DOC.

NO FM-QCC-004

CHECK SHEET INSPECTION

REV. NO 01
REV. DATE 17 January, 2019

PT. DFFI PAGE of

Customer : PT. CHEVRON PACIFIC INDONESIA Part No. : 3 Inspection by : Firman Ibnu / Sofyan Doni
Job No. : 90471 R2WHDRI Dwg No. : - Inspection Report : Final Inspection
Total Qty : 3 pcs Material : ASTM A105 Heat Number : D17198
Qty Insp. : 3 pcs Inspection Level
:-
(ISO 2859-1:1999)
Part Name : Standard
Meas. Actual Dimension
BL 2" 600# RF Item No. Position Remark
Device Nominal Tol
(ASME B16.5)
Drawing / Sketch : MTC No V
Visual V

D Outside Diameter OF Flange VC 165mm -

ft

K Diameter of Bolt Circle VC 127mm ±1,5mm

G Facing Diameter VC 92,1mm ±1,0mm

L Diameter of Bolt Holes VC 19,05mm -

+3.0mm
B Flange Thickness VC 25,4mm
-0.0mm

ft Facing Thickness VC 7mm -

- Number of Bolt Holes V 8 -

NOTE :
Measuring tool used : Inspected by Reviewed by
-V = Visual - HG = Height Gauge -SR = Steel Ruller
- VC = Vernier Caliper - BP = Bevel Protactor
- UT = Ultrasonic Thickness
Date : Date :