A

REQUEST FOR INSPECTION

Project Title
Job No
Client
Main Contractor
(Client Name:

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
Tripatra-Samsung Consortium

Sub-Contracto
Report No. SNO-Q-BPK-RFI-956-1
Date
16-Sep-15
Page
of

Attn. Mr. Sri Adi. W

QC Manager

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

Date and time

16-Sep-15

Place/Area
CPP 1

09.00 WITA

Inspection Item
Final Check Brick Lining
After Dry Out

Remarks
Repair
Combustor Burner
H-4011

Piping

Civil

Instrument

Pipeline

Structural

Electrical

Mechanical

COMMEN:

Performed By

Involvement
Party
Signature
Name
Sign Date
Job Title

Crys Suryo Prayogo

16-Sep-15
QC

Form Code : SNO-Q-FM-0001 Rev.0

Approved By
TSC

Reviewed By
JOB PMTS

TPI

(If applicable)

REQUEST FOR INSPECTION

Project Title
Job No
Client
Main Contractor
(Client Name:

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
Tripatra-Samsung Consortium

Sub-Contracto
Report No. SNO-Q-BPK-RFI-957
Date
14-Sep-15
Page
of

Attn. Mr. Sri Adi. W

QC Manager

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

Date and time

15-Sep-15

Place/Area
CPP 1

15.00 WITA

Inspection Item

Remarks

Final Check Brick Lining WSA Condenser

After Dry Out

Piping

Civil

Instrument

Pipeline

Structural

Electrical

E-4015

Mechanical

COMMEN:

Performed By

Involvement
Party
Signature
Name
Sign Date
Job Title

Crys Suryo Prayogo

14-Sep-15
QC

Form Code : SNO-Q-FM-0001 Rev.0

Approved By
TSC

Reviewed By
JOB PMTS

TPI

(If applicable)

INSPECTION REPORT
Senoro Gas Development Project
Sub-Contractor
SNO-Q-BPK-IR-011
9608/SU2573
Report No.
SNO-Q-BP
JOB Pertamina Medco E & P Tomori Sulawesi Date
16-Sep-15
TRIPATRA-SAMSUNG CONSORTIUM
Page
of

Project Title
Job No
Client
Main Contractor

REPAIR

Crack

BEFORE

Insert
Ceramic Fiber
Blanket

AFTER

Involvement Party

Performed By

Signature

Name
Sign Date
Job Title

Crys Suryo Prayogo

16-Sep-15
QC

Form Code : SNO-Q-FM-0003 Rev.0

Approved By
TSC

Reviewed By
JOB PMTS

TPI

(If applicable)

INSPECTION REPORT
Senoro Gas Development Project
Sub-Contractor
SNO-Q-BPK-IR-012
9608/SU2573
Report No.
JOB Pertamina Medco E & P Tomori Sulawesi Date
16-Sep-15
TRIPATRA-SAMSUNG CONSORTIUM
Page
of

Project Title
Job No
Client
Main Contractor

REPAIR

Insert Ceramic
Fiber Blanket

Crack

BEFORE

Involvement Party

Performed By

Signature

Name
Sign Date
Job Title

Crys Suryo Prayogo

16-Sep-15
QC

Form Code : SNO-Q-FM-0003 Rev.0

AFTER

Approved By
TSC

Reviewed By
JOB PMTS

TPI

(If applicable)

INSPECTION REPORT
Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

Sub-Co
9608/SU2573
Report
JOB Pertamina Medco E & P Tomori Sulawesi Date
TRIPATRA-SAMSUNG CONSORTIUM
Page

MATERIAL USED

Green Light K 26 LI

Atlas TR 85 AT

Blue Ca

Red Cast 1

Involvement Party

Performed By

Signature

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0003 Rev.0

Approved By
TSC

Reviewed B
JOB PMTS

PECTION REPORT
Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-IR-008

MATERIAL USED

Blue Cast 1800 LC

Red Cast 1800

06-May-15
of

Reviewed By
JOB PMTS

TPI

(If applicable)

INSPECTION REPORT
Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

Sub-Co
9608/SU2573
Report
JOB Pertamina Medco E & P Tomori Sulawesi Date
TRIPATRA-SAMSUNG CONSORTIUM
Page

Visual Inspection : ACC

Involvement Party

Performed By

Signature

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0003 Rev.0

Approved By
TSC

Reviewed B
JOB PMTS

PECTION REPORT
Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-IR-009

06-May-15
of

Reviewed By
JOB PMTS

TPI

(If applicable)