PT.

KERANTEK INDONESIA
INDEPENDENT INSPECTION - CERTIFICATION – CONSULTANT
ENGINEERING SERVICES

KTI-FORM-INS-01
SITE MEMO
No. 340-Bp/KTI/INS.03 /V/ 2023

To : CV. Saulina Abadi Nusantara

Att : Mr.
Date Of Insp. : May 24, 2023
Location : Balikpapan
Subject : Inspection & Certification Of Frame Mud Tank

This is to certify that, the following equipment has been inspected/tested and reported as follows :

Type Of Result
No Equipment ID No.
Inspection Acc Repair Reject
FRAME MUD TANK
Tare : 2700 Kg
Payload :- Kg
MGM : 2700 Kg
Dimension : 2335 X 2040 X 3415 mm (LxWxH)
01. Year Built : 2023 MT-SAN-01 T √ - -
Manufacture : PT. CV. Saulina Abadi Nusantara
Load Test :
Diagonal Test ( Tare 2700 kg x 1.5 = 4050 Kg

Kind Of Inspection :
Visual Inspevtion – Dimensional Check – NDT (Magnetic Particle Inspection) and Load Test

Certificate / Report still in processing Note : Recommendation (see appendix sheet)

Place of inspection Date : May 24, 2023

Owner / Client Inspector

Saut
_________________ Febri Hamdan R,S.T

Ruko Bintang Rubiz Jl. Letkol Pol.H.M.Asnawi Arbain (MT.Haryono Dalam)

No.34 RT.51 Kel. Gn Bahagia, Kec. Balikpapan Selatan - East Kalimantan
 (0542) 8157662 -  (0542) 8157662  : kti@kerantek.co.id