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Project Title: Document Number HEAFoPV and Pan ~= BRAVO-HSP-0128-V laintenance Services st PERTAMINA Validation Author's Org. PHE ONWJ NA PT. Tri Mulya Gemiang Expired Date PT. Gemaia Saranaupaya vA INSPECTION AND TEST PLAN FOR PRODUCTION SEPARATOR BC (Ex LLB) BC-V-201 Approval Sheet Name Title Date i Mohamad Abdurrang | NURI Project Delivery Manager Zulfian Arun NURI Project Asst. Manager i denial ( Bahrudin Project Engineer [vp ole [19 M4 Micko Leomart NURI QW/QC Lead c1/2l/ ty nae Totok HaryantoroP | Contract Holder Faisal Reza Contract Coordinator Revision Status - TwG- GSU Rev. | IssueDate_ | —3—)~ Ga | app. Issue Purpose Owner Signature 0 | 02-Jan-2019 tay| ZA a Issue for Approval PT. PHE ONWJ Inspection Test Plan for Production Separator 8C-V-201 (Ex LLB) REVISION LOG REGISTER Document Number BRAVO--ISP-0128-V Document Title : INSPECTION TEST PLAN FOR PRODUCTION SEPARATOR BC-V-201 (Ex LLB) Revision =e Page Date Revision Doc. No. BRAVO-HISP.0128.V Rev. O PT. PHE ONWJ Inspection Test Pian for Production Separator 8C-V-201 (Ex LLB) Definition’ 1. Hold Point The next activity should not be executed / implemented until those instruction approved by authorized personnel in this officers must come to inspect. 2. Witness Point. Witness points an activity during fabrication or construction where the inspection and measurement or test must be done in place and documented Doc. No. BRAVO-HSP.0128V Rev. 0

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