ITR-C-03
CONCRETE DELIVERY & SLUMP TEST REPORT
Project No : SPK/361-P/9972/XI/2024
Project Name : UT SMART WAREHOUSE
Report Number : UT-SMWH-ACST-ITR-C00-A0031
DESCRIPTION Floor Slab Office area GL : A-B01 - A-B10 East
: DESIGN SLUMP : ± 12 Cm
side, concrete pouring inspection
SYSTEM NAME
: Floor Slab Office area GL : A-B01 - A-B10 PRODUCT CODE : Fc 35 Mpa NFA
DRAWING NO. : SD-AI-UT-S1.2.-STR-L1-GP-KT-001 DATE PERFORMED : 17-May-2025
FOUNDATION/STRUCTURE : Floor Slab Office area GL : A-B01 - A-B10
TIME MOISTURE
CUMULATIVE SLUMP TEMP.
S/N TRUCK NO. QTY CONTENT REMARKS
QUANTITY (CM) (⁰C)
ARRIVAL DEPARTURE (%)
16 TM-954 7 105 16:10 16:50 14 34.6 0
17 TM-955 7 112 16:30 17:15 12 34.5 0
18 TM-681 7 119 16:40 17:19 13 32,7 0
19 TM-985 7 126 17:10 17:40 12 33.5 0
20 TM-686 7 133 17:19 17:55 13 32,1 0
21 TM-954 7 140 17:20 18:10 12 32,2 0
22 TM-955 7 147 18:11 18:15 12 32,3 0
23 TM-938 7 154 18:15 18:40 13 32,4 0
24 TM-985 7 161 18:30 18:56 14 32,5 0
25 TM-725 7 168 18:55 19:22 13 32,6 0
26 TM-954 7 175 18:50 19:12 12 32,7 0
27 TM-780 7 182 18:50 19:12 13 32,8 0
28 TM-955 7 189 19:05 19:45 12 32,9 0
29 TM-880 7 196 19:55 20:25 14 33,0 0
30 TM-938 7 203 19:56 20:30 12 32,7 0
Comments:
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
CONCRETE DELIVERY & SLUMP TEST REPORT
Project No : SPK/361-P/9972/XI/2024
Project Name : UT SMART WAREHOUSE
Report Number : UT-SMWH-ACST-ITR-C00-A0031
DESCRIPTION Floor Slab Office area GL : A-B01 - A-B10 East
: DESIGN SLUMP : ± 12 Cm
side concrete pouring inspection
SYSTEM NAME
: Floor Slab Office area GL : A-B01 - A-B10 PRODUCT CODE : Fc 35 Mpa NFA
DRAWING NO. : SD-AI-UT-S1.2.-STR-L1-GP-KT-001 DATE PERFORMED : 17-May-2025
FOUNDATION/STRUCTURE : Floor Slab Office area GL : A-B01 - A-B10
TIME MOISTURE
CUMULATIVE SLUMP TEMP.
S/N TRUCK NO. QTY CONTENT REMARKS
QUANTITY (CM) (⁰C)
ARRIVAL DEPARTURE (%)
31 TM-954 7 203 20:05 20:38 12 34.6 0
32 TM-955 7 210 20:50 21:15 12 34.5 0
Comments:
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
PHOTO DOCUMENTATION
Dimensional check anchor bolts K2A/PC3-8B (Section X) Dimensional check anchor bolts K2A/PC3-8B (Section X)
Dimensional check anchor bolts K2A/PC3-8A (Section X) Dimensional check anchor bolts K2A/PC3-8A (Section Y)
Dimensional check anchor bolts K2A/PC3-8A(after casting) Dimensional check anchor bolts K2A/PC3-8A(after casting)
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-04
PHOTO DOCUMENTATION
Pemasangan Lampu Penerangan office Lt 2 Pemasangan Lampu Penerangan office Lt 2
Pemasangan Lampu Penerangan office Lt 2 Pemasangan Lampu Penerangan office Lt 2
Pemasangan Lampu Penerangan office Lt 2 Pemasangan Lampu Penerangan office Lt 2
ITR-C-05
PHOTO DOCUMENTATION
Lampu Penerangan office Ruangan Multi Fungsi Lt 2 Lampu Penerangan office Ruangan Multi Fungsi Lt 2
Lampu Penerangan office Ruangan Multi Fungsi Lt 2 Lampu Penerangan office Ruangan Multi Fungsi Lt 2
Lampu Penerangan office Ruangan Multi Fungsi Lt 2 Lampu Penerangan office Ruangan Multi Fungsi Lt 2
ITR-C-03
PHOTO DOCUMENTATION
Pemasangan Lampu Penerangan office Lt 1 Pemasangan Lampu Penerangan office Lt 1
Pemasangan Lampu Penerangan office Lt 1 Pemasangan Lampu Penerangan office Lt 1
Pemasangan Lampu Penerangan office Lt 1 Pemasangan Lampu Penerangan office Lt 1
ITR-C-03
PHOTO DOCUMENTATION
Cable Insulation Magger Test at Office Area First Floor Cable Insulation Magger Test at Office Area First Floor
Cable Insulation Magger Test at Office Area First Floor Cable Insulation Magger Test at Office Area First Floor
Cable Insulation Magger Test at Office Area First Floor Cable Insulation Magger Test at Office Area First Floor
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
PHOTO DOCUMENTATION
Cable Insulation Magger Test at Office Area Cable Insulation Magger Test at Office Area
First Floor Part 02 First Floor Part 02
Cable Insulation Magger Test at Office Area Cable Insulation Magger Test at Office Area
First Floor Part 02 First Floor Part 02
Cable Insulation Magger Test at Office Area Cable Insulation Magger Test at Office Area
First Floor Part 02 First Floor Part 02
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
PHOTO DOCUMENTATION
Gravity Test for Rain Drain Part 01 (GL 9/D-J) Gravity Test for Rain Drain Part 01 (GL 9/D-J)
Gravity Test for Rain Drain Part 01 (GL 9/D-J) Gravity Test for Rain Drain Part 01 (GL 9/D-J)
Gravity Test for Rain Drain Part 01 (GL 9/D-J) Gravity Test for Rain Drain Part 01 (GL 9/D-J)
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
PHOTO DOCUMENTATION
Gravity Test for Rain Drain at office area Part 02 Gravity Test for Rain Drain at office area Part 02
Gravity Test for Rain Drain at office area Part 02 Gravity Test for Rain Drain at office area Part 02
Gravity Test for Rain Drain at office area Part 02 Gravity Test for Rain Drain at office area Part 02
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
ITR-C-03
PHOTO DOCUMENTATION
Preasure Test Refrigerant Pipe Office Area (1&2 Floor) Preasure Test Refrigerant Pipe Office Area (1&2 Floor)
Preasure Test Refrigerant Pipe Office Area (1&2 Floor) Preasure Test Refrigerant Pipe Office Area (1&2 Floor)
Preasure Test Refrigerant Pipe Office Area (1&2 Floor) Preasure Test Refrigerant Pipe Office Area (1&2 Floor)
Comment :
Accepted Accepted with comments Rejected Cancelled
PT. ACSET INDONUSA TBK PT. YODYA KARYA (PERSERO) PT. UNITED TRACTORS TBK
Name:
Sign:
Date:
Form No.: ITP-C-0002-03
