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Re 018/AWPINSTRTAS dares awe 2nd For Suite AD Report No Mr-07/L4/i-2019 \| C18 Simatupang av 3-2 Wor tection SUPERIOR WORKSHOP aides SENTUL- BOGOR WONe ‘erence ‘ten? teem etcpton + OFFSHORE CONTAINER SOP AWP-O03 BL2016 Seria Number ts 11370 Acceptance citar + 49S 013/03 MARISTA Fa | Manatee DHA Datetnspecion = February 32,2019 Scope of Work "wot and Vial napecton On Weld of Pad Eve Ha | ay Deena ee es fre connee |] as eae) Cones | [orcecneen [pk] meiner ]owiatereser [oparecemtnsien — []uissoiaaias farmer | Jone Did enes Om Clo fmerwtintsnemen fx] we [x] Wa /2N HANDY NENA) D260 = Cor DE] we ET vataronroneen free setae fect no = oath [ear on fsnana fretorwine nner Jexee ior fener on Fewer sates /ewe tenors [os ne RECORD / PHOTOGRAPH (DIMENSIONAL: —_——_—) - lenath 05 | wath mao | Hehe 20 eM ‘DIMENSIONAL PAD EVE | | iiciness iting [28385 mm | [The cheek Pa 4.68 om Hale Diameter 35.22 ml | INFORMATION LOAD EQUIPMENT | are wager 3800__Ke Payieae 15500 Ke | | [waxccrosewace [19.300 Ke |. | [rear aunt: arzons | [lance Set no H 20574 | | Resumes | MP Bars oa ast [Oecropasic (repair rn (leone (El mame MPI Oniy [La Jrcceptabie [_] repair jam aa ga: COlrcceotatia [EE] eneir ecommendatons: = acaba ~ West specton —veamunnya 2020 {Or Based Customers Spec) | WASNTUevel (MT eTUT) een ana iting Gear inspector Z PT. ADIWARNA PRATAMA me -ee CERTIFICATE OF THOROUGH EXAMINATION Ti cde i Opt dg nap jwo.ne OUAANPINS EO aoe loawot aniaton ‘2eebie [spar Mambo Teeouiane = letaerce ‘LS. 207 8S ENTS 43 SOP 029 REV ON fosomer ang nesses PT SUPERIOR ENERGY SERVICES [ars cocaion WORASHOP SUPERIOR. SENTUL BOGOR [se Wong aa Payer Gross tas] Ose Mons, iron eatin Esper - a Date a Tag xarnaten (OFFSHORE COMTANER IFT GM Alay Sp rs sea ry 2s 1970 Payers 1550049 Nene = 0674 a Wi i cau Ne =ten09 certo am Meataue = 5 1583501 axjtigtnticas vaocnre= DHA {N= TeN227- WUL=192 Tena DAS Stasi = Cet 118° WL 912 Ton 1 Ste 771418160, | mod wo [che seaman ater alton rater abarby ala nowato ar wai? (Waste Sarna carea ok ene aerate 2 rs nazar var eearaton srs Aton opto ocartarces [facstor oan paeond thea es wichiewr coudbacone a ange B pan apd SASH le lu a ao NONE] NONE NoDled Fan (sme oe ncaea wich Rena pe om SE] Ise aoe a ase wc sc tit cea ete ten ves] wo Fares lary par oneal orweion eaurodio one he aa Geiiedabawe Nave [Paris any es credo a pao earn ove Sle NONE 'sthls equipment Fitfor Purpose? ve ee] Fecrndann ane pron auhesthgis het mh earner mete care ret ‘250 Yi ott Post Leet ego FACOPREH PT. ADIWARNA PRATAMA. ‘Graha Mas Fatmawati Blok B-15 JLRS Patmawasi Kav 71, Cipere Utara Jakarta 12150 Phone :021-72800322 ; Fax : 021-7255428 ‘VISUAL INSPECTION REPORT customer PT SUPERIOR ENERGY SERVICES |AWPW.0. No. OL4/AWPANSIKT/I9 ‘Ashese StPHO8 WORGHOP: SENT: ROCF Report No ViS-03-016-WAWPAINS/IS| | 50. Date of inspection February 12,2015, Reference SOP-AWP O29 /SOP-AWP O24 Work 1OR-WORKSHOP-SENT Scope of Work; Viual Inspection and Color Cacing of iting Set DESCRIPTION Make/Name, Model, Type, Dimension Item Description: OFFSHORE CONTAINER 2067 seria! Number UTS 13370, mension 06 244 260cm Manufacture By ‘OHA fore ase 800% Pylon 15500 Ke las inspeeson = WIA RECORD / PHOTOGRAPH | | | Manufecur + Apras| | | nat tts ecuipmenta: egeouinyogoddeforstn on tele wring eacoftne sh enup other ree et prt neal L Helis: FT. ADI WARNA PRATAMA ssiseeeseeeesoeenel eS ee (37 f | | | | Hefei droge th nao pci ~ | GERD | re ee) | Test inipecion doe on AUGUST IB 2038 a. PT. ADIWARNA ! PRATAMA ‘PERIODIC INSPECTION CHECKLIST DAFTAR PERIKSA BERKALA ae = || CARGO CARRYING UNITS |___ Refer To: DNVGL-STLEZ71 BS EN 120794; 120783 7 Goss nee) saxon Come SUPCHORENERSY Secs | Tre nett oats fears hides: Aranda Tower 2nd fer Sate | aranss) sss00ke ‘nbn san | Mansa By oe Worktaation: SURERORWORKSIOF-seRTUL | | caren mitt fee ec2c06n rose | j - ‘Queston/Peranyeor T T | ne orscsrawertohe questions pase xen the clrsan the ih he aner eNO wand and NAS Nat Appb| (VNR. | Rema / Eten | I as juss bet nda pale oom arg kana Tea bes en a MA a tb is) telson ol Gonos [coe [oa 7. {wuss Wego / Upon Sebel = mie (ile ec iy Mi | estates sre (Elec Motors Gr Pate [CO Di ie era xT (align ete (Sera figs vt | Elngecton iit Ova ite hsp r | Ciltting area ss reson ig pce [Tan een ode best dn apt iat dng ar o 1 Fade Tice iain Fade aan EN an ae a ae z ToS FadtofedJoaiPoduetad. Leigh /Pangng’ SD am wees” 2440 ne 11st Dagon agonal fo z Salcedo ar Gacy kos tro an Co wa | ‘H]htsmage boron or bert Teo Ade eka, Data Ftubhon Bek Pa ik =a} [Fiend oto Sie and ra Ras angle Ata Dnwsh pod trang CEU Tilson sr ack Tesseract we ‘S]ho schnca Gamage Tasca bess i lh Cased on weld or ch] Tat de oro aia rs i eran sch er Ht span brates Wi [enrer Pot arg Sua 1 Tali crrecn rack aa oro an Co wi 1 Bla Mechanical erage Tasca san Wi 3h a con on well ruck it Ker aurea a Wi is elvan a Tals person bea epee WR Blhsceretion er oc Tesora Ce [we Sih Machanes Dsmape Tek bran, [wat Dal corsoton on welder ack Tet fe erste akan os [His toma cachet Ti sd even Sec taper oa _Z rotcve Frame Member wat Tie chan Osage, carob Ofori To eo un Cove aa Dela Tow 1 Fortecht "ph oes ree abc re hs Carnal ST EDR BAT TOT EN AOE |— g ‘retention inp, Gt Far Un anaes wh Mo Arr), nessa Rape Rees NE nasa be seep i 5 PT: ADIWARNS PRATAMA i PERIODIC INSPECTION CHECKLIST / DAFTAR PERIKSA BERKALA | urtne ser Reference BSEN 134141 / BS EN 13414-2 / AS EN 13885;2008, | [sie escriton ersredwsuaie chek Ne a8 | oat pct ebay 33,2018 Stn enestion No sways Cantor: SUPERIOR EMERG SERVES swt Seaton: 06s Castner Addes Mand Tower nde Ste ‘Sting Dareter & Length 432mm, Length= 395 Cm Oakarta Seton | ‘anuacre 8 Daa Work Location: SFEROR WOREHOR-SeMTOL | | shade ceserenrtne SAFETY FO8OW SHACKLES JW STAMLESSSTEELSUT NS 33/8:93/2 Ton 8OGER | shee deneston No (S/s27 3438330] CROSBY | anata by coy | im ‘Qvstion/PeRanvean Ne] eseanmarose anatase romontu ret HOesenc aan Xandros) | MAD ee a | see P ecwinanmadcskananwemasacmysiercussmnnieeeie rns | NA + fonsentcug ore vtemicthyeetener anna iit tran deainasmeoris tig? MMAR | Tarantino ne eso ec nS gy | b [esses heroin de? Aap nn i et rr en? wa | [ocant tars enn ta cone ng soe nr wn a a or nama ch Wn Ren Te oa ar Wa 2s [lm Manse ann toni ib? fea Ft nn ue wa a i? « [3c rhea ei 7 Wk ae aod np le Wa Is sug one ss oh Tak co ie [wa hs ir nea yd kad chp bc in SP Towa [ew condi reer Gol oaon esr teRoe evr Pent ng ae Berd |g Torti (=a lS er lle | {nd Shab end Lamoiran FH-CER-1-96 PT. ADIWARNA PRATAMA #® = VISUAL CHECK - PHOTOGRAPH Descipion: OFFSHORE CONTAINER 20°7 Datonepactin Febuary 12-2018 Customer PT SUPERIOR ENERGY SERVICES entiation Numer = UTS 1370, Customer Ades Atma Tene 2nd For Suite A Dimonsonal: 6053 244x 259 Gr {LTR Smatupong.a 23-24 Jolata Selatan Menfactare By: OHA ‘Work Location: SUPERIOR WORKSHOP -SENTUL BOGOR Page 1012 | 'A [Pietro of Data formation Foo Dat Plate, Making B. | ctre Front view Tampa Depan | a [Remarks Inepectr Name : MJAROT SUMRISNO copiran LOPE PT. ADIWARNA PRATAMA oan VISUAL CHECK - PHOTOGRAPH Description: OFFSHORE CONTAINER 20-7 ‘onan Number; UTS 1370 Manufecture By: OHA Date lnpostin : Fabry 12-2016 Custemor:PTSUPERIOR ENERGY SERVICES Customer Adress “Alamance Tower 2nd Fler Suite AD ILTBSimatupang kav 23-2-Jakart Selatan Work Location SUPERIOR WORKSHOP -SENTUL BOGOR. Page: 2012 [A Piette of at Ifomtion Foo Det Plt, Marking 1. [Petr iting St: Sing And Shacle Remarks Inspector Nan \JAROT SURRISNO PT.ADIARNAFRATAMA = wnwadvsrapratams cols FIELD REPORT Datsinpscon FEB Wark Lotion” worusionsurenoR _Custmer: PLSUFERORENERGY SERVICES _ at gesopran 0 unt Equpnen us 11370, ccna: saxeunana i ‘SsapsO1WO. ygyAL 8. MEL WE ROPE UNGCON SNCKLE losieg: §—ratsazr sLshacite mu SiRTER Tips Suit Typa Shaders 5058 euszanon Masato Ln i 3 Waartrie @ — F me AS jose Cros aa fens 0h oe Unger E ae a bad ye Dey aE Totes eso [seats Fi Rom: ve

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