Notification of Inspection/Test

(RFI)

Project BATU HIJAU CCPP-1 RFI No. BHCP1-JEL-RFI-C00-Z0126

Subcontractor JEL/PTJEL Request Date 14-Mar-2023

Discipline Civil Inspection Date 15-Mar-2023 Time 10:00 AM

Location ITB & Koboi Benete Batching Plant System Filing (Design Mix)

ITP No. BHCP1-00-YYY-QP-Q-0002 Rev. B ITP 2.2 Cement,Coarse Aggregate, Water and
Description Admixture used
ITP Step No. 2.0

Inspection Point Contractor R PMC R Owner R

No. Inspection Object Quantity Remarks

Inspection for testing of concrete Grade (C30 T-1 Imprv-C

for N.M & P.M) for following test.
1 1. RCPT Test – 6 Sample (ITB)
2. Flexural test – 8 Sample (Koboi & ITB)
3. Permeability Test- 6 Sample (ITB)

No. Drawing No./Attachment Rev.

1
2
3
4

Comments

Accepted □ Accepted with comments □ Rejected □ Cancelled □

Name / Signature / Date

Contractor PMC Owner Other Discipline

Form Number: BHCP1-00-YYY-QP-Q-0002-02A
-02A Rev.2