BS ooo INSPECTION RELEASE Se Bl boweLt SAIDEM citar consraucrow PROJECT : TANGGUH EXPANSION PROJECT REPORT NO. :36IRN-MOI-KH-2019 PURCHASE ORDER NO +27818020 UNPAOKED DATE:- ‘SUPPLIER/VENDORIAGENT "T. KHI PIPE INDUSTRIES PAGE 1 OF 1 jl. AMERIKA 1. KAWASAN PT. KRAKATAU MATERIAL CURRENT LOCATION “STEEL CIGADING 42435, CILEGON, BANTEN, INDONESIA Job Site Location Person Gontacted Postion Inspector's Name Items Released : ‘TANGGUH EXPANSION PROJECT, BINTUNI BAY, PAPUA, INDONESIA MEIRI FANTORI (A & PD MANAGER HENDA! NASRILIBAMBANG.H ‘SAWH OF STEEL LINE PIPE¢nos = 1100 mm OD x 19.09 mm WT Referenced Drawings and Documents = Order: incomplete Oo Complete iva} % of tems Released 100% Date Released 08/04/2019 Purpose: Release for Delivery Release to continue Fabrication Release to another Company [_] _ Release to Non Conformance Report No. [_] Name: Note : «It is understood that nothing contained herein relieves the Vendor of any Purchase’Order commitment. ‘+ Date of release MUST be fioted REMARKS : . ? : ‘Attachment | 4. IRN-KHI to MDI |__2:_ Pipe Tally Sheet ‘QC SUBCONTRACTOR ‘ CONTRACTOR NAME: HENDRI NASRIL aN z SIGN: | ) SIGN: are06-04-2019 DATE Form No: McC-TEP-CA.007u ae Sa CSTs of ve (GREANWEGONSTRUCHON: —SAIPEM Gientoren hans INSPECTION RELEASE NOTE (IRN) Projoct Title: IRNNos ‘Tangguh Expansion Project LNG EPC (O15-IRN-KHI-MDI-2018 Contract / Purchase Order No: inspection Date: 27810820 April8, 2018 Manufacturer / Company: inspsadection Place: PT KHI Pipe Industries PT KHI Pipe Industries 4, Amerika |, Kawasan PT. Krakatau Steel Cigading 42435 Gilegon, Banten, Indonesia Customer : ‘Order Status: PT McConnell Dowell Indonesia Complete order [] Partial order X]_ Balance [] Client: ce Materials 7 Equipment: PT Saipem Indonesia / CSTS Carbon Steel The following was accepted: [nen MATERIAL DESCRIPTION cqucrryeasseo | iiten Compe? | | ‘SAWH OF STEEL PIPE with EPOXY 550 Micron G02 | 1100 mm OD x 19,00 mm WT (4 Pes) eee Comma eTeD | The following equipment: [HAS BEEN INSPECTED AT FACTORY AND ACCEPTED (1 HAS NOT BEEN INSPECTED AT FACTORY. VENDOR DOCUMENTATION HAS BEEN REVIEWED. The following document has been attached with: > Tally Sheet > Pipe Inspection Certificate \ > Welding Traceability PT KHI Pipe Industries PT McConnell Dowell Indonesia Name: HEPDAL ENS Sueva & Position: Ac Feipecra— VANE WP PAiwtinG ac Ieee? Ae eK nape | COMINGLe ei ‘WELDING SUMMARY STEEL PILE JETTY 2 =—_——_ = ' ————~ esi> Form No. FORM-TEP-OAWSSL.Ot PROJECT: BP MARINE JETTY 2 PROJECT Update: & April 2019 Coil No ‘Check with Mot Blasting Painting No | Pipe No | Wo Number Heat No | Length (M) & Thickness (mm) IRN No Date | Resuit | Date No Report Date No Report 7a | on | asa | mur] oer] xaos] eacs | 549,08 7-19.00 osper18 | acc | 24mari9 | oenaccoatingceo2 | 25mer19 | ozceraos | oxsmn-xamol2o19 aaa] oor | 3568 fom) | sss. 145,08 T=19.00 sorebta | acc | 17-Mar-19 | o1FRaccoating ceo | teveri9 | orcesros | osumn-wiwor2019 PT KHI PIPE INDUSTRIES PT MCCONNEL DOWELL INDONESIA STS/PTSI 2p Af % us. ha Henom, Pasa git