS TEST

A. Water Level Initial water level reading : __________________________ Date / Time : ____________________ Final water level reading : __________________________ Date / Time : ____________________ (After 72 hours, drop in water level (A) = __________________mm B. Evaporation Tray size = L X B X H = __________________ Date / Time : ____________________ Initial water level reading Final water level reading = ___________________ Date / Time : ____________________

(After 72 hours, drop in water level (B)= _______________ mm

ALLOWABLE LEAKAGE

C = 1X Depth of water (mm) = mm 2000 ACTUAL LEAKAGE

D = Drop in water level (A) – Drop in water level (B) Evaporation = mm ( If D < C= PASS; D> C = FAIL )

Tested by : Checked & Approved by, Witnessed by, Witnessed by, ____________________ ______________________ ________________________ _________________ (Contractor Signature) (Consultant Signature) Head of Planning & Development Section Technical Manager Name : Name : Name : SYABAS Designation : Designation : Designation : Designation:

RESULT PASS FAIL

FORM EPS 10 APPLICATION BY CONSULTANT FOR SYABAS

TO CARRY OUT FINAL INSPECTION OF EXTERNAL SYSTEM ( to be filled in by Consultant)

To, File No. : ____________________________________________________ Consultant : ____________________________________________________ Name of Development : ____________________________________________________

APPLICATION FOR SYABAS TO CARRY OUT FINAL INSPECTION

We …………………………………………. the consultant has completed the construction of the required system in accordance to the approved plans. We request SYABAS to carry out a final inspection of the water supply system and herewith we enclose the following documents:- a). Original approved drawing (1 set) b). Testing certificates (1 set) We, the designer and supervising consultant, undertake to confirm the pipelines/reservoirs have been completed

1. All water supply installation works are built according to approved plans and specification.

2.

All fittings / Product used are approved type as in approved list

3.

Pipelines/reservoirs are not constructed in private land.

4.

Pipelines of 700mm and above are physical cleaned internally to be free from debris and mud.

5.

Take full responsibility for any non-compliance and deviations of the works.

Please inform us of a suitable date for inspection. Applied by : Acknowledged by : Consultant Signature : _____________________ Developer Signature :__________________ Name : ______________________ Name : ______________________ Designation : ______________________ Designation : _____________________ PE No. : ______________________ Date : ______________________

Date : ______________________

FORM EPS 10A

NOTIFICATION OF FINAL JOINT INSPECTION (EXTERNAL WATER SUPPLY SYSTEMS)

To,

Consultant : __________________________________________________

Address : __________________________________________________

__________________________________________________

Name of Development : __________________________________________________

File No. : __________________________________________________

Date : __________________________________________________

NOTIFICATION OF FINAL JOINT INSPECTION With reference to your application letter for final joint inspection dated ………..…………, SYABAS wish to inform that the final joint inspection shall be as follows :- a). Date : _________________________ b). Time : _________________________ c). Place to meet : _________________________ Please ensure that all works are completed and ready for inspection on the above date. Signature : ______________________ Signature : ______________________ Name : ______________________ Name : ______________________ Designation : Technical Manager. Designation : Head of District SYABAS Date : ______________________ Date : ______________________

FORM EPS 11 SYABAS DISTRICT : ……………………………………………..

FINAL JOINT INSPECTION REPORT (EXTERNAL PIPELINE)( Valid for six (6) months prior taking over date )

Name of Development : _____________________________________ File No. : _____________________________________ Approved Plan No. : _____________________________________ (Attach approved plan and as-built plan of pipeline) Date of Site Visit : _____________________________________ Phase / Name of location pipeline checked : _____________________________________

Work Description Remarks A) PIPELINES Satisfactory Unsatisfactory Comments (tick relevant Column)

Type of pipe

Diameter (mm)

Length (m)

1) Main Pipes 2) Communication Pipes Type Nos Size(mm) 3) Sluice Valves 4) Butterfly Valves 5) Scour Valves 6) Air Valve 7) Hydrants 8) Valve Chambers 9) Pipe Markers 10) Pressure reducing valves 11) Sampling Points 12) Zone Meters 13) Bulk meter with proper meter stand/filter

/ gate valves

14) Constant flow valve 15) Over crossing with/without supports /

Spike guards

16) Other items : General Comments Work done Satisfactory and acceptable to be taken over. Work done Unsatisfactory for those items commented and need to be rectified and another inspection date to be arranged. Others (Please specify)

Remarks :

Jointly Inspected by : Head of Planning/Development Section SYABAS Jointly Inspected by : Technical Manager Signature : _________________________ Signature : _______________________ Name : _________________________ Name : _______________________ Date : _________________________ Date : _______________________ Jointly Inspected by : Head Of District (HOD) Jointly Inspected by : Secretary Of Work (SOW) Signature : _________________________ Signature : _______________________ Name : _________________________ Name : _______________________ Designation : _________________________ Designation : _______________________ Date : _________________________ Date : _______________________

Acknowledged by Consultant :______________________ Acknowledged by Developer :________________ Signature : _________________________ Signature : _______________________ Name : _________________________ Name : _______________________ Designation : _________________________ Designation : _______________________ Date : _________________________ Date : _______________________

FORM EPS12 page 1 of 3

SYABAS DISTRICT : …………………………………………….. FINAL JOINT INSPECTION REPORT(RESERVOIR / PUMPHOUSE)

( Valid for six (6) months prior taking over date ) EXTERNAL WATER SUPPLY SYSTEM

Development : File No. : Approved Layout Plan No. : Date of Site Visit : (Tick relevant column)

Work Description Remarks A) RESERVOIRS ( Suction or Service )

Capacity/size Nos

Satisfactory (tick relevant

Unsatisfactory column) Comments

1) Type of tank (Ground/Elevated) 2) Make of tank (RC/Panel tank) 3) Capacity (ML) 4) Dimensions ( length x breadth x Height) 5) No visible Ground Settlement 6) Roof Condition 7) Wall Condition 8) Floor Condition 9) Column Condition 10) Ventilation Lantern 11) Inlet Pipe 12) Outlet Pipe 13) Overflow Pipe 14) Scour pipe 15) Bypass pipe 16) Inlet valve (altitude/ball) 17) Outlet valve 18) Overflow valve 19) Scour valve 20) Bypass pipe valve 21) Valve Chamber with step ladder/cover/clean

22) Slope gradient 23) Setback 24) Guard rails (galvanized steel) 25) Internal Ladder (RC/Aluminium/stainless steel)

26) External Ladder (RC/Aluminium/stainless steel)

27) Ventilation door (Mosquito proof Monel Metal Gauge)

28) Perimeter Drainage 29) Drain Manhole 30) Level Indicator 31) Reservoir Painting 32) RTU/Telemetry 33) Reservoir Information TWL/BWL/Capacity

34) Flow meter 35) Other Comments





Work Description Remarks Capacity

/size Satisfactory Unsatisfactory

column) Comments (tick relevant B) PUMPHOUSE Nos 1) Location Dimension (length x Breath) 2) Roof type (RC/Steel) 3) Security Grilles 4) Gantry Crane 5) Fire Protection 6) Toilet facilities 7) Table and Chair 8) Painting works 9) Metal roller shutter door 10) Suction pipeline 11) Flowmeter 12) Valves (suction line) 13) Valves (delivery line) 14) Type of rosestrainer 15) Other Comments

Capacity/size

Satisfactory Unsatisfactory column) Comments (tick relevant Nos C) EXTERNAL CIVIL WORKS

1) Access Road 2) Premix

3) Close Turfing 4) Security Fencing (Y- type) 5)Perimeter Barbed Wire (ground level) 6) Padlock 7) Boundary Markers 8) Signboard 9) Perimeter drainage system 10) Discharge point 11) Other Comments : Capacity/size

Satisfactory Unsatisfactory column) Comments (tick relevant Nos D) Quarters

1) Floor area 2) Rooms

3) Kitchen 4) Roofing Material 5) Type of ceiling 6) Type of floor tile 7) Lighting points 8) Power points





9) Toilets 10) Water taps 11) Painting works 12) Perimeter drainage system 13) Septic tank 14) Other Comments:

TNB Power Supplied : General Comments Work done Satisfactory and acceptable to be taken over.

Work done Unsatisfactory for those items commented and need to be rectified and another inspection date to be arranged. Others (Please specify)

Remarks : Jointly Inspected by: Section Head of Planning Jointly Inspected by :Technical Manager

/Development SYABAS (District) Signature : ____________________ Signature : ____________________ Name : ____________________ Name : ____________________ Date : ____________________ Date : ____________________

Jointly Inspected by : Head Of District (HOD) Jointly Inspected by : Secretary Of Work (SOW) Signature : ____________________ Signature : ____________________ Name : ____________________ Name : ____________________ Designation : ____________________ Designation : ____________________ Date : ____________________ Date : ____________________ Acknowledged by Consultant : Acknowledged by Developer : Signature : ____________________ Signature : ____________________ Name : ____________________ Name : ____________________ Designation : ____________________ Designation : ____________________ Date : ____________________ Date : ____________________

Porting

FORM EPS 13

SYABAS DISTRICT : …………………………………………….. LETTER REQUESTING BANK GUARANTEE FOR DEFECT LIABILITY PERIOD

(EXTERNAL WATER SUPPLY SYSTEM)

Your Ref. : Our ref. : Bil ( ) dlm.SYABAS Date : (Developer Name ) Dear Sir, Subject : ( Development Title ) BANK GUARANTEE FOR DEFECT LIABILITY PERIOD With reference to your letter dated ………….. on the above matter and the final site inspection carried out in the presence of representatives from your company, consultant, contractor and SYABAS on …………….. is referred. 2. Before the letter to take over the water supply system is issued out, you are required to submit a bank guarantee of amount RM………………………….. ( Ringgit Malaysia ………………………………..) under the name of Syarikat Bekalan Air Selangor Sdn. Bhd. and deliver to this office within fourteen (14) days from the date of this letter. 3. The said bank guarantee is a guarantee to ensure that the taken over water supply system is in good condition and functioning well within the ……………… months of defect liability period. 4. SYABAS has the right to exercise the said bank guarantee to do any repair works arising from civil or mechanical or electrical or telemetry works during the defect liability period for the above development if the developer fails to execute the repair works within the stipulated time frame as required by SYABAS. 5. The balance of bank guarantee amount will be returned to the developer after deducting repair costs (if any) borne by SYABAS. Thank you. ……………………………………. ………… SYABAS Head of District ______________ Name : Date : sk 1. General Manager, Development Department

SYABAS, Tingkat 2, Wisma Goshen 59200 Kuala Lumpur

2. Assistant General Manager, Mechanical and Electrical Department SYABAS, KM 7, Jalan Sungai Besi 57100 Kuala Lumpur

3. ( Consultant )

FORM EPS 14 APPLICATION BY DEVELOPER FOR SYABAS

TO TAKE OVER EXTERNAL WATER SUPPLY SYSTEM (to be filled in by Developer and Consultant)

To : Head of District, SYABAS District …………………………………. Development : ______________________________________ File No : _______________________________________ Date : _______________________________________

APPLICATION FOR SYABAS TO TAKE OVER SYSTEM We, …………………………………………………………………, the developer for the above development has completed the water supply system as approved by SYABAS. Enclosed please find the following documents which have been filled in :- 1) 4 bound copies of the following :-

a) KA I/1, KA 1/2 form (whichever is appropriate) as shown in attachment A b) As built plan as per format and specification stated in operating procedure of SYABAS Mapping Department

as shown in attachment B c) Originally approved plan d) Material Invoice for pipes and fittings e) Final Joint Inspection Report ( FORM EPS 11 / EPS 12) f) Bank Guarantee against defects submitted to SYABAS (valid for ……… months from date of taking over) g) Pressure and leakage test reports ( FORM EPS 8 / EPS 9) h) FORM 12A/12B on letter of submission to land office (if applicable) as shown in attachment C i) Supporting letter from mechanical/electrical j) Attached copies of receipt of 40% SKP and 60% SKP payment k) Clearance letter from SYABAS Asset Department ( if land matter is involved)

2) Additional unbound copies of the following :- a) As-built plan in CD format (2 sets) b) Additional as built plans (4 sets) c) Operation/maintenance manual for Zone Meter (2 sets) d) Operation Manual for M & E & Telemetry (2 sets) e) As-built plan M&E and Telemetry (2 sets)

We hereby apply for the Letter of Taking Over to be issued to us. We confirm that water supply systems are constructed according to approved drawings, specification and used approved fittings /products by SYABAS. We take full responsibility on design and supervision of the works, and undertake to rectify any defectives works within specified period by SYABAS If any defective work involve the water supply to consumers, the developer must rectify the defective work within 24 hours. Failing which SYABAS reserves the right to repair the defective work and any cost incurred will be charged to developer by deducting the amount from the bank guarantee. We note that Individual meters will only be issued after confirming the internal plumbing system is completed Thank you. Applied by : ___________________________ Applied by :_____________________ Consultant Signature : ___________________________ Developer Signature : _____________________ Name : ___________________________ Name : _____________________ Designation : ___________________________ Designation : _____________________ Date : ___________________________ Date : _____________________

FORM EPS 15

SYABAS DISTRICT: ……………………………………………..


TO : Head of District, SYABAS district _____________________________ FROM : __________________________ (name, designation, contractor company name)

NAME OF DEVELOPMENT : ___________________________________ FILE NO. : ___________________________________________________ DATE : ___________________________________________________

APPLICATION FOR TAPPING CONNECTION

We …………………………………..(name of contractor) wish to apply for tapping at

……………………………. for the development at …………………………….

Enclosed are the following documents:

a). Connection charge Receipt No.: ………………………………………………

b). A copy of Form EPS 14 obtained from the consultant / developer.

c). A copy of Method Statement for connection works which have been approved by district /

Operations Division.

Thank you.

Applied by:

……………………………..

(Contractor)

Copy to: (Consultant)

FORM EPS 15A

NOTIFICATION OF TAPPING CONNECTION (EXTERNAL WATER SUPPLY SYSTEMS)

To, Contractor : ____________________________________________________ Address : ____________________________________________________ ____________________________________________________ Name of Development : ____________________________________________________ File No. : ____________________________________________________ Date : ____________________________________________________ 60 % SKP Receipt No : ____________________________________________________

NOTIFICATION OF TAPPING CONNECTION With reference to your application letter for tapping connection dated ……………………, SYABAS wish to inform that the tapping connection works to be carried out as follows :- a). Date : _________________________ b). Time : _________________________ c). Place to meet : _________________________ Please ensure that the preparation works are ready for tapping connection on the above date. Signature : ______________________ Signature : ______________________ Name : ______________________ Name : ______________________ Designation : Technical Manager. Designation : Head of District SYABAS Date : ______________________ Date : ______________________ Copy to : (Developer)

FORM EPS 16

SYABAS DISTRICT: ……………………………………….


TO : Head of District, SYABAS district _________________________________ FROM : __________________________ (name, designation, contractor company name)

NAME OF DEVELOPMENT : ___________________________________ FILE NO. : ___________________________________________________ DATE : ___________________________________________________

APPLICATION FOR STERILIZING / FLUSHING/ WATER QUALITY

We …………………………………..(name of contractor) wish to apply for sterilizing / flushing/ water

quality at ……………………………. for the development at …………………………………………. . We

confirm that the tapping connection works had been completed according to the requirement of

SYABAS. Enclosed is the receipt for payment of water to be used for sterilizing and flushing.

Thank you.

Applied by:

……………………………..

(Contractor)

Copy to: (Consultant)

FORM EPS 16A NOTIFICATION OF STERILIZING /

FLUSHING/ WATER QUALITY (EXTERNAL WATER SUPPLY SYSTEMS)

To, Contractor : ____________________________________________________ Address : ____________________________________________________ ____________________________________________________ Name of Development : ____________________________________________________ File No. : ____________________________________________________ Date : ____________________________________________________

NOTIFICATION OF STERILIZING / FLUSHING/ WATER QUALITY With reference to your application letter for sterilizing / flushing/ water quality dated ……………………, SYABAS wish to inform that the sterilizing / flushing/ water quality works to be carried out as follows :- a). Date : _________________________ b). Time : _________________________ c). Place to meet : _________________________ Please ensure that the preparation works are ready for sterilizing / flushing/ water quality on the above date. Signature : ______________________ Signature : ______________________ Name : ______________________ Name : ______________________ Designation : Technical Manager. Designation : Head of District SYABAS Date : ______________________ Date : ______________________ Copy to : (Consultant)

FORM EPS 17 SYABAS DISTRICT: ……………………………………….

STERILIZING / FLUSHING / WATER QUALITY PIPELINE REPORT Name of Development : __________________________________________ File No. : __________________________________________ Developer : __________________________________________ Sterilizing : __________________________________________ Agent : __________________________________________ Date Location of

Sterilizing Pipeline

Length (m) Pipeline Dia. (m)

Volume of Water (m3)

Chlorine (kg)

Time start Time Finish

* End of 24 hour period the sterilizing mixture shall have a strength of at least 10ppm of chlorine. Flushing : Date Location of

Flushing

Time Start

Time Finish Total Time

(min) Pipeline Length

(m)

Pipeline Diameter

(m)

Non - Revenue

Water (NRW) (m3)

Water Quality Test

Date Location of Sampling

Physical Parameter Chemical Parameter Microbiological R.

Chlorine < 0.2 mg/l

Turbidity < 5 NTU

pH (6.5 - 9.0)

Aluminium 0.1 mg/l

Iron 0.2 mg/l

Manganese 0.3 mg/l

E.Coli (Absent)

T. Coliform (Absent

General Remarks : Pass Fail If not satisfactory, please list the following actions required to be taken by contractor / consultant: ____________ Carried Out By : ___________________________ Supervised by : ___________________________

Contractor Signature) (Consultant Signature) Name : ___________________________ Name : ___________________________ Designation : ___________________________ Designation : ___________________________ Date : ___________________________ Date : ___________________________ Witnessed By : ___________________________ Witnessed By : ___________________________

(SYABAS Signature) (SYABAS Signature) Name : ___________________________ Name : ___________________________ Designation : Technician Water Quality Unit Designation : Head of Unit Water Quality Unit Date : ___________________________ Date : ___________________________


STERILIZING / WATER QUALITY RESERVOIR REPORT Name of Development : ___________________________________________ File No. :____________________________________________ Developer :____________________________________________ Sterilizing :____________________________________________ Agent Date Reservoir

Type Capacity

(mld) Volume of Water (m3)

Chlorine Dosage (kg)

Time start Time Finish

* Minimum 2 hours contact time Water Quality Test

Date Location of Sampling

Physical Parameter Chemical Parameter Microbiological R. Chlorine < 0.2 mg/l

Turbidity < 5 NTU

pH (6.5 - 9.0)

Aluminium 0.1 mg/l

Iron 0.2 mg/l

Manganese 0.3 mg/l

E.Coli (Absent)

T. Coliform (Absent

General Remarks : Pass Fail If not satisfactory, please list the following actions required to be taken by contractor / consultant : ____________________________ Carried Out By : ___________________________ Supervised by : ___________________________

Contractor Signature) (Consultant Signature) Name : ___________________________ Name : ___________________________ Designation : ___________________________ Designation : ___________________________ Date : ___________________________ Date : ___________________________ Witnessed By : ___________________________ Witnessed By : ___________________________

(SYABAS Signature) (SYABAS Signature) Name : ___________________________ Name : ___________________________ Designation : Technician Water Quality Unit Designation : Head of Unit Water Quality Unit Date : ___________________________ Date : ___________________________

FORM EPS 19A CONFIRMATION FOR HANDING OVER BY CONSULTANT

(To be filled by Consultant) To : Head of District, SYABAS District …………………………………… Consultant : _____________________________________________________ Name of Development : _____________________________________________________ File No : _____________________________________________________ Date : _____________________________________________________

CONFIRMATION FOR HANDING OVER BY CONSULTANT

We ……………………………………………… the consultant CONFIRM that the permanent water supply system had been completed successfully and ready to be handed over to SYABAS for operation. We have

a) completed all outstanding works and rectified all defects as per final joint inspection report. b) prepared three (3) set of master keys to be handed over for main gates of service

reservoir/ pump house/suction tank/manhole covers/ chambers) c) Paid all outstanding TNB bills, a copy of which is enclosed.

d) Others _______________________________________________________

(tick, where relevant)

Thank you Confirmed by : Consultant Signature : _________________________________ Name : _________________________________ PE No : _________________________________ Designation : _________________________________ Date : _________________________________

FORM EPS 19B NOTIFICATION OF HANDING OVER OF PERMANENT WATER SUPPLY SYSTEM

To, Consultant : ______________________________________________ Address : ______________________________________________ From : Head of District, SYABAS ……………………………… Date : ______________________________________________ File No. : ______________________________________________ Name of Development : ______________________________________________

NOTIFICATION OF HANDING OVER OF PERMANENT WATER SUPPLY SYSTEM With reference to your application letter for handing over (EPS 19A) dated ……………………, SYABAS wish to inform you that the permanent water supply system completed by you is ready to be handed over to SYABAS for operation. The date, time and place for joint inspection for handing over is arranged as follows :- a) Date : ____________________________________ b) Time : ____________________________________ c) Place to meet : ____________________________________ Please ensure that three (3) set of master keys for the gates, doors and padlocks, if applicable are ready to be handed over on the above date. Signature : _______________________ Signature : _____________________ Name : _______________________ Name : _____________________ Designation : Technical Manager Designation : Head of District SYABAS Date : _______________________ Date : ______________________

FORM EPS 19 C SYABAS DISTRICT: ……………………………………….


LETTER FOR TAKE OVER SYSTEM

Your Ref :

Our ref : Bil ( ) dlm.SYABAS

Date :

(Developer Name ) Dear Sir , Subject : (DEVELOPMENT TITLE) Taking Over of Reticulation System/Pumping System/Reservoir With reference to your letter (EPS 14) dated ………….. on the above matter and the water quality inspection visit after flushing works were completed in the presence of representatives from your company, consultant, contractor and SYABAS on …………….. is referred. 2. Please be informed that SYABAS in principle has no objection to agree to take over the said reticulation system/pumping system/reservoir from the date of this letter. 3. The defect liability period is fixed at …………… months effective from …………………….. You are required to repair all defects or damages during the defect liability period. 4. The developer has submitted a bank guarantee amounting to RM………………….. and any repair cost borne by SYABAS will be deducted from the bank guarantee if repair works are not carried out by developer. 5. The end of defect liability period letter will be issued to the developer after the developer has repaired all defects as notified by SYABAS 6. With this letter the developer can proceed to apply for water meter after the water deposit has been paid. 7. SYABAS in principle has no objection to supply water for the above development and the Local Authority to issue the certificate of fitness. Thank You. Approved by, Endorsed by, Signature : _____________________________ Signature : _________________________________________ SYABAS Head of District ________________ SYABAS Secretary of Works District ____________________ Name : Name : Date : Date : sk 1. Yang Dipertua Majlis Perbandaran/District …………………………

2. General Manager, Development Department 3. General Manager, Operation and Maintenance Department 4. Assistant General Manager, Mechanical and Electrical Department 5. Unit Meter District ……………………………….. 6. Unit Mechanical and Electrical District ………………….. 7. ( Consultant )

FORM EPS 19 D Page 1 Of 2

SYABAS DISTRICT: ………………………………………. (EXTERNAL WATER SUPPLY SYSTEM)

Distribution of Permanent Water supply System Handing Over Documents

To : __________________________________________(Department Concerned) Development Name : __________________________________________ File No. : __________________________________________ Date : __________________________________________ Please be informed that the permanent water supply system has been completed by the developer and taken over by SYABAS on …………………………………. Copies of permanent water supply system handing over documents for the above development are distributed to the relevant departments as shown in the table below. Item Document Development

Department Planning and

Design Department

Operation and maintenance Department

Mechanical and Electrical

Department

District

a. Bound Copy

1 KAI/1, KA1/2 form (whichever is appropriate)

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2 “As built” Plan (Hard copy)

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3 “As built” Plan in CD format

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4 Original Approved Plan

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5 Pipes and fittings invoices

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6 Pressure and leakage test report

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7

Submission of application form 12A/12B to respective Land Office (if applicable)

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8

Final Joint Site Inspection Report (SYABAS EPS 11/ EPS 12)

√

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9 Bank Guarantee for Defect Liability Period

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FORM EPS 19 D Page 2 Of 2

SYABAS DISTRICT: ………………………………………. (EXTERNAL WATER SUPPLY SYSTEM)

Distribution of Permanent Water Supply System Handing Over Documents

Item Required Document Development Department

Planning and Design

Department

Operation and maintenance Department

Mechanical and Electrical Department

District

10 Payment receipt 40% SKP dan 60% SKP

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11

Support Letter from Mechanical and Electrical section (if applicable)

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12

Clearance letter from SYABAS Asset Department ( if land matter is involved)

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b. Unbound Copy

13

Manual Operation for Mechanical, Electrical and Telemetry

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14

As-built plan Mechanical, Electrical and Telemetry

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15

Additional As-built plans (4 sets)

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16

Operation / Maintenance manual for Zone Meter (2 sets)

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Thank you. __________________________________________________ Head of District :___________________________________ Name : _________________________________________ Date : _________________________________________



To : Head of District, SYABAS District _____________________________ From : __________________________ (Name of plumbing company and address)

Name of Development: _________________________________________________ File No. : __________________________________________________ Date : __________________________________________________ RE: APPLICATION FOR WATER METERS

On behalf of the developers, we …………………………………….. (Name of plumbing company /

plumber name ) wish to apply for ……………………………… numbers of water meters to be installed

at ……………………………………. (Development name / phase no.).

Enclosed is a copy of Form EPS 19C obtained from the consultant / developer.

Thank you.

Applied by Plumber :

Signature : _____________________________ Name : _____________________________

Designation : _____________________________

Plumber License No : _____________________________

Date : _____________________________

c.c.

i. (Developer) ii. (Consultant)

FORM EPS 20A APPROVAL OF ISSUANCE OF WATER METERS


TO, LICENSED PLUMBER : _________________________________________________ ADDRESS : _________________________________________________

NAME OF DEVELOPMENT : ___________________________________________ FILE NO. : _________________________________________________ DATE : __________________________________________________

APPROVAL OF ISSUANCE OF WATER METERS

With reference to your application letter for water meters dated …………………………………….. ,

SYABAS wish to inform that the water meters have been approved to be issued for the above project

and can be collected at SYABAS district store.

Recommended by ; Approved by;

Signature : ___________________________ Signature :____________________________

Name : ___________________________ Name : ___________________________

Designation : Technical Manager. Designation : Head of District

Date : ____________________________ Date : ___________________________

FORM EPS 21

SYABAS DISTRICT: ……………………………………….


Your Ref : Our ref : Bil ( ) dlm.SYABAS Date : (Developer Name ) Dear Sir, Subject : (DEVELOPMENT TITLE) End of defect liability period for Reticulation System/Incoming Main/Pumping System/Reservoir

With reference to the above matter, SYABAS is pleased to confirm that there are no more outstanding defects for the above development. With this, SYABAS confirms that the end of defect liability period for reticulation system/incoming main/pumping system/reservoir for the above development has ended. 2. Enclosed herewith is the original copy of full/balance bank guarantee for the defect liability period amounting to RM …………………… for your retention.

Thank You. Recommended by : Approved by : Signature :______________________________ Signature :_________________________ SYABAS Secretary of Works District…………… SYABAS Head of District………………….. Name :_________________________________ Name :____________________________ Date : _________________________________ Date : _____________________________ sk 1. General Manager, Development Department

2. General Manager, Operation and Maintenance Department 3. Assistant General Manager, Mechanical and Electrical Department