Doc. no.

PTD-GEN-TPT9750-BPN-30007-FORM
EMILY-1 PROJECT FUEL TERMINAL AND JETTY
client( Rev. A
subcon(
)logo Date
)logo COMPACTION INSPECTION REPORT Page. of

Project Title : Emily -1 Project Fuel Terminal & Jetty

Job No : 9750

Client : INTERPORT Date : ###

Main Contractor : PT. TRIPATRA Engineers & Constructors Report No. : 9750-QC-MRR-BCI-0003

Sub-Contractor : PT. Bahana Cipta Internusa Page : of

REFERENCES :

Drawing No. : 9750-CVL-DWG-0188 Location : Control Room & MCC Building

F1 (A1, A'1, B1, A2, A'2, B2)
Revision : D

Sheet : 001 & 005

RESULT APPROVAL ACKNOWLEDGED
NO INSPECTION ITEMS REMARKS
Accepted Rejected BCI TPEC INTERPORT

1 Fill material quality

Area location marking for layer

2
thickness

3 Soil spreading methods

4 Thickness of loose soil

5 Water spreading methods

6 Optimum water content

7 Compactor trip number

Compaction test number for

8
covered area

EQUIPMENT
Total Unit : 1 pc(s)

Stamper Compactors Running Unit : 1 pc(s) Water Source Check

Stand Unit : 1 pc(s) Accepted Rejected

Total Unit : pc(s)
Water Quantity Due to Wet Compaction
Vibratory Compactors Running Unit : pc(s)
Check
Stand Unit : pc(s) Accepted Rejected
COMMENT

Attached CBR Results (DCP Test)

Prepared by, Witnessed/Reviewed by, Acknowledged by,

Bahana Cipta Internusa TRIPATRA Engineers & Constructors INTERPORT

M Saoki
QC Inspector Date Date Date

Doc. ref. FORM-WI-COR-QA-009-001-008 rev.0

 Doc. no. PTD-GEN-TPT9750-BPN-30005-FORM
EMILY-1 PROJECT FUEL TERMINAL AND JETTY
client( Rev. A
subcon(
)logo Date
)logo EXCAVATION INSPECTION REPORT Page. of

Project Title : Emily -1 Project Fuel Terminal & Jetty

Job No : 9750

Client : INTERPORT Date : ###

Main Contractor : PT. TRIPATRA Engineers & Constructors Report No. : 9750-QC-MRR-BCI-0003

Sub-Contractor : PT. Bahana Cipta Internusa Page : of

REFERENCES :

Drawing No. : 9750-CVL-DWG-0188 Location : Control Room & MCC Building

F1 (A1, A'1, B1, A2, A'2, B2)
Revision : D

Sheet : 001 & 005

Result Approval Acknowledged
Item of Inspection Remarks
Accepted Rejected BCI TPEC INTERPORT

Demolition or Protection of Existing Facility

Investigation of Existing under-ground Facilities

Setout location, based on shop drawing and endorsed

Benchmark

Line, Slope and Grades according to approved drawing

Depth of Excavation, confirmed

Safety regarding excavation works, confirmed and

Protection of Slope

Dewatering

Quality Cleaning of Bottom Surface

COMMENT

Attached CBR Results (DCP Test)

Prepared by, Witnessed/Reviewed by, Acknowledged by,

Bahana Cipta Internusa TRIPATRA Engineers & Constructors INTERPORT

Muhammad Saoki
 Doc. no. PTD-GEN-TPT9750-BPN-3003-FORM

client( EMILY-1 PROJECT FUEL TERMINAL AND JETTY Rev. A

)logo subcon(
Date
)logo SURVEY REPORT
Page. of

Project Title : Emily -1 Project Fuel Terminal & Jetty

Job No : 9750

Client : INTERPORT Date : ###

Main Contractor : PT. TRIPATRA Engineers & Constructors Report No. : 9750-QC-MRR-BCI-0004

Sub-Contractor : PT. Bahana Cipta Internusa Page : of

REFERENCES :

Item Name : Elevation Top Subgrade Location : Control Room & MCC Building

Drawing No. : 9750-CVL-DWG-0188

Revision : D

Sheet : 001 & 005

Coordinate Elevation
No. DESCRIPTION Difference Remarks
Plan Actual Difference Plan Actual
mm

E 476979.980 476979.980 0.000

1 F1 (A1) +24.750 +24.775 -25
N 9868701.901 9868701.901 0.000

E 476979.480 476979.480 0.000

2 F1 (A'1) +24.750 +24.725 0
N 9868701.901 9868701.901 0.000

E 476979.980 476979.980 0.000

3 F1(B1) +24.750 +24.720 0
N 9868701.901 9868701.901 0.000

E 476779.980 476779.980 0.000

4 F1 (A2) +24.750 +24.775 0
N 9868697.401 9868697.401 0.000

E 476978.480 476978.480 0.000

5 F1 (A'2) +24.750 +24.740 0
N 9868697.401 9868697.401 0.000

E 476979.980 476979.980 0.000

6 F1 (B2) +24.750 +24.730 0
N 9868697.401 9868697.401 0.000

E = East

N = North

Prepared by, Witnessed/Reviewed by, Acknowledged by,

Bahana Cipta Internusa TRIPATRA Engineers & Constructors INTERPORT

Surveyor Date Date Date

 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00018
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (A1)
Coordinate X : 476979.980 Elevation : ± 24.775
Y : 9868701.901

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 174 174 34.8 5.5 0 2 4 6 8 10 12 14 16 18
3 5 246 246 14.4 14.7 0
4 5 323 323 15.4 13.7 50
5 5 392 392 13.8 15.4 100
6 5 478 478 17.2 12.1 150
7 5 582 582 20.8 9.8 200
8 5 722 722 28.0 7.0 250
9 5 847 847 25.0 7.9 Deepth (mm)
300
10 5 980 980 26.6 7.4
350
400
450
500
550
600
650
700
750
800
850
900
950
1000
Average 10.4

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector
 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00019
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (A'1)
Coordinate X : 476979.480 Elevation : ± 24.725
Y : 9868701.901

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 90 90 18.0 11.5 0 5 10 15 20 25
3 5 176 176 17.2 12.1 0
4 5 231 231 11.0 19.9 50
5 5 310 310 15.8 13.3 100
6 5 470 470 32.0 6.0 150
7 5 594 594 24.8 8.0 200
8 5 700 700 21.2 9.5 250
9 5 860 860 32.0 6.0 Deepth (mm)
300
10 5 983 983 24.6 8.1
350
400
450
500
550
600
650
700
750
800
850
A4 900
950
1000
Average 10.5

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector
 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00020
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (B1)
Coordinate X : 476979.980 Elevation : ± 24.720
Y : 9868701.901

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 174 174 34.8 5.5 0 2 4 6 8 10 12 14 16 18
3 5 246 246 14.4 14.7 0
4 5 323 323 15.4 13.7 50
5 5 392 392 13.8 15.4 100
6 5 478 478 17.2 12.1 150
7 5 582 582 20.8 9.8 200
8 5 722 722 28.0 7.0 250
9 5 847 847 25.0 7.9 Deepth (mm)
300
10 5 980 980 26.6 7.4
350
400
450
500
550
600
650
700
750
800
850
900
950
1000
Average 10.4

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector
 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00021
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (A2)
Coordinate X : 476779.980 Elevation : ± 24.775
Y : 9868697.401

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 109 109 21.8 9.3 0 5 10 15 20 25 30 35 40 45
3 5 241 241 26.4 7.5 0
4 5 345 345 20.8 9.8 50
5 5 409 409 12.8 16.8 100
6 5 530 530 24.2 8.2 150
7 5 560 560 6.0 39.3 200
8 5 590 590 6.0 39.3 250
9 5 662 662 14.4 14.7 Deepth (mm)
300
10 5 743 743 16.2 12.9
350
11 5 826 826 16.6 12.6
400
12 5 912 912 17.2 12.1
450
500
550
600
650
700
750
800
850
A4 900
950
1000
Average 16.6

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector
 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00022
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (A'2)
Coordinate X : 476978.480 Elevation : ± 24.740
Y : 9868697.401

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 165 165 33.0 5.8 0 2 4 6 8 10 12 14 16 18 20
3 5 283 283 23.6 8.5 0
4 5 362 362 15.8 13.3 50
5 5 423 423 12.2 17.7 100
6 5 518 518 19.0 10.8 150
7 5 638 638 24.0 8.3 200
8 5 731 731 18.6 11.1 250
9 5 856 856 25.0 7.9 Deepth (mm)
300
10 5 985 985 25.8 7.7
350
400
450
500
550
600
650
700
750
800
850
A4 900
950
1000
Average 10.1

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector
 EMILY-1 PROJECT FUEL TERMINAL & Doc No. PTD-GEN-TPT9750-BPN-30007-FORM

JETTY Rev.
DYNAMIC CONE PENETROMETER TEST Date
( ASTM D 6951 ) Page

Project Title : EMILY-1 PROJECT FUEL TERMINAL & JETTY

Job No : 9750
Client : INTERPORT Date : 31/08/2019
Main Contractor : PT. Tripatra Engineers & Constructors Report No. : 9750-QC-DCP-00023
Sub-Contractor : Bahana Cipta Internusa Page : of

Location : Foundation MCC Building No. Layer:

Work Item : Density Soil Test (DCP) Testing No : F1 (B2)
Coordinate X : 476979.9802 Elevation : ± 24.730
Y : 9868697.401

Number of Depth DCP CBR

No. Reading Remarks Chart
blow (mm) (mm/blow) (%)
1 0 0 0 0 0 CBR
2 5 100 100 20.0 10.2 0 2 4 6 8 10 12 14 16
3 5 221 221 24.2 8.2 0

4 5 325 325 20.8 9.8 50

5 5 401 401 15.2 13.9 100
6 5 515 515 22.8 8.8 150
7 5 612 612 19.4 10.5 200
8 5 724 724 22.4 9.0 250
9 5 883 883 31.8 6.1 Deepth (mm)
300
350
400
450
500
550
600
650
700
750
800
850
900
950
1000
Average 9.6

Remarks:
Minimum Requirement CBR ≥ 5 %
Acceptance:
Allow contractor to implement proceeding construction works ok Not ok

Prepared by, Witnessed/Reviewed by, Acknowledged by,

PT. Bahana Cipta Internusa PT. Tripatra Engineers & Constructors Interport

Muhammad Saoki
QC Inspector