PT.

ULAN BUANA ENGINEERING

JL. DEMAK 12 GKB, Gresik
Telp. (031) 3958197, Fax (031) 3958471
DETAIL PACKING LIST

Client : PT. INTI KARYA PERSADA TEHNIK Packing List Number : S1-KUB-IK-PL001
Project name : CFSPP-SULUT-1 Packing List Date : OCT 30, 2023
P.O. NO. : S1-IK-000-ROT-POP-00003 Revision :0
Equip. Description : CONVEYOR SYSTEM Shipment No. :1
Vendor : PT. ULAN BUANA ENGINEERING
Manufacturer : PT. ALFA THARA MANDIRI

Attn.: SUPRAYITNO HE
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Package Dimension (MM) Weight (KGs)

Marking Drawing Equipment Name Rev Part Description Material Qty Volume Remarks

No. Type Code No. No Length Width Height (M3) Net Gross

V PLOUGH SCRAPER

S1-UBE-BC10A-001 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

BC-10A-01-1 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-01A MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

S1-UBE-BC10A-002 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

BC-10A-01-2 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-02A MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

Packing List SULUT-1 Page 1 of 17 12/16/2023

 Package Dimension (MM) Weight (KGs)
Marking Drawing Equipment Name Rev Part Description Material Qty Volume Remarks

No. Type Code No. No Length Width Height (M3) Net Gross

S1-UBE-BC10A-003 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

BC-10A-01-3 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-03A MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

S1-UBE-BC10B-004 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

BC-10B-01-4 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-01B MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

S1-UBE-BC10B-005 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

BC-10B-01-5 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-02B MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

S1-UBE-BC10B-006 CRATE Consist Of : 3,000 2,100 2,000 12.6 1,999 2,024

Packing List SULUT-1 Page 2 of 17 12/16/2023

 Package Dimension (MM) Weight (KGs)
Marking Drawing Equipment Name Rev Part Description Material Qty Volume Remarks

No. Type Code No. No Length Width Height (M3) Net Gross

BC-10B-01-6 S1-ATM6-DW-M001 V PLOUGH SCRAPER 0 BP-03B MAINFRAME SS400 1 615 1,110 1,410

BLADE SS400 1 1,938 860 481

FRAME STOPPER SS400 1 1,204 950 166

ROLLER FRAME SS400 1 1,665 845 282

ADJUSTER SS400 2 708 50 50

CHUTE "A" SS400 1 1,653 1,600 1,653

CHUTE "B" SS400 1 765 1,600 1,653

IDDLER ROLLER BRACKET SS400 1 940 234 306

S1-UBE-BC10-007 BOX Consist Of : 1,500 1,300 500 1.0 781 806

BP-01A ~
BC-10-01-7 S1-ATM6-DW-M001 MOTORIZED ACTUATOR 0 MOTORIZED ACTUATOR S+R STD MFG 6 1,200 228 170
BP-03B
LIMIT SWITCH STD MFG 12 130 65 40

JUNCTION BOX STD MFG 6 170 100 65

NAME PLATE SUS 304 6 120 62 2

S1-UBE-BC10-008 BOX Consist Of : 1,200 800 800 0.8 1,800 1,825

BP-01A ~
BC-10-01-8 S1-ATM6-DW-M001 ROLLER 0 ROLLER STD MFG 48 716 89 89
BP-03B
EXPANSION JOINT TYPE-1 RUBBER 6 1,016 416 340

EXPANSION JOINT TYPE-2 RUBBER 6 1,016 296 340

TOTAL : 8 Packages 77 14,573 14,773 .

RECEIVED BY , PREPARED BY,

PT. ULAN BUANA ENGINEERING PT. ALFA THARA MANDIRI

Name : SUPRAYITNO Name : DAMMAR F. ASIHAN
Date : Date :

Packing List SULUT-1 Page 3 of 17 12/16/2023

 PT. ULAN BUANA ENGINEERING
JL. DEMAK 12 GKB, Gresik
Telp. (031) 3958197, Fax (031) 3958471
SUMMARY PACKING LIST

Client : PT. INTI KARYA PERSADA TEHNIK Packing List Number : S1-KUB-IK-PL001
Project name : CFSPP-SULUT-1 Packing List Date : OCT 30, 2023
Location : S1-IK-000-ROT-POP-00003 Revision :0
P.O. NO. : CONVEYOR SYSTEM Shipment No. :1
Vendor : PT. ULAN BUANA ENGINEERING
Manufacturer : PT. ALFA THARA MANDIRI

Attn.: SUPRAYITNO
6 7 8 9 10 11 12 13.0 14 15 16

Dimension (MM) Weight (KGs)

Package no. Equipment Description Packing Volume Remarks
Name type Length Width Height (M3) Net Gross

S1-UBE-BC10A-001 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10A-002 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10A-003 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10B-004 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10B-005 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10B-006 V PLOUGH SCRAPER V PLOUGH SCRAPER CRATE 3,000 2,100 2,000 13 1,999 2,024
S1-UBE-BC10-007 V PLOUGH SCRAPER MOTORIZED ACTUATOR BOX 1,500 1,300 500 1 781 806
S1-UBE-BC10-008 V PLOUGH SCRAPER ROLLER BOX 1,200 800 800 1 1,800 1,825

TOTAL : 8 Packages 77 14,573 14,773

RECEIVED BY , PREPARED BY,

PT. ULAN BUANA ENGINEERING PT. ALFA THARA MANDIRI

Name : SUPRAYITNO Name : DAMMAR F. ASIHAN
Date : Date :
Page 4 of 17
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10A-001

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10A-002

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10A-003

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10B-004

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10B-005

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10B-006

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
V PLOUGH SCRAPER

[ ........ ]. INDONESIA
Gross Weight : 2,024 Kg.
Net Weight : 1,999 Kg.
Dimensions : 300 Cm X 210 Cm X 200 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10-007

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
MOTORIZED ACTUATOR

[ ........ ]. INDONESIA
Gross Weight : 806 Kg.
Net Weight : 781 Kg.
Dimensions : 150 Cm X 130 Cm X 50 Cm
 SHIPPING MARK
BC1-118

PT. PLN (PERSERO) I/C No.

PROYEK SULUT-1 CFSPP I R No.

(2 x 50 MW)

PACKAGE NO. S1-UBE-BC10-008

PORT OF DESTINATION CONTENT V PLOUGH SCRAPER

«
ROLLER

[ ........ ]. INDONESIA
Gross Weight : 1,825 Kg.
Net Weight : 1,800 Kg.
Dimensions : 120 Cm X 80 Cm X 80 Cm
 Page : 13 of 17

ULAN BUANA ENGINEERING

JL. DEMAK 12 RT 001 RW 009, YOSOWILANGUN MANYAR
KAB. GRESIK JAWA TIMUR 61151
PHONE : 62 31 3958197 EMAIL : email@ulanbuana.com

SURAT JALAN / DELIVERY NOTE

No. 001/UBE/SULUT-1/PL/2.2022
Po. No : T1-IK-000-ROT-POP-00003

Customer & Address :

PT. INTI KARYA PERSADA TEHNIK
Attn : Yuki Sumirat
Phone : 0822-9866-9434

Alamat kirim : Pelabuhan Jamrud Selatan, Tj Perak.

Forwarder : PT SITU
PIC. Pak Wawan 08123587755 Pak Tori 081338400126

CBM Gross
No. Package no. Description Quantity
(M³) weight (Kg)
1 S1-UBE-BC1-001 V PLOUGH SCRAPER 1 Pack 12.60
2 S1-UBE-BC1-002 V PLOUGH SCRAPER 1 Pack 12.60
3 S1-UBE-BC1-001 V PLOUGH SCRAPER 1 Pack 12.60

Total 3 Pack 37.80 0.00

Receiver : Carrier : Sender : Prepared :

Pick up No : L 8151 UV

PT. INTI KARYA PERSADA TEHNIK PT. ULAN BUANA ENGINEERING PT. VENDOR
 Page : 14 of 17
Name : Name : HERU Name : Name
Date : March 10, 2022 HP : 0838-5017-3703 Date : March 10, 2022 Date
 Page : 15 of 17

BUANA ENGINEERING
2 RT 001 RW 009, YOSOWILANGUN MANYAR
KAB. GRESIK JAWA TIMUR 61151
2 31 3958197 EMAIL : email@ulanbuana.com

AT JALAN / DELIVERY NOTE

o. 001/UBE/SULUT-1/PL/2.2022
o. No : T1-IK-000-ROT-POP-00003

Remarks

PT. VENDOR
 Page : 16 of 17
:
: March 10, 2022
PHOTO DOKUMENTASI PACKING
PROYEK : SULUT-1 CFSPP (2 x 50 MW)

PERIODE PENGIRIMAN KE - 1 Tanggal 21-Jul-2021 s/d 26-Jul-2021

T1-UBE-P-004

T1-UBE-P-003

T1-UBE-P-002

T1-UBE-P-001