Report No.

..../PMAS/IRN/VII/2023
Date : 28 July 2023
INSPECTION RELEASE NOTE
No. Of pages:

Project : GROUND IMPROVEMENT WEST PANGKAH PROJECT

Client : SAKA INDONESIA PANGKAH LIMITED

Stage : Interim / Final Item Description : Pengiriman Precast CAM

Following items have been satisfactory inspected as per applicable specifiations

Item No./ Ref.Doc.No./

No. Member No. / Qty Description
Dwg. No.
Tanggal

03 Juli 2023 20 CAM Precast

04 Juli 2023 18 CAM Precast
07 Juli 2023 19 CAM Precast
10 Juni 2023 18 CAM Precast
12 Juni 2023 17 CAM Precast

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 : Anton Prastowo Sign :

Date : 27 July 2023 Date :
QC Inspector CLIENT REP.
 Report No. :

..../PMAS/IRN/VII/2023
Date : 28 July 2023
INSPECTION RELEASE NOTE
No. Of pages:

Project : GROUND IMPROVEMENT WEST PANGKAH PROJECT

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 20 CAM Precast Pengecoran Tanggal 03 Juli 2023

2 18 CAM Precast Pengecoran Tanggal 04 Juli 2023
3 19 CAM Precast Pengecoran Tanggal 07 Juli 2023
4 18 CAM Precast Pengecoran Tanggal 10 Juli 2023
5 17 CAM Precast Pengecoran Tanggal 12 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 )

Reject 1 CAM, Pecah Tulangan Atas

Prepared by Reviewed & Approved by

Sign : Anton Prastowo Sign :

Date : 27 July 2023 Date :
QC Inspector CLIENT REP.
Prepared by Reviewed & Approved by

Sign : Anton Prastowo Sign :

Date : 27 July 2023 Date :
QC Inspector CLIENT REP.
 Report No. :

..../PMAS/IRN/VII/2023
Date : 30 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 20 CAM Precast Pengecoran Tanggal 15 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 : 30 July 2023 Date :
QC Inspector CLIENT REP.
Prepared by Reviewed & Approved by

Sign : Ahmad Nafilul Huda Sign :

Date : 30 July 2023 Date :
QC Inspector CLIENT REP.
 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.
Prepared by Reviewed & Approved by

Sign : Ahmad Nafilul Huda Sign :

Date : 31 July 2023 Date :
QC Inspector CLIENT REP.
 Report No. :

..../PMAS/IRN/VIII/2023
Date : 03 Agustus 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 21 Juli 2023

2 20 CAM Precast Pengecoran Tanggal 22 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 : 03 Agustus 2023 Date :
QC Inspector CLIENT REP.
Prepared by Reviewed & Approved by

Sign : Ahmad Nafilul Huda Sign :

Date : 03 Agustus 2023 Date :
QC Inspector CLIENT REP.