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F-QC-008

REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
1
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Manufacturing origin□ A

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Manufacturing origin□ A

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Visual □ NDE□ A
4
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
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COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
5
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
6
Check Dimensional□ A
Manufacturing origin□ A

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Visual □ NDE□ A
7
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
8
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
9
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
10
Check Dimensional□ A
Manufacturing origin□ A

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Visual □ NDE□ A
11
Check Dimensional□ A
Manufacturing origin□ A

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Visual □ NDE□ A
12
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
13
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
14
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
15
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
16
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
17
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
18
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
19
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
20
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
21
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
22
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
23
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
24
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
25
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
26
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
27
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
28
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
29
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
30
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
31
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
32
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
33
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
34
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
35
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
36
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
37
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
38
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
39
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
40
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
41
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
42
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
43
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
44
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
45
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
46
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
47
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
48
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
49
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
50
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
51
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
52
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
53
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
54
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
55
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
56
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
57
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
58
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
59
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
60
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
61
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16

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