SUBMITTAL FORM

Truwater Cooling Towers Sdn Bhd

Submittal No 6081-SUB-021 Vendor Job No 781502

Project Title Cooling Tower for Cogen Petro Kimia Gresik
Date Issued 8.11.2016 Date Required 8.11.2016

To : PT Pembangunan Perumahan (Persero)

Enclosure
Catalogues Reports X Drawings
X Manufacturer Literature Certificates X Test Procedures
Calculations Samples X Other(s) : List

Type of Submission
For Construction For Reference X For Approval/Comments
For Review X For Information Other(s) :

List of Documents Submission and Comments

No Drawing/Document No Rev Document/Drawing Description Action Code

Local Control Panel Wiring Diagrams of Chemical
1 GGCP-00-W3-SL-002-PP R3
Injection System

Review Comments :

Codes Description :
A : Approved without comment, Vendor to submit For Construction
B : Approved with comment, Vendor to amend and submit For Final
C : Approved with comment, Vendor to amend and re-submit For Approval and Work May Proceed
D : Not approved and resubmit For Approval
E : For Information only

Submitted by : Vendor
Name : Caseyli Chew Date : 8.11.2016
Company : PT Truwater Cooling Towers Company Stamp :

Review by : Consultant
Name : Date :
Company : Company Stamp :

Review by : Client
Name : Date :
Company : Company Stamp :