INDUSTRIAL ESTATE ENGINEERING & CONSTRUCTION
BERITA ACARA FACTORY ACCEPTANCE TEST
No. 01/BA-FAT/HS2/1V/2019
Pada hari ini, Senin tanggal Dua Puluh Dua bulan April tahun Dua Ribu Sembilan Belas
(22-04-2019), bertempat di Gunma Jepang, telah dilaksanakan Factory Acceptance Test (Test
Proyek Hotel
Sayap 2 di Area The Royale Krakatau Hotel dengan Surat Perjanjian Nomor :
HK.02.01/0220/2018, Tanggal 31 Desember 2018 dan untuk PO (Purchase Order) PT. Krakatau
Engineering Nomor : 17/PO/DU-KE/2008/111/2019 Tanggal 11 Maret 2019 dengan rincian
sebagai berikut
Penerimaan Pabrik) untuk : Pengadaan Unit AC Indoor & Outdoor + Accessori
1, Sampel uji diambil secara random dengan rincian sebagai berikut :
‘NO. | NAMA MATERIAL DESKRIPSI/ SPESIFIKASI JUMLAH
: Tipe : 2 pipe-FSV-ME2-ASIA (SP-Saving) 2 WAY
1. | Outdoor Unit 1 unit
ME2SERIES, model : U-16ME2H7 ex. Panasonic
Tipe : 2 pipe-FSV-ME2-ASIA (SP-Saving) 2 WAY
| ME2SERIES, model : U-14ME2H7 ex. Panasonic ao
Tipe 2 pipe FSV-MED-ASIA (SP-Saving)2 WAY | teal
ME2SERIES, model : U-12ME2H7 ex. Panasonic
Tipe : 2 pipe-FSV-ME2-ASIA (SP-Saving) 2 WAY ae
ME2SERIES, model : U-8ME2H87 ex. Panasonic
Tipe : Slim twenty duct Z1 series,
2. | Indoor Unit 1 unit
model : S-4SMHZIH4A ex. Panasonic
Tipe : Middle static pressure ducted F2 series,
1 unit
model : $-106MF2ESA ex. Panasonic
2. Jenis-jenis pengujian yang dilakukan adalah sebagai berikut
- Visual check
- COO
- Packing ListMaterial tersebut di atas telah dilakukan pengujian bersama PT. Krakatau Industrial Estate Cilegon,
PT, Krakatau Engineeringn dan PT, Gobel Dharma Nusantara (vendor/manufacture AC Panasonic)
dengan hasil baik dan memenuhi syarat yang telah ditetapkan, Data hasil pengujian terlampir.
Demikian Berita Acara FAT (Factory Acceptance Test) ini dibuat dengan sebenarnya untuk dapat
dipergunakan sebagaimana mestinya
Diperiksa Oleh Gunma, 8 Mei 2019
PT. Krakatau Engineering PT. Gobel Dharma Nusantara
Yusrizal
Project Manager Proyek Hotel Sayap 2 Quality Control
PT. Krakatau Industrial Estate Cilegon PT. Surya Makmur Timur Raya
RTO
Sugeng Rahardjo Supangkat
PM & Support Service Manager PT, KIEC DirekturPanasonic
Jakarta, May 14” 2019
Dear customer,
We are pleased that you have decided to order Panasonic air conditioner proxiucts for your building. We
ant to say thank you and hope our cooperation ean sustain for another project in the near future.
This letter also confirms that the products listed below are manufactured and registered under brand
“PANASONIC” with Panasonic Gobel Indonesia as authorized sales subsidiary for Indonesia. Every
Panasonic's policy is valid for these products,
No.| _ Model Name Product Produced By | Country Of Origin
a [_U-8MeaH7 Outdoor VRF BHP PAPAMY Malaysia
2 | vaamean7 ‘Qutdoor VRF 14 HP PAPAMY Malaysia
3 | u-aeme2H7 Outdoor VAF 16 HP PAPAMY Malaysia
‘4 | s-asmzinaa [Indoor VRF Ducted 15,0008TU_ | PAPAGZ. china
5 | s-a06mr2eSA |" Indoor VRF Ducted 36,0008TU_ | PAPAGZ. hina
6 | cz-256esic3 Inteligent Controller PAPARS Japan
7 | c@Px608K2 Branch Joint PAPARS Japan
8 | Cz-P680BK2 Branch Joint PAPARS Japan
9 | cz-Pi3soPi2 Branch Joint PAPARS Japan
10] Cz-P1350BK2 Branch Joint PAPARS Japan
Country of origin Malaysia
Company name Panasonic Appliances Air-Conditioning Malaysia Sdn Bhd
Address + Lot 2,Persiaran Tengku Ampuan, Section 21
Shah Alam, Industrial Site,40300 Shah Alam, Selangor Darul Ehsan, Malaysia
Country of origin China
Company name : Panasonic Appliances Air Conditioner (Guangzhou) CO, Ltd
Address Wan Bao Ji Di,Xie Cun Village,
‘Zhongcun Town, Panyu District, Guangzhou City,P.R China
Country of origin Japan
Company name : Panasonic AP Air Conditioning & Refrigeration Syst. Co. LTD
Address : lel-1, Sakada, Oizumi-Machi, Ora-Gun, Gunma, 370-0596, Japan
‘Thank you,
Hideki Kitazawa
Head fee
PT Panasonic Gobel Indonesia
‘De Sra No. 14 (Caan) Jat Tn 19630
Pane: 4221) 690108, 015710
Fax. (oat) g0tscas