MATERIAL INSPECTION REPORT

(TRACEABILITY REPORT)
User : PT. Amman Mineral Nusatenggara Location: Workshop PT. Buana Megah Teknik
Contracor : PT. Merah Putih Petroleum Date : 02 Juni 2022
Subcontractor : PT. Buana Megah Teknik Rev. : 00
Project : Pembangunan Tank Bio Diesel Kap 8500 KL – Nusa Tenggara Barat

Size (mm) Report

No. Material Description & Specification Manufacture By Specification Heat No. Qty Unit Mill Certificate No. Date Remark
Dim Length Phys Doc Status Original Marking

1 Carbon Round Steel Bar For Anchor Bolt Dia. 1" - 1220 mm Length PT. Krakatau Wajatama ASTM A.36 211709 40 pcs CT/QA/QC-01-VI-226/126 18 Maret 2021
2 Heavy Hexagon Nuts dia. 1" PT. Timur Megah Steel ASTM A563 S84011 80 pcs N5620340187 11 Desember 2020
3 Plate Washer dia. 1" ID PT. Timur Megah Steel ASTM A157 A18072 40 pcs RP20340188 27 Oktober 2020
4 Plate 8mm 100x100 PT. Gunung Raja Paksi ASTM A.36 20Q1 W 01069 F-0 40 pcs QRP-QA-MTC/1645B/IX/2020 30 September 2020

All Set Anchor Bolt Material Surface is Hot Deep Galavanizing

JUMLAH 200

Note

Received by : Inspection by : Review/Withness by : Acknowledge by :

PT. BUANA MEGAH TEKNIK

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