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REQUEST FOR INSPECTION ( RFI )

Project : Proyek Pembangunan Terminal LPG Refrigerated Jawa Timur (Tahap-2) Lingkup Terminal Sisi Darat & Jetty
Perusahaan : PT Pertamina Energy Terminal
Kontraktor : PT Wijaya Karya (Persero) Tbk
Sub-Kontraktor /
: PT. Genta Multi Jayya
Vendor
RFI No. : TTU2-00-RFI-80-059-A4
CIVIL PIPING  HSE Date of Inspection : 02 Januari 2024
Time : 10.00 WIB - Selesai
STEEL STRUCTURE ELECTRICAL OTHERS …............... Location : Dusun Ngepeh RT 003 RW 001

TRIAL MIX Kel. Sengaten - Gondang


MECHANICAL INSTRUMENT …............................ Bojonegoro, Jawa Timur

Inspection Item : Hydraulic Excavator Tatsuo Type JP75-8 (1 Unit)

(Nomor Seri 1911013560)

Inspection Type : Inspeksi Pengecekan dan Kelayakan


(Activity) Hydraulic Excavator Tatsuo Type JP75-8 (1 Unit)

Reference : SILO No. 566/341/PAA-EXC/108.5-BJN/III/2020


Document SIO No. Reg : P.15.62177-OPK3-LT/PAA/XII/2020
Inspection Result :

Inspection Approved

Inspection Approved With Note

Rejected

Reschedule

Remarks/Comment:

Prepared by Checked by Acknowledged / Approved by


Participant PT. Genta Multi Jayya PT Wijaya Karya (Persero) Tbk PT. Pertamina Energy Terminal

Signature

Name Sriyanto
Date 29 Desember 2023

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