PT.

MODERN WIDYA TEHNICAL

MATERIAL APPROVAL SHEET

PROJECT :
CONTRACT NO :
CLIENT : PT. INDAH KIAT KARAWANG
LOCATION : KARAWANG
NO : GTS/PINDO 4/001/X/2023

1. PRODUCT / MATERIAL :
Material

2. USAGE :
Penggunaan

3. MANUFACTURER :
Produksi dari

4. SORT / TYPE :
Jenis / Tipe

5. TECHNICAL FEATURES :
Spesifikasi Teknis, dimensi……….

6. ENCLOSURES :
Lampiran

7. REMARKS : Reference From Project IKK Power Plant

Keterangan

8. SAMPLE ATTACHED SAMPLE ON SITE DELIVERY PLAN

YES YES YES

NO NO NO

PROPOSED BY APPROVED BY APPROVED BY APPROVAL STATUS

ENGINEERING IKK QA/QC IKK APPROVED
APPROVED WITH COMMENT
REJECTED
Name : Name : Name :
Date : Date : Date :
Rev. 0