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REQUEST FOR INSPECTION ( RFI ) TRANSDATA SATKOMINDO

PT. SARI DUMAI OLEO
FORM NO.: F-001

Item/Equipment Name Report No : F-QC-278-2023

Date : 20 Juni 2023
Section No. LOA No. Drawing No. Rev. Ref. ITP No. : F-008

Gentlemen,
We would like to have your presence for inspection according to the following schedules.

Date and time Location Inspection item Remark

- Rebar
- Formwork
6/20/2023 Utility Building - Elevation
FF Plant - Dewatering
- Joint Survey
- Joint Inspection

ATTACHMENTS : REQUIRED DRAWINGS, CHECKLIST, FORMS, ETC.

COMMENTS :

Involvement Party CONTRACTOR CLIENT REPRESENTATIVE

Signature

Name Irwansyah Munthe Izek Situmeang Said Hamzah Gazali

Title Site Manager QC Site Engineer QC Engineer

Date
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PT. SARI DUMAI OLEO

CONCRETE INSPECTION RECORD (Pre-Pouring) FORM NO.: F-QC-011

Item/Equipment Name Report No : F-QC-278-2023

Date : 20 Juni 2023
Section No. LOA No. Drawing No. Rev. Ref. ITP No. : F-008

ITEMS OF INSPECTION ACCEPTED REJECTED N/A NOTE

REBAR
Size ( diameter ) & Length
Bending radius / shape
Spacing & position
Overlapping length
Concrete cover
Cleaning
Rebar chair
FORM WORK
Surface quality
Position
Verticality
Dimension
Straightness
Bottom elevation
Top elevation ( marking )
Bracing / Strength
Champer
CONCRETE
Grade
Slump
Volume
Finishing
CONSTRUCTION JOINT
BLOCK OUT
WHEATER
EMBEDDED PARTS ( FROM M / E )
EQUIPMENT USED

COMMENTS :

Involvement Party CONTRACTOR CLIENT REPRESENTATIVE

Signature

Name Irwansyah Munthe Izek Situmeang Said Hamzah Gazali

Title Site Manager QC Site Engineer QC Engineer
Date
 CONCRETE CALCULATION SHEET
PT.TRANSDATA SATKOMINDO

RFI Number DATE DESIGN DRAWING CONCRETE QUANTITY REMARKS

: F-QC-278-2023 6/20/2023

TOTAL CONCRETE K-300 M3

NETT VOL. CONCRETE K-300 M3
REQUESTED BY: APPROVED BY: ACCEPTED BY:
SITE MANAGER PT. TRANSDATA SATKOMINDO SITE ENGINEER PT. SARI DUMAI OLEO QC ENGINEER PT. SARI DUMAI OLEO
NAME: IRWANSYAH MUNTHE SAID HAMZAH GAZALI

SIGNATURE:

DATE: