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DOCUMENT TRANSMITTAL sretatc Rubber @)suez (QC REPORT INSPECTION) ©) mM. To __Hasbi/ Fara pate 2.mort7 KPT ‘Trnsmittal No. + 0018/DGM/3/2017 Hod No DOC core onisnal — review ptiometin No. 1 a Report No. Document Description USIR-ME-U1-062A [Final Inspection MBBR A [U2-IR-ME-UI-0S6B [Final Inspection MBBR B [submitted Date sign Ases a iskah JH 2017 Received by Date Sign Yous [o> J20ry Date f Area uz Returned by ign LA ‘Syntetic Rubber Indonesia - U3 Project ‘Synthetic Rubber —s FIELD INSPECTION REPORT aaa Danes ‘GASSICATION 7b TTP NO. 4926 INSPECTION Gr. 8 REPORT NO. UB 1R_-MELI -06 SYSTEM NO. DATE a4-Mera7 INSPECTION TYPE [WORK NO. Taiz ITEM NO Final Visual Inspection MBBRA 7 FINAL INSPECTION CHECK LST LOCATION UL SIGNATURE INSPETION NOTICE. SUEZ/DGM_ (KPT. EMPLOYER EMPLOYER INSPECTION = va jos (7 | Jos Peay | 7 7 IKPT'S INSPECTOR. Fase, Copa 5 ms ye SUEZ/OGM INSPECTOR Nanang Sopian No. CHECK EMS acc | ej | WA Remarks iflevelng 2|Peaking& Bending Inspection 3|Plumbness inspection alinstalation Na 5]instalation N2_ Glinstalation NS 7linstalation Na a aoe ainstalation Stair MBBR A afinstalation Pat Form _ Spore | -eeereE | eee | 10|Pneumatic test Pad ae 1 |Radiography i — fff 12)Visual inspection ‘Attacment st No. DOCUMENT DESCRIPTION Remarks [comment /Sketch 4 LEGEND ACC: ACCEPT N/A = Not Applicable FORM NO. GM.002 REI = REJECT OWG : DRAWING W@Psuez DEGREMONT PHOTOGRAPH Opainaicruncer fa FINAL VISUAL INSPECTION MBBR - A. PHOTO BEFORE REPAIR

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