APPLICATION FOR MOTOR SOLO RUN / NO LOAD RUN

Date Issued :

From : PT. PP (Persero), tbk

To : PT. PI Energi

We would like to have your presence for inspection according to the following schedules

Date/Time Unit/System Motor Tag No Remarks

Note :

Signature,

PT. PP (Persero), tbk

Attachment 2 REPORT FOR TIGHTNESS TEST EXECUTION

REPORT FOR TIGHTNESS TEST EXECUTION

Date Issued :

From : PT. PP. (Persero), tbk

To : PT. PI Energi

We hereby state that the following tightness test of the system described below have been finished in
accordance to the criteria.

1. Plant / Area :
2. System/ Sub-System :
3. P&ID No :

4. Equipment / Line No :
:
:
5. Oprt/Dsgn Pressure :
6. Test Media :
7. Test Pressure :
8. Remarks :

PT. PP (Persero), tbk PT. PI Energi Tractebel Connusa

Name
Position
Signature
Date