Report No.

..../PMAS/IRN/VII/2023
Date : 31 July 2023
INSPECTION RELEASE NOTE
No. Of pages:

Project : PROVISION OF WEST PANGKAH SITE PREPARATION

Client : SAKA INDONESIA PANGKAH LIMITED

Stage : Interim / Final Item Description : Pengiriman Precast CAM

Following items have been satisfactory inspected as per applicable specifiations

Ref.Doc.No./
No. Qty Description
Dwg. No.

1 18 CAM Precast Pengecoran Tanggal 17 Juli 2023

2 18 CAM Precast Pengecoran Tanggal 18 Juli 2023

Released for Delivery : Yes / No

Checked and Confirmed that :

Material acceptance Line Check

√ Precast acceptance Any others ………………………..

Reinforcing Bar Installation
Please tick for completion of activity
Strike off item whichever is not applicable.

Punchlist items : (attach additional sheet if required )

Prepared by Reviewed & Approved by

Sign : Ahmad Nafilul Huda Sign :

Date : 31 July 2023 Date :
QC Inspector CLIENT REP.