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CONCRETE POUR REPORT

Project Title : Pembangunan Aviation Fuel Hydrant System dan DPPU Kulon Progo
Job Code :
Company : PT. Pertamina (Persero) Date :
Contractor : PT. JGC Indonesia Report No.:
Sub-contractor : BMS-MEG-KSO Sheet : 1 of 1
REFERECES :
Drawing No. : Location :
Revision :
REQUIRED DATE CIVIL INSPECTOR
ITEM REMARK
YES NO COMPLETED BMK JGC PTM
PRE-POUR ACTIVITIES
BLINDNG CONCRETE
FORM/LAYOUT
REINFORCEMENT
ANCHOR BOLT
EMBEDDED PLATE
PIPE SLEEVE
WATERSTOP
CONSTRUCTION JOINT
EXPANSION JOINT
CONCRETE PLACING
APPROVED FOR POUR

POUR ACTIVITIES
POUR DATE : SUPPLIER :

WEATHER : AMBIENT TEMPERATURE :

SLUMP : CONCRETE TEMPERATURE :

ADDITIVES : AIR CONTENT :

TEST SPECIMEN NO : QUANTITY SPECIMEN REQ'D :

POUR TERMNATE AMB. TEMP. DURING CURE :

REASON :

CONCRETE DESIGN MIX :

ATTACH COPY OF CONCRETE SUPPLIER BATCH TO THIS FORM :

Prepared by, Witnessed/Review by, Reviewed/Approved by,


BMS-MEG-KSO PT. JGC INDONESIA PT. PERTAMINA (Persero)

Date : Date : Date :

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