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PROJECT : DUNG QUAT REFINERY (DQR) PROJECT

QUALITY CONTROL FORM QCF 505 CLIENT : VIETNAM OIL AND GAS CORPORATION
(PETROVIETNAM)

PUMP INSTALLATION INSPECTION REPORT


PROJ. NO : 8474L

VERTICAL PUMP

Equip. No. : Report No. :


Equip. Name : Issued Date :
Capacity : Manufactured by :
Discharge Pressure : Model No. :
Suction Nozzle : inch
Discharge Nozzle : inch
Driver Rating : Hp x P
Drawing No. :

MOTOR

N 0
0

2 270 90
270 90

180

180

1
View "A - A"

Base Level (Unit : 1/100 mm)


Before Grouting After Grouting
Measuring Location Witnessed by Witnessed / Reviewed
1 2 Date 1 2 Date
Client Technip Client Technip

Alignment (Unit : 1/100 mm)


Measuring Location Witnessed/Reviewed
Meauring Classification Date
0 90 180 270 Client Technip
After Grouting
After Piping
Axial Alignment

After Grouting
After Piping
Face Alignment

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Name : Name :

Signature : Signature : Signature :

Date : Date : Date :


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PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA21AP001 Report No. : 001/IR/DEL/BPS/IV/16


Equip. Name : ELECTRIC FIRE PUMP Issued Date :
Capacity : 1500 GPM Manufactured by : Aurora Pentair
Discharge Pressure : 10 BAR Model No. : 6-481-14HH /Single Stage
Suction Nozzle : 8 inch
Discharge Nozzle : 6 inch
Power Max. : 149 kW
Drawing No. :

Suction Nozzle Dischard Nozzle


G Suction Center Line

E D C F
Pump Center Line I J

A Discharge Center Line B

Before Grouting After Grouting


Measuring Location Witnessed by Witnessed by
Field Data Date Field Data Date
Contractor Client Contractor Client
A 1272
B 1268
C 1268
D 1270
E
F
G
H
I
J

Notes :

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Name : Name :

Signature : Signature : Signature :

Date : Date : Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA21AP001 Report No. : 001/IR/DEL/BPS/IV/16


Equip. Name : ELECTRIC FIRE PUMP Issued Date :
Capacity : 1500 GPM Manufactured by : Aurora Pentair
Discharge Pressure : 10 BAR Model No. : 6-481-14HH /Single Stage
Suction Nozzle : 8 inch
Discharge Nozzle : 6 inch
Power Max. : 149 kW
Drawing No. :

Suction Nozzle Dischard Nozzle


G Suction Center Line

E F
B C Pump Center Line I J

A D
Discharge Center Line

Before Grouting After Grouting


Measuring
Design Data Witnessed by Witnessed by
Location Field Data Date Field Data Date
Contractor Client Contractor Client
A +0.255 +0.264
B +0.255 +0.264
C +0.255 +0.265
D +0.255 +0.265
E 4572 1102
F 4572 1106
G 947 1870
H 947 1870
I +0.583 +0.592
J +0.583 +0.592

Notes :

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Name : Name :

Signature : Signature : Signature :

Date : Date : Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA23AP001 Report No. : 002/IR/DEL/BPS/IV/16


Equip. Name : DIESEL FIRE PUMP Issued Date :
Capacity : 1500 GPM Manufactured by : Aurora Pentair
Discharge Pressure : 150 PSI Model No. : 6-481-14HH /Single Stage
Suction Nozzle : 8 inch
Discharge Nozzle : 6 inch
Power Max. : 166 kW
Drawing No. :

Suction Nozzle Dischard Nozzle


G Suction Center Line

B C Pump Center Line I J

A D
E Discharge Center Line F

Before Grouting After Grouting


Measuring
Design Data Witnessed by Witnessed by
Location Field Data Date Field Data Date
Contractor Client Contractor Client
A +0.355 +0.347
B +0.355 +0.348
C +0.355 +0.349
D +0.355 +0.349
E 4572 4645
F 4572 4645
G 947 990
H 947 990
I +0.748 +0.741
J +0.747 +0.740

Notes :

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Hafis Name : Eko kurniawan Name :

Signature : Signature : Signature :

Date : Date : Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA41AP001 Report No. : 001/IR/DEL/BPS/IV/16


Equip. Name : ELECTRIC FIRE PUMP Issued Date : 30-Jun-16
Capacity : 2000 GPM Manufactured by : Aurora Pentair
Discharge Pressure : 9 Bar Model No. : 8-481-21 /Single Stage
Suction Nozzle : 10 inch
Discharge Nozzle : 6 inch
Power Max. : 250 HP
Drawing No. :

Suction Nozzle Dischard Nozzle


G Suction Center Line

E F
B C Pump Center Line I J

A D
Discharge Center Line

Before Grouting After Grouting


Measuring
Design Data Witnessed by Witnessed by
Location Field Data Date Field Data Date
Contractor Client Contractor Client
A +0.280 +0.290 HFS - EKO Haris 30-Jun-16
B +0.280 +0.290 HFS - EKO Haris 30-Jun-16
C +0.280 +0.289 HFS - EKO Haris 30-Jun-16
D +0.280 +0.290 HFS - EKO Haris 30-Jun-16
E 822 HFS - EKO Haris 30-Jun-16
F 821 HFS - EKO Haris 30-Jun-16
G 3486 HFS - EKO Haris 30-Jun-16
H 3486 HFS - EKO Haris 30-Jun-16
I +0.606 +0.592 HFS - EKO Haris 30-Jun-16
J +0.606 +0.592 HFS - EKO Haris 30-Jun-16

Tools & Equipment : - Sokia B40 Notes :


- Measure Tape
- Ruler
- Water Pass
- Wrench
- Hydraulic
- Chainblock 5 Ton

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Hafis Name : Eko Kurniawan Name :

Signature : Signature : Signature :

Date : 30-Jun-16 Date : 30-Jun-16 Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA42AP001 Report No. : 003/IR/DEL/BPS/VI/16


Equip. Name : DIESEL FIRE PUMP Issued Date : 21-Jun-16
Capacity : 2000 GPM Manufactured by : Aurora Pentair
Discharge Pressure : 9 Bar Model No. : 6-491-14A/single stage
Suction Nozzle : 10 inch
Discharge Nozzle : 6 inch
Power Max. : 245 HP
Drawing No. :

Suction Nozzle Dischard Nozzle


G Suction Center Line

B C Pump Center Line I J

A D
E Discharge Center Line F

Before Grouting After Grouting


Measuring
Design Data Witnessed by Witnessed by
Location Field Data Date Field Data Date
Contractor Client Contractor Client
A +0.210 +0.220
B +0.210 +0.220
C +0.210 +0.220
D +0.210 +0.220
E 2894 2904
F 2894 2904
G 2456 2623
H 2456 2623
I +0.607 +0.616
J +0.607 +0.616

Notes :

Tools & Equipment : - Sokia B40


- Measure Tape
- Ruler
- Water Pass

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Hafis Name : Eko kurniawan Name :

Signature : Signature : Signature :

Date : Date : Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN


Client : PT. CIKARANG LISTRINDO
Location : Babelan - Bekasi
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030

PUMP INSTALLATION INSPECTION REPORT

Equip. No. : OSGA22AP001 Report No. : 004/IR/DEL/BPS/X/16


Equip. Name : JOCKEY PUMP Issued Date : 26-Oct-16
Capacity : 59 GPM Manufactured by : Aurora
Discharge Pressure : 360 PSI Model No. : PVM15-9
Suction Nozzle : 2 inch
Discharge Nozzle : 2 inch
Power Max. : 10 HP
Drawing No. :
HORIZONTALITY CHECK
VERTICALITY CHECK

Pump Side View Pump Front View

Before Grouting After Grouting


Measuring Level Witnessed by Witnessed by
Result Date Result Date
Contractor Client Contractor Client
Name Sign Name Sign Name Sign Name Sign

Horizontality Acc Eko K Sugeng 26-Oct-16

Verticality Acc Eko K Sugeng 26-Oct-16

Notes :

Tools & Equipment :


- Water Level
- Spanner

* Photos attached

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Eko Kurniawan Name : Eko kurniawan Name :

Signature : Signature : Signature :

Date : 10/26/2016 Date : 10/26/2016 Date :


PT. DELUGE ENGINEERING CONSTRUCTION

Project Name : COAL FIRED POWER STATION - BABELAN Report No. : 005/IR/DEL/BPS/I/17
Client : PT. CIKARANG LISTRINDO Issued Date : 30-Jan-17
Location : Babelan - Bekasi Manufactured by : Ansul
Job No. : CIK-14000-801-10029/ CIK-14000-801-10030 Model No. : Horizontal Tank

INSTALLATION INSPECTION REPORT

Equip. No. : OSGF41AM001


Equip. Name : FOAM BLADDER TANK
Capacity : 600 Gallons
Drawing No. : BPS-OSGC-121702

VERTICALITY CHECK HORIZONTALITY CHECK

Tank Side View Pump Front View

Before Grouting After Grouting


Measuring Level Witnessed by Witnessed by
Result Date Result Date
Contractor Client Contractor Client
Name Sign Name Sign Name Sign Name Sign

Horizontality Acc Eko K Sugeng 27-Jan-17 Acc Eko K Sugeng 30-Jan-17

Verticality Acc Eko K Sugeng 27-Jan-17 Acc Eko K Sugeng 30-Jan-17

Notes :

Tools & Equipment :


- Water Level
- Spanner

* Photos attached

SUBCONTRACTOR CONTRACTOR CLIENT

Name : Eko Kurniawan Name : Eko kurniawan Name :

Signature : Signature : Signature :

Date : 1/30/2017 Date : 1/30/2017 Date :


Jockey Pump
Photograph Leveling Inspection
Model : PVM15-9

Horizontal Leveling on Top of Pump Motor in Axis-Y

Horizontal Leveling on Top of Pump Motor in Axis-X

Vertical Leveling on Pump Motor in Axis-X

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Jockey Pump
Photograph Leveling Inspection
Model : PVM15-9

Vertical Leveling on Pump Motor in Axis-Y

Vertical Leveling on Pump Motor Neck in Axis-X

Vertical Leveling on Pump Motor Neck in Axis-Y

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Foam Bladder Tank
Photograph Leveling Inspection
Model : Horizontal Tank
]

Horizontal Leveling on Top of Foam Tank in Axis-Y

Vertical Leveling on Side of Foam Tank in Axis-X

Vertical Leveling on Side of Foam Tank Pad in Axis-X

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