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CALIBRATION CERTIFICATE

Customer Information Manufacturer Information


Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-004-003 Calibration Date : 14-Jan-2021
Serial No : 1663
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 150,50 150,50

50 300,00 300,00 300,00

75 450,00 450,00 450,00

100 600,00 599,00 599,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-004-003 X Hydrostatic
Serial No : 1663
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-001-001 Calibration Date : 14-Jan-2021
Serial No : 1664
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 150,00 150,00

50 300,00 300,00 300,00

75 450,00 449,00 449,00

100 600,00 599,00 599,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-001-001 X Hydrostatic
Serial No : 1664
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-004-002 Calibration Date : 14-Jan-2021
Serial No : 1665
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 150,50 150,50

50 300,00 300,00 300,00

75 450,00 450,00 450,00

100 600,00 601,00 601,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-004-002 X Hydrostatic
Serial No : 1665
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-004-001 Calibration Date : 14-Jan-2021
Serial No : 1666
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 150,00 150,00

50 300,00 300,00 300,00

75 450,00 450,00 450,00

100 600,00 600,00 600,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-004-001 X Hydrostatic
Serial No : 1666
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-001-004 Calibration Date : 14-Jan-2021
Serial No : 1667
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 150,00 150,00

50 300,00 299,50 299,50

75 450,00 449,00 449,00

100 600,00 600,00 600,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-001-004 X Hydrostatic
Serial No : 1667
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-001-002 Calibration Date : 14-Jan-2021
Serial No : 1668
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 600 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 150,00 149,50 149,50

50 300,00 299,00 299,00

75 450,00 449,00 449,00

100 600,00 598,50 598,50

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: Pneumatic
Tag Number : PI-V-001-002 X Hydrostatic
Serial No : 1668
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 900 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-HT-001-001 Calibration Date : 14-Jan-2021
Serial No : 1669
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,00 80,00

75 120,00 120,00 120,00

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-HT-001-001 Hydrostatic


Serial No : 1669
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-F-005A-001 Calibration Date : 14-Jan-2021
Serial No : 1670
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,20 80,20

75 120,00 120,20 120,20

100 160,00 160,30 160,30

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-F-005A-001 Hydrostatic


Serial No : 1670
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-F-005B-001 Calibration Date : 14-Jan-2021
Serial No : 1671
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,00 80,00

75 120,00 120,00 120,00

100 160,00 160,30 160,30

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-F-005B-001 Hydrostatic


Serial No : 1671
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-003-002 Calibration Date : 14-Jan-2021
Serial No : 1672
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,20 40,20

50 80,00 80,30 80,30

75 120,00 120,40 120,40

100 160,00 160,50 160,50

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-003-002 Hydrostatic


Serial No : 1672
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-001-003 Calibration Date : 14-Jan-2021
Serial No : 1673
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,00 80,00

75 120,00 120,00 120,00

100 160,00 160,20 160,20

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-001-003 Hydrostatic


Serial No : 1673
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-HT-001-003 Calibration Date : 14-Jan-2021
Serial No : 1674
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 39,70 39,70

50 80,00 80,00 80,00

75 120,00 120,00 120,00

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-HT-001-003 Hydrostatic


Serial No : 1674
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-HT-001-002 Calibration Date : 14-Jan-2021
Serial No : 1675
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 39,80 39,80

50 80,00 79,70 79,70

75 120,00 119,70 119,70

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-HT-001-002 Hydrostatic


Serial No : 1675
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-006-001 Calibration Date : 14-Jan-2021
Serial No : 1676
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,30 80,30

75 120,00 120,40 120,40

100 160,00 160,50 160,50

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-006-001 Hydrostatic


Serial No : 1676
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-002-001 Calibration Date : 14-Jan-2021
Serial No : 1677
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,20 40,20

50 80,00 80,30 80,30

75 120,00 120,00 120,00

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-002-001 Hydrostatic


Serial No : 1677
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-003-001 Calibration Date : 14-Jan-2021
Serial No : 1678
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,20 40,20

50 80,00 80,30 80,30

75 120,00 120,00 120,00

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-003-001 Hydrostatic


Serial No : 1678
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-KOD-001-001 Calibration Date : 14-Jan-2021
Serial No : 1679
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 39,80 39,80

50 80,00 80,00 80,00

75 120,00 120,00 120,00

100 160,00 160,00 160,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-KOD-001-001 Hydrostatic


Serial No : 1679
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-002-002 Calibration Date : 14-Jan-2021
Serial No : 1680
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 160 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 40,00 40,00 40,00

50 80,00 80,00 80,00

75 120,00 119,70 119,70

100 160,00 159,70 159,70

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-002-002 Hydrostatic


Serial No : 1680
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 240 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : PI-V-005-001 Calibration Date : 14-Jan-2021
Serial No : 1681
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Calibration Data
RANGE : 0 - 60 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 15,00 15,00 15,00

50 30,00 30,00 30,00

75 45,00 45,00 45,00

100 60,00 60,00 60,00

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Pressure Gauge Type of test: X Pneumatic

Tag Number : PI-V-005-001 Hydrostatic


Serial No : 1681
Model No : BIP 115 LSA
Dial Size : 4 1/2"
Material : Phenolic Resin

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Pressure Gauge
Pressure Range : 90 PSI
Calibration Date : 14-Jan-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 14-Jan-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 14-Jan-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Differential Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : DPI-F-005A-001 Calibration Date : 17-Feb-2021
Serial No : 1702
Model No : BIDPA 100 LT
Dial Size : 100 mm
Material : Stainless Steel 316 L

Calibration Data
RANGE : 0 - 30 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 7,50 7,40 7,40

50 15,00 14,90 14,90

75 22,50 22,40 22,40

100 30,00 29,90 29,90

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Differential Pressure Gauge Type of test: X Pneumatic

Tag Number : DPI-F-005A-001 Hydrostatic


Serial No : 1702
Model No : BIDPA 100 LT
Dial Size : 100
Material : Stainless Steel 316 L

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Differential Pressure Gauge
Pressure Range : 300 PSI
Calibration Date : 17-Feb-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 17-Feb-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 17-Feb-2021
CALIBRATION CERTIFICATE
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Calibration Information


Type : Differential Pressure Gauge Factory : PT Karya Instrumindo Simpati
Tag Number : DPI-F-005B-001 Calibration Date : 17-Feb-2021
Serial No : 1703
Model No : BIDPA 100 LT
Dial Size : 100 mm
Material : Stainless Steel 316 L

Calibration Data
RANGE : 0 - 30 PSI

Applied Pressure Indicated Pressure


% of Range
(PSI) Increasing (PSI) Decreasing (PSI)
0 0,00 0,00 0,00

25 7,50 7,30 7,30

50 15,00 14,80 14,80

75 22,50 22,30 22,30

100 30,00 29,80 29,80

We hereby certify that the above instrument have been individually calibrated and tested against standard test
equipment as recommended in DIN 16005. Conformity to national standard is guaranteed.

Signed
Pressure Test Plan Form
Customer Information Manufacturer Information
Project : Pressure Gauge Name : PT Karya Instrumindo Simpati
Name : PT. Bahana Karya Mandiri
PO No. : 2000122

Device Information Pressure Test Information


Type : Differential Pressure Gauge Type of test: X Pneumatic

Tag Number : DPI-F-005B-001 Hydrostatic


Serial No : 1703
Model No : BIDPA 100 LT
Dial Size : 100
Material : Stainless Steel 316 L

Test Parameters
Required Test Pressure : Holding Time : 15 minutes
Test Liquid : Ades Fluid Temperature : 25 Deg C

Test Equipment
Type : Differential Pressure Gauge
Pressure Range : 300 PSI
Calibration Date : 17-Feb-2021

Reference Document :

Approval
Supervisor in charge of test Signature Date
Ruby Insani 17-Feb-2021

Pressure systems program manager Signature Date


Yudi Yuliawan 17-Feb-2021

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