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TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 5-Jan-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0001

Subject : Document Deliverables

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

Project Inspection and Test Plan Temporary Utility System


1 TEP-1150102-H03-001 1

HSE Plan For Temporary Utility System


2 TEP-1150102-S02-001 0

Best regards,
PT. BAHARU PENTA KENCANA

Name :

Title :

Date
Signature :

Page: 1 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0002

Subject : Equipment Mobilization Approval, Lifting Equipment

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status


Lifting Equipment Container SN: DB 131
1 EMA 0 04-Jan-17

Lifting Equipment Container SN: DB 174


2 EMA 0 04-Jan-17

Lifting Equipment Container SN: DB 173


3 EMA 0 03-Jan-17

Lifting Equipment Container SN: DB 172


4 EMA 0 03-Jan-17

Lifting Equipment Container SN: DB 171


5 EMA 0 03-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name :

Title :

Date
Signature :

Received By :

Name :

Title :

Date
:

Page: 2 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0003

Subject : Attachment Document ITP & Procedures QA/QC

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-H02-001 1 Project Quality Plan

2 TEP-1150102-H03-001 1 Project Inspection and Tes Plan for Temporary Utilty System Rev.01

3 TEP-1150102-H04-001 1 Piping Pressure Test

4 TEP-1150102-H99-001 1 Installation,Febrication and Testing

5 TEP-1150102-H99-002 1 Thrust Bore Crossing Highway

6 TEP-1150102-H99-003 1 Installation,Fabrication and Testing For Underground Pipe

7 TEP-1150102-H99-004 1 Procedure Butt Fusion

8 TEP-1150102-H99-005 1 Procedure electrofusion

9 TEP-1150102-H99-006 1 Procedure Mechanical Static

10 TEP-1150102-H99-007 1 Procedure Mechanical Rotating

11 TEP-1150102-H99-008 1 Surface Preparation and Painting

12 TEP-1150102-H99-009 1 Procedure Flange Management

13 TEP-1150102-H99-012 1 Procedure Material Handling

Best regards,

PT. BAHARU PENTA KENCANA

Name :

Title :
Date
Signature :

Received By :

Name :

Title :

Date
:

Page: 3 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0004

Subject : Equipment Mobilization Approval, Lifting Equipment

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 EMA 0 Lifting Equipment Container SN: DB 172 03-Jan-17

2 EMA 0 Lifting Equipment Container SN: DB 173 03-Jan-17

3 EMA 0 Lifting Equipment Container SN: DB 171 03-Jan-17

4 EMA 0 Lifting Equipment Container SN: DB 174 04-Jan-17

5 EMA 0 Lifting Equipment Container SN: DB 131 04-Jan-17

6 EMA 0 Lifting Equipment Container SN: H 271 05-Jan-17

7 EMA 0 Lifting Equipment Container SN: H 341 05-Jan-17

8 EMA 0 Lifting Equipment Container SN: DB 132 06-Jan-17

9 EMA 0 Lifting Equipment Container SN: H 291 6-Jan-17

10 EMA 0 Lifting Equipment Container SN: H 286 6-Jan-17

11 EMA 0 Lifting Equipment Container SN: H 288 6-Jan-17

12 EMA 0 Lifting Equipment Container SN: H 287 6-Jan-17

13 EMA 0 Lifting Equipment Container SN: H 284 6-Jan-17

14 EMA 0 Lifting Equipment Container SN: DB 133 6-Jan-17

15 EMA 0 Lifting Equipment Container SN: DB 129 6-Jan-17

16 EMA 0 Lifting Equipment Container SN: H 340 6-Jan-17

17 EMA 0 Lifting Equipment Container SN: DB 130 6-Jan-17

18 EMA 0 Lifting Equipment Container SN: H 134 6-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name :

Title :

Date
Signature :

Received By :

Name :

Title :

Date
:

Page: 4 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 11-Jan-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0005

Subject : Project Inspection and Test Plan Temporary Utilty Temporary, REV 0

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-RFI/BPK/CSTS/001 0 RFI For Material HDPE 11-Jan-17

Attachment File : 1. Certificete of Analysis

2. Test Report

Best regards,
PT. BAHARU PENTA KENCANA

Name :

Title :

Date
Signature :

Received By :

Name :

Title :

Date
:

Page: 5 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0006

Subject : Welding Procedure Specification

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-H99-013 0 Welding Procedure Specification 12-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title : Welding Procedure Specification

Date
Signature : January 12 nd, 2017

Received By :

Name :

Title :

Date
:

Page: 6 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0007

Subject : Request for Inspection of Welder Performance Qualification Test

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-RFI/BPK/CSTS/002 0 Request for Inspection of Welder Performance Qualification Test

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title : Request for Inspection of WPQT

Date
Signature : January 12 nd, 2017

Received By :

Name :

Title :

Date
:

Page: 7 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0008

Subject : Request for Inspection of Material Inspection

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-RFI/BPK/CSTS/003 0 Request for Inspection of Material Inspection

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title : Request for Inspection of WPQT

Date
Signature : January 12 nd, 2017

Received By :

Name :

Title :

Date
:

Page: 8 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0009

Subject : IRN & Inspection Look a Head

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-MRIR/BPK/CSTS/001 0 Inspection Release Notice HDPE 13-Jan-17

2 CSTS-SHOP-RFI-0001 0 2 Weeks Look a Head QC 12-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title IRN & Inspection Look a Head

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 9 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0010

Subject : Inspection and Test Plan for Temporary Utility System

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-H03-001 2 Project Inspection and Test Plan for Temporary Utility System Rev.02

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title Inspection and Test Plan for Temporary Utility System

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 10 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0011

Subject : Material Inspection For Plate

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP/BPK/CSTS/0003 0 Material Inspection For Plate

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title Material Inspection For Plate

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 11 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0012

Subject : Equipment Mobilization Approval, Lifting Equipment Lever Block and Chain Block

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 EMA Lifting Equipment Manual Lever Block, SN : 446521 13-Jan-17

2 EMA Lifting Equipment Manual Lever Block, SN : 446616 13-Jan-17

3 EMA Lifting Equipment Manual Lever Block, SN : 446523 13-Jan-17

4 EMA Lifting Equipment Manual Lever Block, SN : 174356 13-Jan-17

5 EMA Lifting Equipment Manual Lever Block, SN : 174358 13-Jan-17

6 EMA Lifting Equipment Manual Lever Block, SN : 174358 13-Jan-17

7 EMA Lifting Equipment Manual Lever Block, SN : 174282 13-Jan-17

8 EMA Lifting Equipment Manual Lever Block, SN : 174355 13-Jan-17

9 EMA Lifting Equipment Manual Lever Block, SN : 174351 13-Jan-17

10 EMA Lifting Equipment Chain Block, SN : 83211 13-Jan-17

11 EMA Lifting Equipment Chain Block, SN : 83213 13-Jan-17

12 EMA Lifting Equipment Chain Block, SN : 83187 13-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name

Title

Date
Signature

Received By :

Name :

Title :

Date
:

Page: 12 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0013

Subject : Equipment Mobilization Approval, Lifting Equipment Container

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 EMA Lifting Equipment Container, SN : H 272 05-Jan-17

2 EMA Lifting Equipment Container, SN : H 644 06-Jan-17

3 EMA Lifting Equipment Container, SN : H 336 12-Jan-17

4 EMA 12-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name

Title

Date
Signature

Received By :

Name :

Title :

Date
:

Page: 13 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0014

Subject : Attachment Document Procedures QA/QC and Method Statement

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-H99-010 1 Of Installation underground HDPE and Carbon Steel Pipe

2 TEP-1150102-H99-011 1 Of Installation Aboveground HDPE and Carbon Steel Pipe

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam


Attachment Document Procedures QA/QC and Method
Title Statement

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 14 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0015

Subject : Attachment Document Procedures QA/QC

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-H99-001 2 Of Fabrication, Installation and Testing

2 TEP-1150102-H99-003 2 Of Fabrication, Installation and Testing for Undeground Pipe

3 TEP-1150102-H99-008 2 Of Surface Preparation and Painting

4 TEP-1150102-H04-001 2 Of Piping Pressure Test

5 TEP-1150102-H99-004 2 Of Butt Fusion Joining

6 TEP-1150102-H99-005 2 Of Electrofusion Joining

7 TEP-1150102-H99-006 2 Of Mechanical Static

8 TEP-1150102-H99-007 2 Of Mechanical Rotating

9 TEP-1150102-H99-009 2 Of Management Flange

10 TEP-1150102-H99-012 2 Of Material Handling

11 TEP-1150102-H02-001 2 Of Project Quality Plan

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title Attachment Document Procedures QA/QC

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 15 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0016

Subject : HSE Plan Temporary Utility System and RFI

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP-1150102-S02-001 1 HSE PlanTemporary Utility System

2 R/TEP/RFI/BPK/CSTS/005 0 RFI WPQT

3 R/TEP/RFI/BPK/CSTS/004 0 RFI Bolt & Nuts

Best regards,
PT. BAHARU PENTA KENCANA

Name

Title

Date
Signature

Received By :

Name :

Title :

Date
:

Page: 16 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0017

Subject : IRN Material Plate

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP/RFI/CSTS/003 0 IRN Material Plate 18-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name

Title

Date
Signature

Received By :

Name :

Title :

Date
:

Page: 17 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0018

Subject : Material Inspection for HDPE Pipe, U-Bolt and Blind Flange

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-MRIR/BPK/CSTS/004 0 Material Inspection for HDPE Pipe, U-Bolt and Blind Flange 24-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name : M. Dzauqi Adam

Title Material Inspection for HDPE Pipe, U-Bolt and Blind Flange

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 18 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-TR-SPR-CSTS-1150102-0019

Subject : Supplier Deliverable Register

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 TEP.1150102-A01-001 0 Supplier Deliverable Register 27-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name Crys Suryo Prayogo

Title Supplier Deliverable Register

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 19 of 21
TANGGUH EXPANSION ONSHORE PROJECT

INCOMING DOCUMENT TRANSMITTAL

To : CSTS ENGINEERING DOCUMENT CONTROL

Attention : Mrs. Tita Chairunnisa

Tita.Chairunnisa@csts-tep.com Date : 16-May-2017

Transmittal No.: 870310-GTR-SPR-CSTS-1150102-0020

Subject : Material Inspection for U Bolt and HDPE Pipe 3" PN 16 PE 100 SDR 11

Dear all,
Please be informed that we are sending the documents below:

No. PROJECT DOCUMENT No. Rev DOCUMENT TITLE Revision Status

1 R/TEP-MRIR/BPK/CSTS/004 0 Material Inspection for U Bolt and HDPE Pipe 3" PN 16 PE 100 SDR 11 30-Jan-17

Best regards,
PT. BAHARU PENTA KENCANA

Name :

Title

Date
Signature May 16, 2017

Received By :

Name :

Title :

Date
:

Page: 20 of 21
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