(1G ‘SCR PROCEDURE ~ CONSTRUCTION SECURITY MANAGEMENT PLAN f 4910-0008-POZEN-070016 “Appendix 6. Equipment and Materials Gate Pass In and Out : seaiiees es | Qroorara rman DOOSAN |< EQUIPMENT / MATERIAL GATE PASS FORM 1 JAWA 9810 (2 X 1000 MW) COAL FIRED STEAM POWER PLANT, BANTE! [wasting Bay Ped Lxaweorcompany = (ft Ops Date Vonicuenomoer = 2g AV Req No i i areannivaciets - 7.g/ 09/292 er Goods/ Equipment enumerated below has been permitted to be taken out from the Site of ‘Consortium Contractor Doosan ~ HutamaKaryaJawa 9&10 CFSPP 2X 1000 MW (References: EHS Procedure Security Management Plan / 5910-DD08-POZEN-070016) [ SLNo | Trem Description | | test (gunk Vitat_00Ue0 _ 7 Lin CDN EIRlur ML 400 | 1 [ cs whee PB 200 da tt 4am Copan 1S 4 { Crim Cow 29M 4 i CONTRACTOR SECURITY of CONSORTIUM DOOSAN HIL-HUTAMA KARYA Authorized Authorized \ | sigme = Syé Signature joe Bree (fle FM | OFFICER of CONSORTIUM EHS OFFICER of CONSORTIUM | noes Scranta Kana oe aneaneAMAKoN | | ik sSurat Keterangan Voksinas! COVID-19 “O (© emienesevanereriie atta 6 Seger 2024 “saertmatee so! ‘oy eotasion votsinas! COMD-19 untuk cost perama ‘Sema Cones at 24082) ‘seauo! denen Perctaron Mente Xevahaton Repubtk ncenedte 3 = @ se Whe Surat Keterangan Vaksinasi COVID-19 ‘Sertifitat il dibertkon kepado: eich deintan vaisinos| COVO-W anh dona ede “@ <= ow eo nome rem) se ngs et Meteo a nee Kom @ 49 WRe <%(Pa ‘SCR PROCEDURE ~ CONSTRUCTION SECURITY MANAGEMENT PLAN 1910-0008 POZEN-G70016 ‘Appendix 6, Equipment and Materials Gate Pass In and Out Qrmvrn re EQUIPMENT / MATERIAL GATE PAS JAWA 9&10 (2 X 1000 MW) COAL FIRED STEAM POWER PLA’ “Please checklist and fill he form in correctly data VUES Epi ey Fast | NAMEOFCOMPANY PY. Dptetirk Becetica OH Oe SepenBer aa, ree ere aie, aan | psTeARROVAL ETA ob Seperate — | Sexier waken out from the Site of Goods! Equipment enumerated below has been permitted to be t so00 MW ‘Consortium Contractor Doosan ~ HutamaKaryaJawa 9&10 CFSPP. it Plan / 5910-DDO8-PO71 SECURITY of CONSORTIUM DOOSAN HIT - HUTAMA KARYA Authorized 4a eu OFFICER of CONSORTIUM DOOSAN HH -HUTAMAKARYA Authorized | Name Kavgot SP