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1 INTERPORT Doc. No.: no . TPEC-9750-00-0006 COD) | ruwrcocanon : warananu, eaunearan Revision: PATRA_ | PROJECT TITLE: EMILY | PROJECT FUEL TERMINAL __| Date: oe | AND JETTY BFEB-2019 SITE OBSERVATION REPORT Area: LABORATORY BUILDING Report No.: _CIV-SOR-0015 Date: _16-12.2019 Issued To Discipline _PT. BCL Person In-charge _SUMARDI/SAUQUREK, ‘Observation Description: Proces pouring concrete beam practice not proper. 4. Pouring concrete without using vibrator 2. After pouring conerete not final finishing yot 3. Surface concrete segregation, honeycomb 4. Lack of contro! and check during pouring concrete, maintenance and finishing concrete, (AN Page 1 ofS Doc. No.: | TPEC-9750.00-0006 _ PLANT LOCATION : KARIANGAU, BALIKPAPAN Revision: |CLIENT: INTERPORT TRIPATRA |PROJeCT TITLE: EMILY 1 PROJECT FUEL TERMINAL Date: AND JETTY Pre 2019 SITE OBSERVATION REPORT ‘Racommmended Retons: ‘Name ‘Signature ‘Date Designation face ‘Saiful Hidayat Se wy 16 Des 2019 QC. inspector ‘Varcation Zetoseout t =-The oneycomb’s Concrete Surgace bag been Feprired with Sika Grutig . ~ Fer our vext Casting we will ke Observed aud Checked luring The Foundry. Issued By Closed By Name Name Signature ‘Signature os i a = Date Date Evidences enclosed (if available). Yes(¥] No [_} Page 3 of 3 PHOTOGRAPH 4A interport RIRATRA QUALITY CONTROL Project Title EMILY 1 PROJECT FUELTERMINAL& JETTY] [Date = DEC 28, 2019 fiob No + 9750 Dicipline : Civil (client = INTERPORT [Witnessed by _: Rafael Noted: Close Clv-SOR-00015 Laboratory Building

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