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Project Name : TEP

Department : QA/QC
PROMIX-MKE-MUCOINDO JO
: 093PRK31002-QC-PMM-
Report No.
SST-OBS-166
Rev. : 0
GENERAL INSPECTION REPORT Date : 01/09/2019
Sheet : 1 of 2

CATEGORY Negative Observation C


WORK LOCATION Train 3 Module 3.2

Observed by : Muhammad Lukman


GY01
1. Type of Inspection
Visual & Measurement Inspection/Test/Examination/Check

2. Observation / Inspection Item


Mismatch holes at connection between column C019 and girder GY015

GY015
3. Reference Drawing / Document
093PRK31002-3-EP-024 Rev. Z02

4. Observation / Inspection Result

Out Of Tolerance

5. Remarks
See Attachment Inspection Photo

Prepared & Observed By Reviewed By


Name Muhammad Lukman Lestio S.R

Signature

Position QC Inspector Deputy QA/QC Manager


Date 1-Sep-19 1-Sep-19
Project Name : TEP
Department : QA/QC
PROMIX-MKE-MUCOINDO JO
: 093PRK31002-QC-PMM-
Report No.
SST-OBS-166
Rev. : 0
ATTACHMENT INSPECTION PHOTO Date : 01/09/2019
Sheet : 2 of 2

C046
GY015
GY244
C019

GY015 to C019 Connection C019 hole GY015 hole

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