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TRANSMITTAL FORM

Project: PROYEK PEMBANGUNAN JALAN TOL ANCOL TIMUR - PLUIT (ELEVATED) Transmittal No. :
TKN/WK/HBRII/0109

Attn : Bpk. Yudha Dwi N.

Company : PT. Wijaya Karya (Persero) Tbk.

Address :

CC :
Client Copy Med Purpose Remarks

Item Doc/Dwg. No. Sht Rev Description Size Copy Med File
Tanggapan Penggunaan Shimming Plate pada Pier
1 - 8 - A4 1 PDF Sesuai nama file lampiran
Head Kantilever

-END-

Chargeable : Purpose: For Approval


Remarks :

Please confirm receipt of the materials listed above by signing and faxing the original copy of the Document Transmittal Form to the originator

Project Engineering : Receiver :


Nico Nathaniel Sutanto

Signature : Signature :

Date: 1-Nov-23

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