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ITP

(INSPECTION AND TEST PLAN)


Nomor Dokumen THREE LAYER POLYETHYLENE Rev. 0
U2003-004-2Q-PS03-N0003 COATING Page 1 of 5

PEMBERI KERJA : PT PERTAMINA (PERSERO) RU-VI BALONGAN

KONTRAKTOR : PT NINDYA KARYA (PERSERO)

NAMA PROYEK : PEMBANGUNAN NEW CONSTRUCTION JETTY & TEMPORARY ACCESS ROAD

PROYEK REVITALISASI RCC RU VI - BALONGAN

LOKASI : PT PERTAMINA (PERSERO) RU-VI BALONGAN, INDRAMAYU - JAWA BARAT

NO. SPMP : SP-19168

0 16/03/2021 All Issued For Review EBP FK SS


Prepared Checked Approved Approved
Rev. Date Page Description
AI/KHI PT Nindya Karya PT Pertamina
ITP
(INSPECTION AND TEST PLAN)
Nomor Dokumen THREE LAYER POLYETHYLENE Rev. 0
U2003-004-2Q-PS03-N0003 COATING Page 2 of 5
REVISI TABULASI
REVISI LAMPIRAN
HAL. KETERANGAN HAL. KETERANGAN
0 0
ITP
(INSPECTION AND TEST PLAN)
Nomor Dokumen THREE LAYER POLYETHYLENE Rev. 0
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LEMBAR RESPON

DOKUMEN REF. : -

Dokumen / Hal.
No. Komen Inisial Respon Inisial Keterangan
Ref.

Please give a remarks for :


1. KHI (Abbreviations)
2. Cust : NK

ITP
ITP
(INSPECTION AND TEST PLAN)
Nomor Dokumen THREE LAYER POLYETHYLENE Rev. 0
U2003-004-2Q-PS03-N0003 COATING Page 4 of 5

ITP
(INSPECTION AND TEST PLAN)
(INSPECTION AND TEST PLAN)
Nomor Dokumen THREE LAYER POLYETHYLENE Rev. 0
U2003-004-2Q-PS03-N0003 COATING Page 5 of 5

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