REQUEST FOR INSPECTION (RFI)

Doc No.IEGI-FORM-QC-22 Rev.2

Job No / Serial No : PO No: 200854

B200212 RFI No: IEGI-RFI- -

Date of Shipment:
Requested by : Kartina Point of Contact :

Phone :

Email :

Location / Inspection Inspection.

Part No : Serial No. Qty: Description : Inspection Activity :
Area : by : Duration :

583-5174 17

Scheduled Inspection Date: Scheduled Inspection Time : Extend Time (if required) :
06/29/2020

Comments & Clarifications :

Please Note :

□ Plant Manager
Approved by : □ PE □ Production Manager Inspected by : □ QC □ WI □ Others

Name : Name :

Signature : Signature :

Date : Date :

This document is the property of PT IEG Oilfield Indonesia and should be treated as confidential in nature.
It cannot be transmitted to other party/person without prior agreement of the Director or Quality Manager