Date :

PT MEMIONTEC INDONESIA FM - MMI - M.003

Page :
PAINTING INSPECTION REPORT
of

Item / Equipment Name : Report No. :

Sub System : Reference Drawing:

Client :
Equipment / Line No. :
Location :

Repair (Touch-up) parts

Surface Preparation :
Material :
Dry Film Thickness :
Coat No. :
Methode :

General Parts
Surface Preparation :
Painting System :
Material Spec. :
Primer / 1st Coat Intermediate/2nd Coat Finish/Top Coat
Product No.
Product Name
Paint Type
Color / Musel No.
Batch No.
Methode
Dry Film Thickness
Total Dry Film Thickness

Remarks :

Test Result

Acceptable

Not Acceptance

Involvement Party MMI CLIENT REPRESENTATIVE

Signature

Name
Date