Total Sheet 26

DOCUMENT NO. REV

BLA-S-WP-00-000-GT1-507 B

Subcontractor's name PT. GUNA TEGUH ABADI CONSTRUCTION

COMPANYs name PT. Medco E&P Malaka
Contractor JGC Indonesia-Encona Consortium (JEC)
Plant Location Alur Siwah - Aceh
Project name Block A Project
Purchase Order No. 0-0709-0-P-3130-001
Service Name STEEL STRUCTURE INSTALLATION WORK
Item number
Document title Site Inspection And Test Plan (ITP)

BLOCK-A Project (JOB No. : 0-0709-00-0000)

ISSUE PURPOSE: IFA ( by Subcontractor )

RESULT CODE : A, B, C, D, E ( by Contractor )

NEXT STATUS : FI, FA, AC, AB, CN, NA ( by Contractor )

RESUBMISSION DATE : ( by Contractor )

RESPONSIBLE DEPT./PERSON : ( by Contractor )

Review Date: ( by Contractor )

A : Approved
B : Approved with Minor Comment
C : Review/Comment
D : Reject and to be Resubmitted
E : Retained for Info Only
Approval or review hereunder shall not be construed to relieve Vendor /
Subcontractor of his responsibilities and liability under the Contract.

BLOCK-A GAS DEVELOPMENT PROJECT

ISSUANCE TO COMPANY
FOR INFORMATION

CLASS 1 X CLASS 2 CLASS 3

VENDOR PURCHASER COMPANY

REV DATE PURPOSE TO PURCHASER
PREP'D CHECK'D APP'D CHECK'D APP'D APP'D

B 14-Jan-2017 ISSUED FOR APPROVAL Aris H Dedy S Harapan

A 28-Dec-16 ISSUED FOR APPROVAL Aris H Dedy S Harapan
PURCHASER
DOC. NO.