EPC PEMBANGUNAN SP ABG STAGE 1
DI LAPANGAN AKASIA BAGUS
No. Dok. : ABG1-3240002738-A7-MT-007
MATERIAL FOR APPROVAL CLEAN SAND
Rev. : 0
GENERAL CIVIL WORK
Halaman : 1 dari 13
NAMA PEMILIK PROYEK : PT. PERTAMINA EP
NAMA PROYEK : EPC PEMBANGUNAN SP ABG STAGE 1
DI LAPANGAN AKASIA BAGUS
LOKASI : SP AKASIA BAGUS & SP TUGU BARAT
SCA TITLE : GENERAL CIVIL WORK PACKAGE
NO. SCA : 9849-CIGW-3240002738
0 26 Juni 2024 Issued for Approval AT RZL/FDL ARA//ARW HS/AI JP/AP
DISIAPKAN DIPERIKSA DISETUJUI DIPERIKSA DISETUJUI
REV. TANGGAL DESKRIPSI PT. THE FAR PT. TRIPATRA ENGINEERS &
PT PERTAMINA EP
EAST CONSTRUCTORS
MATERIAL FOR APPROVAL CLEAN SAND ABG1-3240002738-A7-MT-007
EPC PEMBANGUNAN SP ABG STAGE-1 Rev. 0
PERTAMINA EP - REGIONAL 2 - ZONA 7 Hal 2 dari 13
Catatan Review & Persetujuan
Disetujui Oleh:
Nama Jabatan Tanggal Tandatangan
Andika Pratama Project Coordinator
Julian P. J. Pangaribuan Deputy Project Coordinator
Diperiksa Oleh:
Nama Jabatan Tanggal Tandatangan
Lead Project Planning & Project
Achmad Ilyasa
Control
Harry Satriadi Lead Eng. & Field Eng.
Jody Setiawan Project Engineer
Syahrul Mubarok Lead Construction
Document Review Status Oleh TPEC:
Nama Jabatan Tanggal Tandatangan
Afrian Rahmat Construction Manager /Project
Ariahadie/Aris Wibowo Manager
Martha Monika
Lingga/Fadriq Construction Civil Engineer
Ekowijayanto
Uttungga I Prabowo Lead Civil Engineer
MATERIAL FOR APPROVAL CLEAN SAND ABG1-3240002738-A7-MT-007
EPC PEMBANGUNAN SP ABG STAGE-1 Rev. 0
PERTAMINA EP - REGIONAL 2 - ZONA 7 Hal 3 dari 13
Tabel Revisi
Rev. Bab Hal Deskripsi Komentar Revisi/ Tanggapan
EPC PEMBANGUNAN SP ABG STAGE 1
DI LAPANGAN AKASIA BAGUS
No. Dok. : ABG1-3240002738-A7-MT-007
MATERIAL FOR APPROVAL CLEAN SAND
Rev. : 0
GENERAL CIVIL WORK
Halaman : 4 dari 13
NAMA PEMILIK PROYEK : PT. PERTAMINA EP
NAMA PROYEK : EPC PEMBANGUNAN SP ABG STAGE 1
DI LAPANGAN AKASIA BAGUS
LOKASI : SP AKASIA BAGUS & SP TUGU BARAT
PO TITLE : GENERAL CIVIL WORK PACKAGE
NO. PO : 9849-CIGW-3240002738
0 26 Juni 2024 Issued for Approval AT GQR AR FEW/MM ARA/ARW
DISIAPKAN DIPERIKSA DISETUJUI DIPERIKSA DISETUJUI
REV. TANGGAL DESKRIPSI
PT. TRIPATRA ENGINEERS &
PT. THE FAR EAST
CONSTRUCTORS
SHEET
PROPOSED MATERIAL FOR APPROVAL 1 OF 1
PT. THE FAR EAST
PROJECT NO. : 9849 DICIPLINE : CIVIL WORK DOC. NO.
EPC PEMBANGUNAN SP ABG STAGE 1 AREA : SP ABG STAGE 1 AKASIA BAGUS OBJECT : Material Clean Sand
DILAPANGAN AKASIA BAGUS 9849-A7-CE-007
REF. DOC. : Specification for Backfill/ Compaction
REVISED NO
We hereby would like to propose material for your approval as mentioned below:
0
ORIGINAL PROPOSED SPECIFICATION DATA
No. DESCRIPTION MANUFACTURER REMARKS
SPEC SPEC ORIGINAL PROPOSED
1 Compacted Clean Sand Local Material - Local Material See Sampel Material
(Uk. 0.425 mm No. 40 = 50 max)
(Uk. 75 µm No. 200 = 25 max)
Having received the document, kindly be approved the proposed material within 7 (days)
NOTES :
LEGEND TYPE OF PROPOSED DOCUMENT
ORG COPY
1. Shop Drawing
2. Sample
3. Brochure
4. Test Certificate
Proposed by Approved by Approved by
PT. The Far East PT. Tripatra E & C PT. Pertamina EP
Andi Rastom
Date: 26-06-2024 Date: Date:
