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INSPECTION REPORT

PT. PGAS SOLUTION

Contractor : PT. PGAS SOLUTION SPK No. :

Client : PT. TRIPATRA

Owner : PT Pertamina Hulu Rokan Date :

Contract No. :

Description :
Reaktivasi PIT PWTP - 03 Balam South GS

Location : Balam South GS

Item Of Work : Install Geomembran

1. TYPE OF INSPECTION: Field Inspection

2. INSPECTION ITEM: - Sub Grade Must be Clean From work

'- Position and Dimensional Geomembrane

'- Joining

3. INSPECTION REPORT:
Documentation

4. INSPECTION RESULT:
Acceptable/Rejection

5. REMARKS :

Supporting document attached

YES NO

Prepared by:
Witnessed/Reviewed by:
PGASOL QA/QC -E/W Civil
PT. TRIPATRA - QA/QC

Date : Date :

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