RAWASAR AWS TAWASAKL TAWASAKL RAWASAEL RAWASAR KAWASAKL KAWASAK KAWASAK RAWASA Snuang se SHUANG GE SHUANG GE AWARE ANAS ANAS TANASE AWASARI FFTIOHRN HOLAN SIMANJUNTAK URS[REKOMENDAST [RATROTAST Occ FF SAKSI/WHITNESS, MENGETAHU/ACKNOWLEDGE- During a load test on site, wenot found any deformation ofthese equipment - Photograph Attached. - The load test has not reached 125% due to the existing load limitation He Bae Proc. No. Report No LOAD TEST REPORT [Date Ofinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT tachment Repot or as Description lever block Equipment Serial k 19090591 1. Load Cell Assembly No. : Model - Model : Serial No. - Year Bult / Used Oct-19 2, Load indicator Manufacturer KAWASAKI Model - Owner/User JHS #2 Serial No. - Date Of Load Test: April 22, 2020 Capacity : Place of inspection: GPF area Manufacturer 7 Inspection Class Re inspeksi Calbartion Date: Kind Of Load 1. SWL 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Kg | Companies TOAD TEST a SWL | Proof Load Test | Hold Time Deflection Result (kg) (kg) (minutes) (nm) 1 3000 3000 5 : Good References: # Proof Load Test = 125% x SWL Note [Tested by, Ru [ReviewedWitnessed by Reviewed/Witnessed by |Owner/User Rewpresentative |OuneriUser RewpresentativeReport No LOAD TEST REPORT Date OF Insp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Pre. No. Attachment Load Test Report PHOTOGRAPH~ ‘iPr. Na 7 Report No LOAD TEST REPORT Date oF nsp. 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 1012 LOAD TEST REPORT ichmentRepot 007 Description lever block Equipment Serial 1908057 4. Load Cell ‘Assembly No. - Model ie Model : Serial No. ie Year Built / Used Oct-19 2, Load Indicator Manufacturer KAWASAKI Model ps Owner/User SHS #2 Serial No, i Date Of Load Test: Apri 22, 2020 Capacity : Place of Inspection: GPF area Manufacturer 7 Inspection Class Re inspeksi Calbtion Date: - kind Of Load 4. SWL 3000 Kg | Certificate No, : 2, Proof Load Test 3000 Kg | Companies 4 TOAD TEST Wi SWL | Proof Load Test | Hold Time Deflection Result (kg) (kg) (minutes) (mm) 7 3000 3000) 5 zi Good References: # Proof Load Test = 125% x SWL Note - During a load test onsite, wenot found any deformation of these equipment - Photograph Attached. - The load test has not reached 125% due to the existing oad limitation Reviewed Witnessed by Reviewed!Witnessed by |Qwner/User Rewpresentative |Ouner!User RewpresentativePre. no. Report No LOAD TEST REPORT Jose orinsp. : — 22.Apr-20 LAPORAN PENGUJAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPH|Owner/User Rewpresentative Proc. No [Report to, LOAD TEST REPORT [Date Of Insp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT [Avechment Report “a0 —| Desorption lever block Equipment Serial 19090589 1. Load Cell Assembly No. - Model - Mode : Serial No. - Year Built / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model . ‘OwmerlUiser JHS#2 Serial No. : Date Of Load Test: April22, 2020 Capacity - Place of Inspection : GPF area Manufacturer - Inspection Class Re inspeksi Calbartion Date: Kind Of Load 4. SWL 3000 Kg | Certificate No - 2, Proof Load Test 3000 Kg | Companies - TOAD TEST Ne SWL | ProofLoadTest | Hold Time Deflection Result (kg) (kg) (minutes) (mm) 1 3000 3000 5 = Good References: ¥ ProofLoad Test = 125% x SWL Note ~ During a load test on site, wenot found any deformation of these equipment ~ Photograph Attached. - The load test has not reached 125% due to the existing load imitation Tested by, [Reviewedrnitnessed by ReviewediWitnessed by |Ouner/User RewpresentativeProc to. IRepet No, LOAD TEST REPORT lostetinsp. : 22-Apr.20 LAPORAN PENGUIAN BEBAN Jeane 2012 _ PHOTOGRAPHcae ee Pre. No. Report No LOAD TEST REPORT [Date insp. : 22Apr-20 LAPORAN PENGUJIAN BEBAN Page 1082 LOAD TEST REPORT sia Repo 03 Description lever block Equipment Serial k 19080586 1. Load Cell Assembly No. : Model - Model : Serial No. - Year Bult / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model 7 OwnerlUser JHS #2 Serial No. : Date Of Load Test: April 22, 2020 Capacity - Place of Inspection: GPF area Manufacturer =: Inspection Class Re inspeksi Calbartion Date: - kind Of Load 4. SWE 3000 Kg | Certificate No. : 2. Proof Load Test 3000 Kg | Companies - TOAD TEST ne SWL | Proof Load Test | Hold Time Deflection Result (9) (9) (minutes) (ime) i 3000 3000 5 5 Good References: ? ProofLoad Test = 125% x SWL Note - During a load test on site, wenot found any deformation ofthese equipment. - Photograph Attached. - The load test has not reached 125% due tothe existing lod limitation Reviewed/Witnessed by JReviewediWitnessed by |Ouner/User Rewpresentative |Onner/User RewpresentativeProc. No. Report No LOAD TEST REPORT Joate orinsp. : 22.Apr20 LAPORAN PENGUJIAN BEBAN Page 2012 AMtachment Load Test Report PHOTOGRAPH(Ouner/User Rewpresentative Pree. Na, Report No LOAD TEST REPORT oat orinsp. 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT [Aiashmert Reoor "O0s Description jer block Equipment Serial k19080585 4. Load Cell ‘Assembly No. : Model x Model : Serial No * Year Bul Oct-19 2. Load Indicator Manufacturer KAWASAKI Model : Owner/User JHS #2. Serial No : Date Of Load Test Apri'22, 2020 Capacity _ Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date: - kind Of Load 1. SW 3000 Kg | Certfcate No. : 2. Proof Load Test 3000 Kg | Companies - TOAD TEST No,| SL | ProofLoadtest | Hold Time Deflection Result (ig) (ig) {rinutes) (nm) 1 3000 3000 5 zi Good References: # Proof Load Test = 125% x SWL snares Note - During load test on site, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due tothe existing oad limitation Reviewed Witnessed by Reviewed/Witnessed by lOwneriUser RewpresentativePro. No. Report No TOAD TEST REPORT baie rinse, = 22-Apr20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHProc. No. Report No LOAD TEST REPORT bate insp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT facet Repot Ws Descration lever block Equipment Serial k 19090564 4. Load Cell Assembly No. : Model Model : Serial No, : Year Bui / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model - ‘OwneriUser JHS #2 Serial No, - Date Of Load Test: Apri'22, 2020 Capacity » Place of inspection: GPF area Manufacturer z Inspection Class Re inspeksi Calibartion Date: - Kind Of Load 1. SWL 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Ka | Companies : - During a load test on site, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation fio SWL Proof Load Test Hold Time Deflection Result (kg) (kg) (minutes) (mm) 1 3000 3000 5 : Good, Referenoas # Proof Load Test = 125% x SWL Note [ReviewedWitnessed by |Owner/User Rewpresentative Reviewed/Winessed by |Owner/User RewpresentativePrec. No, [Report No. LOAD TEST REPORT Date OFinsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHPoe. no Report. LOAD TEST REPORT late otinsp. : 72-Apr-20 LAPORAN PENGUJIAN BEBAN page 1012 LOAD TEST REPORT ochment Repo ws Description lever block Equipment Serial «19090582 1. Load Cell Assembly No. Model x Model - Serial No, - Year Bult / Used Oct-19 2. Load indicator Manufacturer KAWASAKI Model : OwnerfUser JHS #2 Serial No . Date Of Load Test: Apri!22, 2020 Capacity : Place of Inspection: GPF area Manufacturer 7 Inspection Class Re inspeksi Calbartion Date: - kind Of Load 4. SWL 3000 Kg | Certificate No. . 2. Proof Load Test 3000 Kg | Companies : TOAD TEST io,| SW+ | ProofLoadTost | Hold Time Deflection Result (i) (kg) (wines) (om) 1 3000. 3000 3 5 Good References # Proof Load Test = 125% x SWL Note - During a load test onsite, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation Reviewed/Witnessed by |OwneriUser Rewpresentative Reviewed Witnessed by |Owner/User RewpresentativePrec. No, Report Wo. LOAD TEST REPORT Date Ofinsp. : 22-Apr-20 LAPORAN PENGUJAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHee 7 Proc. No [Report No, LOAD TEST REPORT loeteOtinsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT rachmerd Repo) a Description lever block Equipment Serial 19090571 1. Load Cet Assembly No. : Model : Model : Serial No. - Year Bult / Used Oct-19 2. Load indicator Manufacturer KAWASAKI Model “ OwnertUser JHS #2 Serial No. 7 Date Of Load Test: April 22, 2020 Capacity : Place of Inspection: GPF area Manufacturer 7 Inspection Class Re inspeksi Calibartion Date: - kind Of Load 1. SWL 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST ni.| SWE | ProofLoadtest | Hold Time Deflection Result (kg) (ka) (minutes) (mm) i 3000 3000 5 5 Good References € Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation ofthese equipment. - Photograph Attached, - The load test has not reached 125% due to the existing load limitation [Tested by, Rud nto inspe ReviewediWitnessed by (QuneriUiser Rewpresentative ReviewediWitnessed by |Owner/User RewpresentativeProc. Na. [Reno No LOAD TEST REPORT Dae orinsp. : 22-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test ReportFre. No, Report No LOAD TEST REPORT bate orinsp. : 22Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT [tachment Repo 08, Description lever block Equipment Serial 19090568 1. Load Cell ‘Assembly No. : Model d Model - Serial No. : Year Buit/ Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model : Owner!User JHS #2 Serial No. : Date Of Load Test: April22, 2020 Capacity : Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date: - kind Of Load 1. SWE 3000 Kg | Certificate No, : 2. Proof Load Test 3000 Kg] Companies - TOAD TEST no.| SE | ProofLoadTest | Hold Time Deflection Result (kg) (ia) (minutes) (com) i 3000 3000 3 = Good References: # Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation Hested by, Reviewed/Witnessed by IReviewediWitnessed by RW Imaryan EEE Eee eee oo linspegfor |Quner/User Rewpresentative |Owner/User RewpresentativeProc. No. [Report o. LOAD TEST REPORT [Date Ofinsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHPro Wo. Report No, LOAD TEST REPORT Dato Otinsp. : 22sApr-20 LAPORAN PENGUJIAN BEBAN Page 4012 LOAD TEST REPORT stare Report. wo Description lever block Equipment Serial 19090548 1. Load Coll Assembly No. : Model : Model : Serial No. - Year Bult /Used —: Oct-19 2. Load Indicator Manufacturer : KAWASAKI Model - ‘Owner/User 2 JHS#2 Serial No. - Date Of Load Test: April22, 2020 Capacity - Place of Inspection : GPF area Manufacturer - Inspection Class Re inspeksi Calibartion Date: - Kind Of Load 4, SWL 3000 Kg | Certficate No, : 2. Proof Load Test 3000 Kg | Companies - TOAD TEST re SWL | Proof Load Test | Hold Time Deflection Result (kg) (ka) (minutes) {rnmn) 1 3000 3000 5 zi ‘Good References: # Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation ofthese equipment. - Photograph Attached, - The load test has not reached 125% due to the existing load limitation [Tested by, Reviewed!Witnessed by IReviewedWitnessed by OwneriUser Rewpresentative |Owner/User RewpresentaliveProc. No. Report No. LOAD TEST REPORT Date Orinsp, : 22-Apr-20 _LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHProc No. Report No TOAD TEST REPORT loa orirsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 4012 LOAD TEST REPORT lager Repot oT Description lever block Equipment Serial 19090508 4. Load Cell Assembly No, : Mode! - Model : Serial No, - Year Built / Used Oct-19 2. Load indicator Manufacturer KAWASAKI Model - Owner/User JHS #2 Serial No, - Date Of Load Test: April22, 2020 Capacity ° Place of Inspection: GPF area Manufacturer z Inspection Class Re inspeksi Calibartion Date =~ Kind Of Load 1. SWL 3000 Kg | Certificate No. : 2. Proof Load Test 3000 Kg—_| Companies - TOAD TEST No} SWE | ProotLoadest | Hold Time Deflection Result (kg) (kg) (minutes) (mm) al 3000 3000 3 = Good References. # ProofLoad Test = 125% x SWL Note - During a load test on site, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation ReviewedWitnessed by [ReviewedAvitnessed by |Owner/User Rewpresentative |OwneriUser RewpresentativePr. No. Report No LOAD TEST REPORT Date Ofinsp. : Ape LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPHroc. No. Report No LOAD TEST REPORT lbateorinsp. : 224920 LAPORAN PENGUJIAN BEBAN Page 4012 LOAD TEST REPORT tachment Report oe Description lever block Equipment Serial 19090503 1. Load Cell Assembly No. : Model : Model : Serial No. < Year Bult / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model : Owner/User JHS #2 Serial No - Date Of Load Test: April22, 2020 Capacity Z Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 1. SWL 3000 Ka | Certificate No, : 2. Proof Load Test 3000 Kg | Companies : TOAD TEST i swt | Proof Load Test | Hold Time Deflection Result (kg) (kg) (minutes) (mm) 1 3000 3000 3 zi Good References # Proof Load Test = 125% x SWL Note - During a load test on site, weno! found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation [Tested by, ReviewediWitnessed by ReviewediWitnessed by RU Imaryay fee eee poe in Onner/User Rewpresentative |Qwner/User RewpresentativeProc. No, [Report No LOAD TEST REPORT lcate or nsp. : 22sApr-20 LAPORAN PENGUJIAN BEBAN IFage 2012 Attachment Load Test Report|OwneriUser Rewpresentative Frc. No. Revo to, LOAD TEST REPORT Date crinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT face Repot oS Description lever block Equipment Serial 19080195 1. Load Cell Assembly No. : Model : Model : Serial No, : Year Bult / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model : Owner/User JHS #2 Serial No, 7 Date Of Load Test April22, 2020 Capacity - Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 1. SWL 3000 Kg | Certificate No. : 2. Proof Load Test 3000 Kg | Companies : TOAD TEST No,| SMU] ProofLoadtest | Hold Time Deflection Result (kg) (kg) (minutes) (mm) i 3000. 3000 5 - Good References: # Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation of these equipment - Photograph Attached. ~ The load tast has not reached 125% due tothe existing load limitation [Reviewed/Witnessed by ReviewedWitnessed by |Qwner/User RewpresentativePrec. Ne. Report No. LOAD TEST REPORT Date Ofinsp. : 22Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Reportoe Fr. No [Report No LOAD TEST REPORT [Date OF nsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN age 1012 LOAD TEST REPORT iachment Ropot we, Description lever block Equipment Serial 19060184 1. Load Cell ‘Assembly No. ad Model Model De Serial No. - Year Buit / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model - ‘OwnerlUser JHS #2 Serial No : Date Of Load Test: Apri'22, 2020 Capacity £ Place of Inspection : GPF area Manufacturer 7 Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 4. SWL 3000 Kg | Cettificate No. : 2, Proof Load Test 3000 Ka | Companies 3 TOAD TEST no.| SME | ProofLosdtest | Hold Time Deflection Result (ka) (kg) (minutes) (rm) i 3000 3000. 5 2 Good References # Proof Load Test = 125% x SWL Note ~ During a load test onsite, wenot found any deformation of these equipment. = Photograph Attached, - The load test has not reached 125% due tothe existing load limitation [Tested by, ReviewedWitnessed by ReviewediWitnessed by OunerlUser RewpresentativeProc. No Report No, LOAD TEST REPORT Date oF nsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPH~ Photograph Attached. [Tested by, Rud - During a load test on sit, wenot found any deformation of these equipment. - The load test has not reached 125% due to the existing load limitation Frc. No, Repo No. LOAD TEST REPORT bate OF insp. = 22-Apr-20 LAPORAN PENGUJAN BEBAN, Page 1012 LOAD TEST REPORT iiacert Report oe — Description lever block Equipment Serial 19080076, 4. Load Cell Assembly No. - Model : Model : Serial No. : Year Built / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model - Owner/User JHS #2 Serial No. : Date Of Load Test: Apri 22, 2020 Capacity - Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date - kind Of Load 1, SWL 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST No.| SWE | ProofLoadTest | Hold Time Deflection Result (kg) (kg), (minutes) (mm) 1 3000 3000 5 zi Good References: # ProofLoad Test = 125% x SWL Note RReviewedWiinessed by \Owner/User Rewpresentative ReviewediWitnessed by Owner/User RewpresentativeProc. No Report No, LOAD TEST REPORT Date oF nsp, :22sApr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test Report PHOTOGRAPH i Pee my iraProc. Na, Report No, TOAD TEST REPORT bse rinse. : Z2Apr20 LAPORAN PENGUJIAN BEBAN Page 1082 LOAD TEST REPORT facil Repot we, Description lever block Equipment Serial 030s 1. Load Cell Assembly No - Mode! - Model : Serial No, : Year Buit /Used : Oct-19 2. Load indicator Manufacturer KAWASAKI Model - OnneriUser JHS #2 Serial No : Date Of Load Test: Apri'22, 2020 Capacity Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibarton Date: kind Of Load 4. SWL 3000 Kg | Certificate No - 2. Proof Load Test 3000 Kg | Companies 2 TOAD TEST io,| SME | ProofLoad test | Hold Time Deflection Result (kg) (kg) (minutes) (mm) 7 [3000 3000 5 7 Good References ¥ ProofLoad Test = 125% x SWL Note - During a load test on site, wenot found any deformation of these equipment. - Photograph Attached. ~ The load test has not reached 125% due tothe existing oad limitation Reviewed Witnessed by Reviewed Winessed by (Owner/User Rewpresentative (Ouner/User RepresentativeProc. No. Report No, LOAD TEST REPORT Date Ofnsp. : 22-Apr-20 a LAPORAN PENGUJIAN BEBAN, Page 2012 PHOTOGRAPHProc. Na Renate LOAD TEST REPORT bse orinsp. : 22-Apr-20 LAPORAN PENGUJAN BEBAN Page 1012 LOAD TEST REPORT Tachmant Repo UT Description lever block Equipment Serial 19080058 4. Load Cel ‘Assembly No. - Model - Model : Serial No. : Year Built Used Oct.19 2. Load Indicator Manufacturer KAWASAKI Model OwneriLiser IHS #2 Serial No. 7 Date Of Load Test April 22, 2020 Capacity - Place of inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date - Kind Of Load 4. SWL 3000 Kg | Certificate No. : 2. Proof Load Test 3000Kg | Companies : TOAD TEST No.| SMb_— | ProofLoadTest | Hold Time Deflection Result (kg) (kg) (minutes) (mm) i 3000 3000. 3 = Good References, # Proof Load Test = 125% x SWL ot i Note - During a load test on site, wenot found any deformation of these equipment. ~ Photograph Attached. ~ The load test has not reached 125% due tothe existing load liitation Tested by, ReviewedWitnessed by ReviewedMitnessed by RW Insoebbr |Owner/User Rewpresentative |Owner/User RewpresentativeProc. no. [Repert No, LOAD TEST REPORT Joateotinsp. : 22.Apr-20 LAPORAN PENGUJIAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPH- During a load test on site, wenot found any deformation of these equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load limitation Frc. Na Fepor no LOAD TEST REPORT [Date Of nsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN [Page 4012 LOAD TEST REPORT chant Report we Description lever block Equipment Serial K 19060184 1, Load Cell Assembly No. . Model - Model £ Serial No. ® ‘Year Built / Used Oct-19 2. Load Indicator Manufacturer KAWASAKI Model . Owner/User JHS #2 Serial No. . Date Of Load Test April 22, 2020 Capacity . Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date . Kind Of Load 4, SWL 3000 Kg Certificate No. . 2. Proof Load Test 3000 Ka | Companies : LOAD TEST No, ‘SWE Proof Load Test Hold Time Deflection Result (kg) (ko) (minutes) (mm) 1 3000 3000 5 zi Good References 7 Proof Load Test = 125% x SWL Note [Tested by, Reviewed’Witnessed by [Owner/User Rewpresentative ReviewedWitnessed by |QwnerlUser RewpresentativeProc. No. Report No, LOAD TEST REPORT Date Otinsp. 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 ‘tachment Load Test Report PHOTOGRAPHFi Prec No. Report No. LOAD TEST REPORT Dato otinsp. : 22-Apr-20 LAPORAN PENGWJAN BEBAN, Page 1012 LOAD TEST REPORT fachment Report wa Description lever block Equipment Serial 519329 1, Load Cell Assembly No. : Mode! : Model : Serial No : Year Bult / Used Oct-19 2.Load Indicator Manufacturer Shuang ge Model : Owner/User JHS #2 Serial No : Date Of Load Test: April 22, 2020 Capacity : Place of Inspection: GPF area Manufacturer 2 Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 1. SWL 3000 Kg Cettificate No. - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST Na SWL | ProofLoad Test | Hold Time Deflection Result (ka) (kg) (minutes) (mm) 1 3000 3000 5 Good References: ¥ ProofLoad Test = 125% x SWL Note - During a oad test on site, wenot found any deformation of these equipment. ~ Photograph Attached. - The load test has not reached 125% due tothe existing load limitation [Tested by, |Reviewedwitnessed by IReviewedWitnessed by Ru | | | an jee pee ins |wnerUser Rewpreseiave lOnner/User Rewpresentatveroc. No, [Report to. LOAD TEST REPORT Jocte Ofinsp, : 22.Apr20 LAPORAN PENGUJIAN BEBAN Page 202 ‘Attachment Load Test Report PHOTOGRAPHroe. No Report No LOAD TEST REPORT late OF ep. = 22420 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT ache Repon wi Description : lever block Equipment Serial 519344 1. Load Cell Assembly No. Model Model Serial No, - ‘Year Built / Used Oct-19. 2. Load Indicator Manufacturer ‘Shuang ge Model Owner/User JHS #2 Serial No, - Date Of Load Test: April 22, 2020 Capacity = Place of Inspection : GPF area Manufacturer Inspection Class Re inspeksi Calibartion Date : Kind Of Load 4. SWL 3000 Kg | Certificate No. : 2. Proof Load Test 3000 Kg Companies - TOAD TEST No, ‘SWL Proof Load Test Hold Time Deflection Result (kg) (kg) (minutes) (mm) 7 [3000 3000 5 5 Good References # Proof Load Test = 125% x SWL Note ~ During a load test on site, wenot found any deformation of these equipment. ~ Photograph Attached, - The load test has not reached 125% due to the existing load limitation |Reviewed’Witnessed by Reviewed Witnessed byProc. Na Report No, LOAD TEST REPORT Joste Onsp. : 22-Apr-20 a ie 1PORAN PENGUJIAN BEBAN lpage 2012 Attachment Load Test ReportProc No. Report no. LOAD TEST REPORT Date Of isp. 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT ached Report wm Descrition lever block Equipment Serial 519364 1, Load Cell ‘Assembly No. Model - Model Serial No, : Year Built / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model - Owner/User JHS #2 Serial No - Date Of Load Test: April 22, 2020 Capacity : Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibertion Date: - kind Of Load 4, SWL 3000 Kg | Certificate No. : 2, Proof Load Test 3000 Kg} Companies : TOAD TEST i" sw | Proof Load Test | Hold Time Deflection Result (kg) (kg) (minutes) (mm) i 3000 3000 5 : Good References ? ProofLoad Test = 125% x SWL Note ~ During a load test on site, wenot found any deformation ofthese equipment, - Photograph Attached. - The load test has not reached 125% due to the existing load limitation Reviewed/Witnessed by Reviewed/Witnessed by (Ouneriliser Rewpresentative (Ouner/User RewpresentativeProc. No. [Report Wo. RT [Date Ofinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 2012 Attachment Load Test ReportProc. No Report No LOAD TEST REPORT Date Ot Insp. : 22-ADr-20 LAPORAN PENGUJIAN BEBAN, Page 4012 LOAD TEST REPORT tachment Report 1 Description lever block Equipment Serial 519362 1. Load Cell ‘Assembly No. : Model - Model : Serial No, - Year Bult / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model : Owner/User JHS #2 Serial No, - Date Of Load Test: April 22, 2020 Capacity - Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: - kind Of Load 1. SWE 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST ia SWL | Proof Load Test | Hold Time Deflection Result (ia) (kg) (minutes) (on) 1 3000 3000 5 zi Good References: ¥ ProofLoad Test = 125% x SWL - During a load test on site, wenot found any deformation ofthese equipment. - Photograph Attached, - The load tast has not reached 125% due to the existing load limitation Reviewed/Witnessed by |Owner/User Rewpresentative Reviewed/Witnessed by |Ouner/User Rewpresentativerec. No, [Report Wo. LOAD TEST REPORT [Date OFinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPHProc. No. Report No. LOAD TEST REPORT Jost sp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT techie Report wm tee Desorption lever block Equipment Serial + 519350 1. Load Cell Assembly No. : Model - Model : Serial No. - Year Built / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model - OwnerlUser JHS #2 Serial No. - Date Of Load Test: April 22, 2020 Capacity - Place of Inspection : GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: Kind Of Load 1. SWL 3000 Kg | Cettificate No. - 2. Proof Load Test 3000 Kg | Companies = TOAD TEST Ney SWL | Proof Load Test | Hold Time Deflection Result (ka) (kg) (minutes) (mm) if 3000 3000 5 zi Good References: ? ProofLoad Test = 125% x SWL Note: - During a load test on site, wenot found any deformation of these equipment. ~ Photograph Attached, = The load test has not reached 125% due to the existing load limitation Reviewed/Witnessed by ReviewedWitessed by |Owner/User Rewpresentative |Owner/User RewpresentativeProc. No, [Report No. LOAD TEST REPORT [Date Ofinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPHFre. Na Repo No LOAD TEST REPORT bate rinse. ; 22Ape20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT ecient Report 2 Description lever block Equipment Serial 519041 1. Load Cell Assembly No. : Model = Model : Serial No. = Year Buit/ Used Oct-19 2, Load Indicator Manufacturer Shuang ge Model : Owner/User JHS #2 Serial No. a Date Of Load Test April22, 2020 Capacity - Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calibartion Date: - kind Of Load 4. SWL 3000 Kg | Certificate No, z 2. Proof Load Test 3000 Kg | Companies : LOAD TEST No,| SMe | ProofLoadrest | Hold Time Deflection Result (ko) (i) (winutes) (nm) i 3000 3000 3 : Good References # Proof Load Test = __125% x SWL Note - During a load teston site, wenot found any deformation ofthese equipment ~ Photograph Attached. - The load test has not reached 125% due tothe existing load limitation [Tested by, ReviewediWitnessed by Reviewed Witnessed by Ouner/User Rewpresentative |Owner/User RewpresentativePrec. No. Report No LOAD TEST REPORT ete OF Insp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN [Pago 2012 Attachment Load Test Report PHOTOGRAPHPoe. No. Repor No LOAD TEST REPORT Date Ofinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Pa 1012 LOAD TEST REPORT tachment Report w26 Description lever block Equiornent Serial 519332 1. Load Cell Assambly No. 7 Model 7 Model : Serial No. - Year Bult / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model OwneriUser JHS #2 Serial No Date OF Load Test: April22, 2020 Capacity : Place of inspection: GPF area Manufacturer : Inspection Class: Re inspeksi Calbartion Date: - Kind Of Load 4. SWL 2000 Kg | Certificate No. . 2, Proof Load Test 3000 Kg | Companies : TOAD TEST No,| SWt | ProofLoadTest | Hold Time Deflection Result (kg) (ka) (minutes) (mm) 1 3000 3000 5 : Good References # Proof load Test = 125% x SWL Note ~ During a load test on site, wenat found any deformation of these equipment ~ Photograph Attached. ~ The load test has not reached 125% due to the existing load imitation Reviewed/Witnessed by Reviewed/Witnessed by |OwneriUser Rewpresentative Owner/User RewpresentativeLOAD TEST REPORT LAPORAN PENGUJAN BEBAN Fre. No, erat No, Date OF isp Page Attachment Load Test Report PHOTOGRAPH Ape 2012Pros. No. Report No LOAD TEST REPORT [te Ofisp. : 22Apr-20 LAPORAN PENGUJIAN BEBAN. Page 4012 LOAD TEST REPORT tachment Repo w Description lever block Equipment Serial 519325 1, Load Cell Assembly No. - Model pe Model : Serial No. ts Year Built / Used Oct-19 2. Load indicator Manufacturer Shuang ge Model - OwnerlUser JHS#2 Serial No. - Date Of Load Test: April22, 2020 Capacity 3 Place of Inspection: GPF area Manufacturer 7 Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 1. SWE 3000 Ka | Certificate No, : 2. Proof Load Test : 3000 Kg | Companies - TOAD TEST ie SWL | Proof LoadTest | Hold Time Deflection Result (ka) (ka) (minutes) (mm) 1 3000 3000 5 zi Good References: # Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation of these equipment. - Photograph Attached, - The load test has not reached 125% due to the existing load limitation [Tested by, Reviewed/Witnessed by ReviewediWitnessed by |Owner/User Rewpresentative (Ouner/User RewpresentativeProc. Na. [Report No. LOAD TEST REPORT JDate OF insp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPHProc No Report to, LOAD TEST REPORT ete OFinsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 1012 LOAD TEST REPORT JAtachment Report va) Desorption lever block Equipment Serial 519345 1. Load Cell Assembly No. - Model . Model : Serial No. - Year Buit / Used Oct-19 2. Load indicator Manufacturer Shuang ge Model : Owner/User JHS #2 Serial No. : Date Of Load Test: April22, 2020 Capacity - Place of Inspection: GPF area Manufacturer - Inspection Class Re inspeksi Calartin Date: Kind Of Load 1. SWL 3000 Kg | Certificate No, - 2. Proof Load Test 3000 Kg | Companies - TOAD TEST Ne, SWL | Proof Load Test | Hold Time Deflection Result (kg) (kg) (minutes) (mm) 1 3000 3000 5 zi Good References = # Proof Load Test = 125% x SWL Note ~ During @ load test onsite, wenot found any deformation of these equipment. = Photograph Attached - The load test has not reached 125% due to the existing load limitation Tested by, ReviewediWitnessed by ReviewediWitnessed by OunerlUser Rewpresentative |Owner/User RewpresentativeLOAD TEST REPORT LAPORAN PENGUJIAN BEBAN Proc. No. IRepert No, Joateotinsp. : 22.tpr.20 Page 2012 Attachment Load Test Report PHOTOGRAPHoc. No. Report No, TOAD TEST REPORT Deteorinsp, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 10r2 LOAD TEST REPORT Technet Report 7) = Description lever block Equipment Serial 519347 1. Load Cell Assembly No. Model - Model Serial No. - Year Bult / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model - Owner/User JHS #2 Serial No, i Date OF Load Test: April 22, 2020 Capacity - Place of inspection : GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 4. SWL 3000 Kg | Certificate No. - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST No.| SME | ProofLoadtest | Hold Time Deflection Result (kg) (kg) (rminutes) (mm) i 3000 3000 5 zi Good References # Proof Load Test = 125% x SWL Note ~ During a load test on site, wenot found any deformation of these equipment. ~ Photograph Attached. - The load test has not reached 125% due to the existing load limitation [Tested by, Rud Reviewed/Witnessed by [OwneriUser Rewpresentative ReviewediWitnessed by (Owner/User RewpresentativeProc, No, Report to. LOAD TEST REPORT Date Ofinsp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Pago 2012 Attachment Load Test ReportFree. Ne Repo No, LOAD TEST REPORT bate oFinp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 1012 LOAD TEST REPORT [ztachmentRepot wo . Descrintion lever block Equipment Serial 519372 1. Load Cell Assembly No. Model . Model Serial No, : Year Buit/Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model . OunerlUser JHS #2 Serial No. s Date OF Load Test: April 22, 2020 Capacity : Place of Inspection : GPF area Manufacturer Z Inspection Class Re inspeksi Calibarion Dete: - Kind Of Load 1, SWL 3000 Kg | Certificate No. - 2, Proof Load Test 3000 Kg | Companies Z TOAD TEST No,| SMU ProotLoad test | Hold Time Deflection Result a) (9) (minutes) (mm) 1 | __3000 3000 5 a Good References ¥ ProofLoad Test = 125% x SWL Note - During a toad test onsite, wenot found any deformation ofthese equioment. - Photograph Attached. - The load test has not reached 125% due tothe existing load limtation [Tested by, ReviewedWitnessed by ReviewediWitnessed by |Owneriser RewpresentativeProc. No. Report No. LOAD TEST REPORT ete Orinsp, : 22-Apr-20 LAPORAN PENGUJAN BEBAN Pogo 2012 Attachment Load Test Report PHOTOGRAPH~ During a load test on site, wenot found any deformation of these equipment, ~ Photograph Attached. ~ The load test has not reached 125% due to the existing load limitation Proc. No Repo No TOAD TEST REPORT Date OF nse, : 22-Apr-20 LAPORAN PENGUJAN BEBAN Page 1012 LOAD TEST REPORT [avachment Report I Description 2 lever block Equipment Serial 2 519334 1. Load Cell ‘Assembly No. : Model : Model a Serial No. - Year Built / Used Oct-19 2.Load Indicator Manufacturer Shuang ge Model = ‘OwnerlUser JHS #2 Serial No. : Date Of Load Test: April22, 2020 Capacity : Place of Inspection: GPF erea Manufacturer : Inspection Class Re inspeksi Calitartion Date: - Kind Of Load 1, SWL 3000 Ka | Cerificate No. - 2, Proof Load Test 3000 Kg | Companies TOAD TEST io,| SMU] ProotLoadest | Hold Time Deflection Result (kg) kg) (minutes) (mm) 7 3000 3000 5 zi Good References; ¥ Proof Load Test = 125% x SWL Note: [Tested by, Reviewed/Witnessed by (OwnerlUser Rewpresentative ReviewediWitnessed by |Owner/User RewpresentativeProc. No, Repos Wo. LOAD TEST REPORT Date Orinsp. + 22-Apr-20 LAPORAN PENGUJIAN BEBAN, Page 2012 Attachment Load Test Report PHOTOGRAPHJProc.No. FRepart No, LOAD TEST REPORT bate or isp. : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT achat Report ez Description lever block Equipment Serial 519342 1. Load Cell ‘Assembly No. - Model - Model : Serial No, : Year Built / Used Oct-49 2. Load Indicator Manufacturer Shuang ge Model : OwnerlUser JHS #2 Serial No, : Date Of Load Test: April22, 2020 Capacity - Place of Inspection: GPF area Manufacturer - Inspection Class: Re inspeksi Calbartion Date 7 Kind Of Load 1, SWL 3000 Kg | Cettfcate No. : 2. Proof Load Test 3000 Kg} Companies - TOAD TEST No,| SW+ | ProofLoadTest | Hold Time Deflection Result (kg) (kg) (crinutes) (mm) 1 3000 3000 3 : Good References: # ProofLoad Test = 125% x SWL Note : = During a load test on site, wenot found any deformation of these equipment - Photograph Attached - The load test has not reached 125% due to the existing load limitation Reviewed/Witnessed by [ReviewedWitnessed by (Qunertser Rewpresentative |Owner/User Rewpresentative[ 7 Pea Pro No. Report Wo LOAD TEST REPORT Date rinse, : 22-Apr-20 LAPORAN PENGUJIAN BEBAN Poge 2012 Attachment Load Test Report PHOTOGRAPHIRJJ (QuneriUser Rewpresentative Proc No Report No, LOAD TEST REPORT Date rinse, : 22-Apr20 LAPORAN PENGUJIAN BEBAN Page 1012 LOAD TEST REPORT tachment Report ow Description lever block Equipment Serial 519363, 1. Load Cell ‘Assembly No. : Model - Model : Serial No. - Year Built / Used Oct-19 2. Load Indicator Manufacturer Shuang ge Model - OunerlUser JHS#2 Serial No z Date Of Load Test: April 22, 2020 Capacity - Place of Inspection: GPF area Manufacturer : Inspection Class Re inspeksi Calbartion Date: - Kind Of Load 1. SWE 3000 Kg | Certificate No, - 2. Proof Load Test 3000 Kg | Companies : TOAD TEST tc SW | Proof Load Test | Hold Time Deflection Result (ka) (ka) (minutes) (mm) 1 3000 3000 5 i Good References: ¥ Proof Load Test = 125% x SWL Note - During a load test on site, wenot found any deformation ofthese equipment. - Photograph Attached. - The load test has not reached 125% due to the existing load imitation Tested by, Reviewed/Witnessed by ReviewedWitnessed by |Owner/User Rewpresentative~ PPro No. [Report No. LOAD TEST REPORT [Date Ofinsp. © 22Apr20 LAPORAN PENGUJIAN BEBAN Pene 2012 Atfachment Load Test Report