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PO. NO. REQ NO.

: RFCC-A-EL-PO-008 : RFCC-A-EL-RQ-008

MATERIAL : Cathodic Protection for Jetty VENDOR NAME : PT SOUTHERN TRISTAR VENDOR CODE : STR IDENTIFICATION NO No.
RFCC - X - XX- VP - XXXXXX - XXXXX - XX

VENDOR PRINT STATUS
Prepared by DC Cut off Date : 25-Jul-13 SUBMISSION 04 RETURN TO VENDOR D (A-S) SCH. TRANSM ACTUAL D (A-S)

Status

Status

Status

VENDOR NO
RFCC-A-EL-VP-PO008-SP-001 RFCC-A-EL-VP-PO008-SP-002 RFCC-A-EL-VP-PO008-SP-003 RFCC-A-EL-VP-PO008-SP-004 RFCC-A-EL-VP-PO008-SP-005 RFCC-A-EL-VP-PO008-SP-006 RFCC-A-EL-VP-PO008-SP-007 RFCC-A-EL-VP-PO008-SP-008 RFCC-A-EL-VP-PO008-SP-009 RFCC-A-EL-VP-PO008-SP-010 RFCC-A-EL-VP-PO008-SP-011 RFCC-A-EL-VP-PO008-SP-012 RFCC-A-EL-VP-PO008-SP-013 RFCC-A-EL-VP-PO008-SP-014 RFCC-A-EL-VP-PO008-SP-015 RFCC-A-EL-VP-PO008-SP-016 RFCC-A-EL-VP-PO008-SP-017 RFCC-A-EL-VP-PO008-SP-018 RFCC-A-EL-VP-PO008-DR-001-A3 RFCC-A-EL-VP-PO008-DR-002-A3 RFCC-A-EL-VP-PO008-DR-003-A3 RFCC-A-EL-VP-PO008-DR-004-A3 RFCC-A-EL-VP-PO008-DR-005-A3 RFCC-A-EL-VP-PO008-DR-006-A3 RFCC-A-EL-VP-PO008-DR-007-A3 RFCC-A-EL-VP-PO008-DR-008-A3 ST-RFCC-A-VP-001 ST-RFCC-A-VP-002 ST-RFCC-A-VP-003 ST-RFCC-A-VP-004 ST-RFCC-A-VP-005 ST-RFCC-A-VP-006 ST-RFCC-A-VP-007 ST-RFCC-A-VP-008 ST-RFCC-A-VP-009 ST-RFCC-A-VP-010 ST-RFCC-A-VP-011 ST-RFCC-A-VP-012 ST-RFCC-A-VP-013 ST-RFCC-A-VP-014 ST-RFCC-A-VP-015 ST-RFCC-A-VP-016 ST-RFCC-A-VP-017 ST-RFCC-A-VP-018 ST-RFCC-A-DW-001 ST-RFCC-A-DW-002 ST-RFCC-A-DW-003 ST-RFCC-A-DW-004 ST-RFCC-A-DW-005 ST-RFCC-A-DW-006 ST-RFCC-A-DW-007(1-6) ST-RFCC-A-DW-008

DOCUMENT TITLE
Cathodic Protection for Jetty Vendor Deliverable List Cathodic Protection for Jetty Project Overall Schedule MTO Cathodic Protection for Jetty Sub-Vendor List Cathodic Protection for Jetty Project Organization Chart Cathodic Protection for Calculation of ICCP System for Jetty 63 Sea Water Intake Steel Pipe Piles Cathodic Protection for Calculation of ICCP System for Jetty 64 Steel Pipe Piles Cathodic Protection for Design Calculation ICCP Jetty 68 Modification Cable Schedule of ICCP System Cathodic Protection for Material Specification/Data Sheet and Catalog Site Installation Procedure Site Commussioning Procedure Cathodic Protection for Jetty Factory Inspection Test Plan and Procedure Operation &Maintenance Manual Cathodic Protection for Jetty Factory Inspection Test Plan and Procedure Manufacturing Data Record Index Factory Inspection Report Recommended Spare Part & Special Tool for Two Years Operation & Maintenance Outline and Wiring Diagram of Cathodic Protection Typical Installation Deatil Electrical Wiring Diagram of ICCP System for Jetty 63 Steel Pipe Piles Cathodic Protection Schematic Wiring Diagram of ICCP System for Jetty 64 Electrical Wiring Diagram of ICCP System for Jetty 68 Steel Pipe Piles General Arrangement of ICCP System for Jetty 63 Steel Pipe Piles General Arrangement of ICCP System for Jetty 64 Steel Pipe Piles General Arrangement of ICCP System for Jetty 68 Steel Pipe Piles

IFI

FR

SCH.
21-Jan-13 21-Jan-13 21-Jan-13 21-Jan-13 21-Jan-13 21-Jan-13 21-Jan-13 21-Jan-13 28-Jan-13 21-Jan-13 28-Jan-13 28-Jan-13 N/A N/A 21-Jan-13 28-Jan-13 N/A N/A 28-Jan-13 28-Jan-13 28-Jan-13 28-Jan-13 28-Jan-13 28-Jan-13 28-Jan-13 28-Jan-13

D (A-S)
1 day 1 day 1 day 1 day 1 day 1 day 1 day 1 day

SCH.
6-Feb-13 6-Feb-13 6-Feb-13 6-Feb-13 22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13

RETURN TO VENDOR DATE TRANSM ACTUAL
T-AJ/STR-001 T-AJ/STR-001 T-AJ/STR-001 T-AJ/STR-001 T-AJ/STR-002 T-AJ/STR-002 T-AJ/STR-002 T-AJ/STR-002 31-Jan-13 31-Jan-13 31-Jan-13 31-Jan-13 4-Feb-13 4-Feb-13 4-Feb-13 4-Feb-13

RETURN TO VENDOR D (A-S) SCH. TRANSM ACTUAL D (A-S)

VENDOR SUBMISSION SCH. TRANSM ACTUAL

D (A-S)
On Sch On Sch On Sch On Sch 13 days 13 days 13 days 13 days

SCH.
OK OK OK OK 4-Feb-13 4-Feb-13 4-Feb-13 4-Feb-13

D (A-S)

SCH.

TRANSM

ACTUAL

D (A-S)

SCH.

TRANSM

ACTUAL

001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A3 A3 A1 A3 A1 A1 A3 A1

4 4 6 3 4 40 40 40 10 100 60 40 30 100 6 5 250 5 10 20 1 1 1 1 7 1

T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001 T-STR/AJ-001

22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13 22-Jan-13

A A NS A A B B B NS B NS NS NS NS

T-STR/AJ-001

22-Jan-13

1 day

6-Feb-13

T-AJ/STR-001

31-Jan-13

On Sch

C NS NS NS NS NS NS

15-Feb-13

T-STR/AJ-002

5-Feb-13

8 days

20-Feb-13

T-AJ/STR-003

19-Feb-13

On Sch

B NS NS

6-Mar-13

T-STR/AJ-002

5-Feb-13

8 days

20-Feb-13

T-AJ/STR-003

19-Feb-13

On Sch

B NS

6-Mar-13

26
NOTE : ASB = Asbuilt Drawing, all documents / drawings already closed since those are already as built and included in the Tachnical Data Book (Including Inspection Record / MDR & IOM - Installation Operation & Maintenance Manual) (A) = Approved : CONTRACTOR (vendor) to proceed next step without revision (B) = Approved with minor comment : CONTRACTOR vendor) may proceed to next step if all comments are incorporated in next document issue (C) = With major comments and rejections CONTRACTOR (vendor) is requested to re -issue the document for review again incorporating OWNER’s comments (I) = For Information Only (R) = Under Reviewed by Contractor's Engineer.. NS (G) = Not Submitted Yet Alert : " ??? " = Current Status > Schedule

26
Review by Person Incharge (ADHI) 30 calender days* Revised by Vendor 2 weeks* * please check duration/submission schedule, should refer to standard turn over documents as specified by project

11

Total : 11 dwgs No. Dwg sts 0. ASB 1. A 2. B 3. C 4. R 5. I 6. NS Total Document Total Received

Total : 11 dwgs  dwg 0 4 6 1 0 0 15 26 11 15 #REF! 15 15 15 15 15 15

W:\QDMS\VPFILES\DCT\WEEKLY\160135227.xls.ms_office

STR

Page 1 of 4

Status

No Dwg. Of Size Shts

OWNER (PTM) For Review

Revision

SUBMISSION 01 VENDOR SUBMISSION DATE TRANSM ACTUAL VENDOR SUBMISSION DATE TRANSM ACTUAL

SUBMISSION 02 RETURN TO VENDOR VENDOR SUBMISSION

SUBMISSION 03

SU

COMPANY DISCIPLINES As Of : CILACAP RFCC PROJECT : 15/C00000/2011-S2 : PERTAMINA (Persero) : GENERAL : 06 February 2013 DOCUMENT NUMBER NO BY CONTRACTOR VENDOR DRAWING / DOCUMENT TITLE OUTGOING ISSUED BY CONTRACTOR (ADHI KARYA JAKARTA) REVISION 1st 2nd 3rd 4th 5th DOC SIZE TOTAL SHT RFCC-T-AJPJ-XXXXTRANSMITTAL NO.ms_office . NO. : RFCC-A-RQ-PO-008 : Cathodic Protection for Jetty (Vendor Name : PT Southern Tristar) 001 002 003 004 005 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 RFCC-A-EL-VP-PO008-SP-001 RFCC-A-EL-VP-PO008-SP-002 RFCC-A-EL-VP-PO008-SP-003 RFCC-A-EL-VP-PO008-SP-004 RFCC-A-EL-VP-PO008-SP-005 RFCC-A-EL-VP-PO008-SP-008 RFCC-A-EL-VP-PO008-SP-009 RFCC-A-EL-VP-PO008-SP-010 RFCC-A-EL-VP-PO008-SP-011 RFCC-A-EL-VP-PO008-SP-012 RFCC-A-EL-VP-PO008-SP-013 RFCC-A-EL-VP-PO008-SP-014 RFCC-A-EL-VP-PO008-SP-015 RFCC-A-EL-VP-PO008-SP-016 RFCC-A-EL-VP-PO008-SP-017 RFCC-A-EL-VP-PO008-SP-018 RFCC-A-EL-VP-PO008-DR-001-A3 RFCC-A-EL-VP-PO008-DR-002-A3 RFCC-A-EL-VP-PO008-DR-003-A3 RFCC-A-EL-VP-PO008-DR-004-A3 RFCC-A-EL-VP-PO008-DR-005-A3 RFCC-A-EL-VP-PO008-DR-006-A3 RFCC-A-EL-VP-PO008-DR-007-A3 RFCC-A-EL-VP-PO008-DR-008-A3 ST-RFCC-A-VP-001 ST-RFCC-A-VP-002 ST-RFCC-A-VP-003 ST-RFCC-A-VP-004 ST-RFCC-A-VP-005 ST-RFCC-A-VP-008 ST-RFCC-A-VP-009 ST-RFCC-A-VP-010 ST-RFCC-A-VP-011 ST-RFCC-A-VP-012 ST-RFCC-A-VP-013 ST-RFCC-A-VP-014 ST-RFCC-A-VP-015 ST-RFCC-A-VP-016 ST-RFCC-A-VP-017 ST-RFCC-A-VP-018 ST-RFCC-A-DW-001 ST-RFCC-A-DW-002 ST-RFCC-A-DW-003 ST-RFCC-A-DW-004 ST-RFCC-A-DW-005 ST-RFCC-A-DW-006 ST-RFCC-A-DW-007(1-6) ST-RFCC-A-DW-008 Cathodic Protection for Jetty Vendor Deliverable List Cathodic Protection for Jetty Project Overall Schedule MTO Cathodic Protection for Jetty Sub-Vendor List Cathodic Protection for Jetty Project Organization Chart Cathodic Protection for Design Calculation ICCP Jetty 68 Modification Cable Schedule of ICCP System Cathodic Protection for Material Specification/Data Sheet and Catalog Site Installation Procedure Site Commussioning Procedure Cathodic Protection for Jetty Factory Inspection Test Plan and Procedure Operation &Maintenance Manual Cathodic Protection for Jetty Factory Inspection Test Plan and Procedure Manufacturing Data Record Index Factory Inspection Report Recommended Spare Part & Special Tool for Two Years Operation & Maintenance Outline and Wiring Diagram of Cathodic Protection Typical Installation Deatil Electrical Wiring Diagram of ICCP System for Jetty 63 Steel Pipe Piles Cathodic Protection Schematic Wiring Diagram of ICCP System for Jetty 64 Electrical Wiring Diagram of ICCP System for Jetty 68 Steel Pipe Piles General Arrangement of ICCP System for Jetty 63 Steel Pipe Piles General Arrangement of ICCP System for Jetty 64 Steel Pipe Piles General Arrangement of ICCP System for Jetty 68 Steel Pipe Piles 0 0 A4 A4 A4 4 4 6 3 4 40 10 100 60 40 30 100 6 5 250 5 10 20 1 1 1 1 7 1 RFCC-T-AJ/PJRFCC-T-AJ/PJ- 5457 5458 5-Feb-13 5-Feb-13 5-Feb-13 5-Feb-13 For Review IFI 20-Feb-13 Opened-PJ Closed 0 0 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A4 A3 A3 A1 A3 A1 A1 A3 A1 RFCC-T-AJ/PJRFCC-T-AJ/PJ- 5459 5459 5-Feb-13 5-Feb-13 5-Feb-13 5-Feb-13 IFI IFI Closed Closed 1 Page 2 \\vboxsrv\conversion_tmp\scratch_2\160135227. 1st 2nd 3rd 4th 5th 1st 2nd ISSUED DATE RECEIVED DATE STATUS Due Date Total Day of Overdue RFCC-T-PJ/AJ TRANMITTAL NO. INCOMING REPLY FROM OWNER (PERTAMINA-PJ) ISSUED DAYE RECEIVED DATE STATUS REPLY REMARKS 3rd 4th 5th 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th 1st 2nd 3rd 4th 5th PO.xls.VENDOR PRINT DOCUMENTS PROJECT NAME CONTRACT NO.DAT DOCUMENT STATUS .

1ST 2ND 3RD 4th 5th 6th 7th 8th .

ASB 1.VP . Size No Of Shts OWNER (PTM) For Review Revision SUBMISSION 01 VENDOR SUBMISSION DATE TRANSM ACTUAL RETURN TO VENDOR DATE TRANSM ACTUAL VENDOR SUBMISSION DATE TRANSM ACTUAL SUBMISSION 02 RETURN TO VENDOR VENDOR SUBMISSION SUBMISSION 03 RETURN TO VENDOR . 10-Jul-12 12-Jul-12 10-Jul-12 D (A-S) On Sch 01-Jan-00 3 days SCH.ms_office SB (2) Page 4 of 4 Status Dwg. NS Total Document Total Received Total : 3 dwgs  dwg 0 0 1 0 5 0 0 6 6 30 #REF! Total : 2 dwgs Total : 1 dwg 14 30 Total : 1 dwg 14 30 W:\QDMS\VPFILES\DCT\WEEKLY\160135227.XX.xls. I 6.PO. 4-Oct-12 TRANSM ACTUAL D (A-S) 1 2 3 4 5 6 RFCC-A-ME-VP-PO001-SP001 RFCC-A-ME-VP-PO001-SP002 RFCC-A-ME-VP-PO001-SP003 RFCC-A-ME-VP-PO001-SP004 RFCC-A-ME-VP-PO001-SP005 RFCC-A-ME-VP-PO001-SP006 030/SK/OP/PTHGMDI/VII/2012 022/SK/OP/PTHGMDI/VII/2012 029/SK/OP/PTHGMDI/VII/2012 027/SK/OP/PTHGMDI/VIII/2012 032SK/OP/PTHGMDI/VII/2012 2 1 0 0 0 0 A4 A4 A4 A4 A4 A4 1 6 11 3 3 3 X T-HG/AJ-001 T-HG/AJ-002 T-HG/AJ-002 T-HG/AJ-004 T-HG/AJ-003 T-HG/AJ-004 10-Jul-12 3-Jul-12 13-Jul-12 16-Aug-12 14-Aug-12 16-Aug-12 T-AJ/HG-001 T-AJ/HG-006 T-AJ/HG-002 10-Jul-12 16-Aug-12 30-Jul-12 B B B R R R T-HG/AJ-002 13-Jul-12 T-HG/AJ-005 4-Sep-12 B R R 5 NOTE : ASB = Asbuilt Drawing. all documents / drawings already closed since those are already as built and included in the Tachnical Data Book (Including Inspection Record / MDR & IOM .. 9-Aug-12 2-Aug-12 13-Aug-12 15-Sep-12 13-Sep-12 15-Sep-12 D (A-S) On Sch 14 days On Sch SCH. B 3.XXXXX . 24-Jul-12 30-Aug-12 13-Aug-12 D (A-S) On Sch 5 days SCH. NO.XXXXXX . R 5. RFCC . should refer to standard turn over documents as specified by project 6 Total : 6 dwgs No.X . : RFCC-A-ME-PO-001 : RFCC-ME-RQ-001 MATERIAL : Steel Plate for Spherical Tank VENDOR NAME : PT HG Metal Distribution Indonesia VENDOR CODE : AJHG IDENTIFICATION NO No. A 2. Dwg sts 0.XX VENDOR PRINT STATUS Prepared by DC Cut off Date 28 September 2012 Status Status VENDOR NO DOCUMENT TITLE Deliverable List Quality Plan Manufacturing Procedure Organization Chart Project Schedule Packing and Handling Procedure IFI FR SCH. REQ NO. 12-Aug-12 4-Oct-12 TRANSM T-AJ/HG-002 ACTUAL 30-Jul-12 D (A-S) On Sch SCH. C 4. 13-Aug-12 TRANSM T-HG/AJ-005 ACTUAL 4-Sep-12 D (A-S) 22 days SCH. NS (G) = Not Submitted Yet Alert : " ??? " = Current Status > Schedule 6 Review by Person Incharge (ADHI) 30 calender days* Revised by Vendor 2 weeks* * please check duration/submission schedule.Installation Operation & Maintenance Manual) (A) = Approved : CONTRACTOR (vendor) to proceed next step without revision (B) = Approved with minor comment : CONTRACTOR vendor) may proceed to next step if all comments are incorporated in next document issue (C) = With major comments and rejections CONTRACTOR (vendor) is requested to re-issue the document for review again incorporating OWNER’s comments (I) = For Information Only (R) = Under Reviewed by Contractor's Engineer.