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QC-FRM-ITF-05A (REV.

0x)
Client : PT. Wilmar Padi Indonesia
Contractor : PT. Sinbar Persada Indonesia
Area / Plant : WPI Unit Mojokerto
WILMAR PROJECT Date : 27 Oktober 2022

BLASTING INSPECTION REPORT

FORM NUMBER * ITF - 001 / CAS-WPI / 10 / 2022 * Nomer diisi oleh Kontraktor sesuai arahan QC

Blasting Medium √ Blasting (SA) Power tool (ST) Standard

Pipin
Location Tank / Vessel √ Structure Other:
g

Blasting Medium √ Sand Water Steel Grade Other:

Caution: Form ini harap diserahkan setiap hari kepada QC-Wilmar beserta photo dan Painting map /isometric.

Items of Inspection : Sandblasting material UNP 200 Quantity 17 pcs

Parameter
S/N Material
Mill Scales White Colour Distribution Roughness
1 UNP 200 SA 2,5 ok ok -

Comments
QC-FRM-ITF-05A (REV.0x)
Client : PT. Wilmar Padi Indonesia
Contractor : PT. Sinbar Persada Indonesia
Area / Plant : WPI Unit Mojokerto
WILMAR PROJECT Date : 27 Oktober 2022

BLASTING INSPECTION REPORT

Inspected by Approved by Verified by


Quality Control Site Manager Project QC WILMAR

Signature
Name AGUNG DEVI E. HASAN
Telp. 
QC-FRM-ITF-05A (REV.0x)
Client : PT. Wilmar Padi Indonesia
Contractor : PT. Sinbar Persada Indonesia
Area / Plant : WPI Unit Mojokerto
WILMAR PROJECT Date : 27 Oktober 2022

BLASTING INSPECTION REPORT

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