Ref. No.

:
Date : May 24, 2015
Submitted By :

To : Project Management Consultant ( PMC )

PT. Bintang Persada Abadi ( BPA )
Semarang, Central Java

Dear Sirs,

Please be informed that the following items are in order and are ready for inspection / witness.

Location : Stockyard - Alas Tua ( Semarang )

Inspection Item : Material Receiving Inspection

Element : Pipeline 28" API 5L Gr. X52 PSL 2 LSAW WT.0.469inch, 3LPE 2mm

Item Drawing / Doc Reference Date / Time of Inspection

Pipeline as Attached May 25, 2015

08.00 am

Acknowledged By
( Name / Designation / Signature ) ( Name / Designation / Signature )

PMC's Comments :

Acceptable, you may proceed WITH / WITHOUT our attendance.

Please reschedule the witness / inspection date

Not acceptable, you shall rectify item and resubmit request for inspection

Others :

Name / Signature of BPA as PMC : Date / Time :

Company :
Project Name : Transmission Gas Pipeline Project
Project Number : -
Contractor :
Location : Semarang, Central Java

INSPECTION REPORT

Report No. :
Department : QA - QC
Date Inspection : May 25, 2015 Finish : May 28, 2015
Area Location : Stockyard - Alas Tua ( Semarang )

1. Type Inspection Item :

Material Receiving Inspection

2. Inspection Item :
Pipeline 28" API 5L Gr. X52 PSL 2 LSAW WT.0.469inch, 3LPE 2mm

3. Inspection Result :
Total Qty = 180 Pcs

Acc = 158 Pcs

Rep = 22 Pcs

Prepared & Inspected by, Witness / Reviewed by,

PMC

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