‘SCR PROCEDURE ~ CONSTRUCTION SECURITY MANAGEMENT PLAN .4810-D008-POZEN-070018 Appendix 6, Equipment and Materials Gate Pass In and Out Qroornrenon ~~ DOOSAN I< EQUIPMENT / MATERIAL GATE PASS FORM JAWA 9&10 (2 X 1000 MW) COAL FIRED STEAM POWER PLANT, BANTEN * Please checklist and fill the form in correctly data [YF Time ‘Washing Bay Passed out|_] tine NAME OF COMPANY : PT: colust Texnologt Texdegen Date VEHICLE NUMBER R- \2go ee ee ReQNo pevanraniem : a Sepeeuier apne ME Goods/ Equipment enumerated below has been permitted to be taken out from the Site of Consortium Contractor Doosan ~HutamaKaryaJawa 9&10 CFSPP 2 X 1000 MW (References: EHS Procedure Security Management Plan / J910-DD08-POZEN-070016) [ S.LNo | = Item Description ___ Quantity Remarks | __ Tabung Ereon i Tanoga ‘ | | Matipat mec a Steam Cow Ac t | SECURITY of CONSORTIUM: | DOOSAN HI -HUTAMA KARYA. | ‘Authorized | | Signature Signature Name DOOSAN HII - HUTAMA KARYA| Signature NameNama TABUNG FREON TANGGA LIPAT MANIFUL ‘Steam cuct AC‘808 PROCEDURE ~ CONSTRUCTION SECURITY MANAGEMENT PLAN {810-0008 POZEN TOO ‘Appendix 6, Equipment and Materials Gate Pass In and Out Qwoor roca DOOSAN |< EQUIPMENT / MATERIAL GATE PASS FORM JAWA 98:10 (2 X 1000 MW) COAL FIRED STEAM POWER PLANT, BANTEN Please checklist and fill the form in correctly data 1N[_] Tine [LJ wasting tay Passed our: wane orcompany < Pf. Salus Tactuloyy Te vemctenummen ,