Pada Hari ini Selasa Tanggal Satu Bulan Desember Tahun Dua ribu dua puluh telah mengadakan physical check atas pekerjaan uji ulang, uji ulang dengan
cat ulang, cat ulang & perbaikan tabung LPG uk. 3 Kg di PT. RETESTERINDO SARANAMIGAS ABADI
Berdasarkan :
Surat Perjanjian : 040/Q23000/2020-S0 Tanggal : 08 April 2020
Surat Perintah Pelaksanaan : 891/BPT-L/Q23030/2020-S0 Tanggal : 27 Oktober 2020
Periode : November 2020
Dengan hasil sebagai berikut :
Pelaksana,
SAM Retail Karawang PT. RETESTERINDO SARANAMIGAS ABADI
Ka. Bengkel Pemeliharaan Tabung
Realisasi
Tarif 3 Kg Jumlah
No Jenis Pekerjaan (Jumlah
(Rp) (Rp)
Tabung)
1 Retest 4,940 1,685 8,323,900
4 Annealing 19,450 - -
Pelaksana,
PT. Retesterindo Saranamigas Abadi SAM Retail Karawang Jr. Assistant LPG Stock & Cylinder Management
Ka. Bengkel Pemeliharaan Tabung
Total Penambahan
Repaint Retest dengan Repaint Repair Annealing
Total Balancer
Total Repair
Retest Total Repair Total
No Tanggal SP(P)BE No Surat Jalan No Berita Acara Retest Total Repaint Penambahan Afkir Ganti Keterangan
dengan Annealing Tabung
Tanpa Balancer Balancer 2- Tanpa Balancer Balancer Repaint Tanpa Balancer Balancer Balancer 1 Balancer Plat Balancer Valve
Balancer 1 Plat 4 Plat Balancer 1 Plat 2-4 Plat Balancer 1 Plat 2-4 Plat Plat 2-4 Plat
1 02/11/2020 PT. Jatiwarna Gas Utama 01/JGU/XI/2020 001/JGU-BKS/XI/2020 - 315 6 94 415 334 7 77 418 - - - - 13 171 184 - 833 - -
2 02/11/2020 PT. Surya Alam Pratama 02/SAP/XI/2020 002/SAP-BKS/XI/2020 - 304 4 85 393 255 8 58 321 - - - - 12 143 155 - 714 - -
3 03/11/2020 PT. Gregitan Dinamika 03/GD/XI/2020 003/GD-BKS/XI/2020 - 295 5 47 347 179 9 85 273 - - - - 14 132 146 - 620 - -
4 03/11/2020 PT. Jatiwarna Gas Utama 04/JGU/XI/2020 004/JGU-BKS/XI/2020 - 241 5 142 388 35 2 74 111 - - - - 7 216 223 - 499 - -
5 04/11/2020 PT. Surya Alam Pratama 05/SAP/XI/2020 005/SAP-BKS/XI/2020 281 156 6 136 298 80 3 52 135 - - - - 9 188 197 - 714 - -
6 04/11/2020 PT. Jatiwarna Gas Utama 06/JGU/XI/2020 006/JGU-BKS/XI/2020 - 411 5 48 464 268 9 92 369 - - - - 14 140 154 - 833 - -
7 05/11/2020 PT. Gregitan Dinamika 07/GD/XI/2020 007/GD-BKS/XI/2020 281 159 2 44 205 117 3 14 134 - - - - 5 58 63 - 620 - -
8 06/11/2020 PT. Surya Alam Pratama 08/SAP/XI/2020 008/SAP-BKS/XI/2020 281 142 5 165 312 91 5 25 121 - - - - 10 190 200 - 714 - -
9 06/11/2020 PT. Jatiwarna Gas Utama 09/JGU/XI/2020 009/JGU-BKS/XI/2020 - 512 3 98 613 121 4 95 220 - - - - 7 193 200 - 833 - -
10 07/11/2020 PT. Gregitan Dinamika 10/GD/XI/2020 010/GD-BKS/XI/2020 281 105 5 39 149 121 5 64 190 - - - - 10 103 113 - 620 - -
11 07/11/2020 PT. Jatiwarna Gas Utama 11/JGU/XI/2020 011/JGU-BKS/XI/2020 - 578 4 75 657 100 2 74 176 - - - - 6 149 155 - 833 - -
12 09/11/2020 PT. Jatiwarna Gas Utama 12/JGU/XI/2020 012/JGU-BKS/XI/2020 - 594 4 48 646 119 3 65 187 7 113 120 833 - -
13 09/11/2020 PT. Surya Alam Pratama 13/SAP/XI/2020 013/SAP-BKS/XI/2020 - 352 7 154 513 166 6 29 201 - - - - 13 183 196 - 714 - -
15 11/11/2020 PT. Surya Alam Pratama 14/SAP/XI/2020 014/SAP-BKS/XI/2020 - 410 3 136 549 83 4 78 165 - - - - 7 214 221 - 714 - -
16 11/11/2020 PT. Gregitan Dinamika 15/GD/XI/2020 015/GD-BKS/XI/2020 - 109 6 67 182 386 5 47 438 - - - - 11 114 125 - 620 - -
17 12/11/2020 PT. Jatiwarna Gas Utama 16/JGU/XI/2020 016/JGU-BKS/XI/2020 - 612 3 62 677 126 5 25 156 - - - - 8 87 95 - 833 - -
18 12/11/2020 PT. Gregitan Dinamika 17/GD/XI/2020 017/GD-BKS/XI/2020 - 415 3 59 477 87 4 52 143 - - - - 7 111 118 - 620 - -
19 13/11/2020 PT. Surya Alam Pratama 18/SAP/XI/2020 018/SAP-BKS/XI/2020 - 502 4 47 553 134 2 25 161 - - - - 6 72 78 - 714 - -
20 13/11/2020 PT. Jatiwarna Gas Utama 19/JGU/XI/2020 019/JGU-BKS/XI/2020 - 574 2 99 675 106 4 48 158 - - - - 6 147 153 - 833 - -
21 14/11/2020 PT. Jatiwarna Gas Utama 20/JGU/XI/2020 020/JGU-BKS/XI/2020 - 596 5 34 635 116 3 79 198 - - - - 8 113 121 - 833 - -
22 14/11/2020 PT. Gregitan Dinamika 21/GD/XI/2020 021/GD-BKS/XI/2020 - 59 5 168 232 368 5 15 388 - - - - 10 183 193 620 - -
23 16/11/2020 PT. Jatiwarna Gas Utama 22/JGU/XI/2020 022/JGU-BKS/XI/2020 - 152 3 116 271 139 5 85 229 - - - - 8 201 209 - 500 - -
24 16/11/2020 PT. Surya Alam Pratama 23/SAP/XI/2020 023/SAP-BKS/XI/2020 - 412 6 125 543 143 2 26 171 - - - - 8 151 159 - 714 - -
25 17/11/2020 PT. Gregitan Dinamika 24/GD/XI/2020 024/GD-BKS/XI/2020 - 241 7 195 443 71 2 104 177 - - - - 9 299 308 - 620 - -
26 17/11/2020 PT. Jatiwarna Gas Utama 25/JGU/XI/2020 025/JGU-BKS/XI/2020 - 602 2 89 693 110 6 24 140 - - - - 8 113 121 - 833 - -
27 18/11/2020 PT. Surya Alam Pratama 26/SAP/XI/2020 026/SAP-BKS/XI/2020 - 251 5 124 380 49 6 57 112 - - - - 11 181 192 - 492 - -
28 18/11/2020 PT. Gregitan Dinamika 27/GD/XI/2020 027/GD-BKS/XI/2020 - 100 4 165 269 324 5 22 351 - - - - 9 187 196 - 620 - -
29 19/11/2020 PT. Gregitan Dinamika 28/GD/XI/2020 028/GD-BKS/XI/2020 - 83 2 119 204 369 4 43 416 - - - - 6 162 168 - 620 - -
30 19/11/2020 PT. Jatiwarna Gas Utama 29/JGU/XI/2020 029/JGU-BKS/XI/2020 - 615 4 65 684 90 4 55 149 - - - - 8 120 128 - 833 - -
31 20/11/2020 PT. Jatiwarna Gas Utama 30/JGU/XI/2020 030/JGU-BKS/XI/2020 - 524 3 89 616 150 5 62 217 - - - - 8 151 159 - 833 - -
32 20/11/2020 PT. Surya Alam Pratama 31/SAP/XI/2020 031/SAP-BKS/XI/2020 - 452 5 20 477 189 3 45 237 - - - - 8 65 73 - 714 - -
33 21/11/2020 PT. Jatiwarna Gas Utama 32/JGU/XI/2020 032/JGU-BKS/XI/2020 - 522 4 75 601 173 7 52 232 - - - - 11 127 138 - 833 - -
34 21/11/2020 PT. Gregitan Dinamika 33/GD/XI/2020 033/GD-BKS/XI/2020 - 54 5 115 174 256 2 195 453 - - - - 7 310 317 - 627 - -
35 23/11/2020 PT. Jatiwarna Gas Utama 34/JGU/XI/2020 034/JGU-BKS/XI/2020 - 532 4 48 584 209 5 35 249 - - - - 9 83 92 - 833 - -
36 23/11/2020 PT. Surya Alam Pratama 35/SAP/XI/2020 035/SAP-BKS/XI/2020 - 241 7 65 313 329 2 70 401 - - - - 9 135 144 - 714 - -
37 24/11/2020 PT. Jatiwarna Gas Utama 36/JGU/XI/2020 036/JGU-BKS/XI/2020 - 574 5 66 645 121 3 64 188 - - - - 8 130 138 - 833 - -
38 25/11/2020 PT. Surya Alam Pratama 37/SAP/XI/2020 037/SAP-BKS/XI/2020 - 425 2 138 565 92 5 52 149 - - - - 7 190 197 - 714 - -
39 26/11/2020 PT. Jatiwarna Gas Utama 38/JGU/XI/2020 038/JGU-BKS/XI/2020 - 501 4 93 598 133 7 95 235 - - - - 11 188 199 - 833 - -
40 27/11/2020 PT. Jatiwarna Gas Utama 39/JGU/XI/2020 039/JGU-BKS/XI/2020 280 341 4 46 391 94 4 64 162 - - - - 8 110 118 - 833 - -
41 27/11/2020 PT. Surya Alam Pratama 40/SAP/XI/2020 040/SAP-BKS/XI/2020 - 452 3 188 643 36 6 29 71 - - - - 9 217 226 - 714 - -
42 28/11/2020 PT. Jatiwarna Gas Utama 41/JGU/XI/2020 041/JGU-BKS/XI/2020 281 254 3 52 309 213 2 28 243 - - - - 5 80 85 - 833 - -
43 28/11/2020 PT. Gregitan Dinamika 42/GD/XI/2020 042/GD-BKS/XI/2020 - 297 8 99 404 348 6 75 429 - - - - 14 174 188 - 833 - -
44 30/11/2020 PT. Surya Alam Pratama 43/SAP/XI/2020 043/SAP-BKS/XI/2020 - 251 3 59 313 350 4 47 401 - - - - 7 106 113 - 714 - -
Total 1,685 15,317 185 3,998 19,500 7,380 193 2,502 10,075 - - - - 378 6,500 6,878 620 31,880 2,600 -
1 PT. Surya Alam Pratama 562 4,350 60 1,442 5,852 1,997 56 593 2,646 - - - - 116 2,035 2,151 - 9,060 - -
2 PT.Gregitan Dinamika 562 1,917 52 1,117 3,086 2,626 50 716 3,392 - - - - 102 1,833 1,935 - 7,040 - -
3 PT. Jatiwarna Gas Utama 561 9,050 73 1,439 10,562 2,757 87 1,193 4,037 - - - - 160 2,632 2,792 - 15,160 - -
Total 1,685 15,317 185 3,998 19,500 7,380 193 2,502 10,075 - - - - 378 6,500 6,878 620 31,880 2,600 -
.
Jakarta, 01 Desember 2020
Pelaksana Mengetahui,
PT. Retesterindo Saranamigas Abadi Petugas PT. Vijayanti Persada
Ka. Bengkel Pemeliharaan Tabung LPG
Mengetahui,
PT. Jatiwarna Gas Utama PT. Surya Alam Pratama PT. Gregitan Dinamika PT. PERTAMINA ( Persero ) MOR III
Ka SP(P)BE Ka SP(P)BE Ka SP(P)BE Pjs. HO MWH & LPG Cylinder
( ) ( ) ( ) ( Sandi Saryanto )
Total Penambahan
Repaint Retest dengan Repaint Total Retest Repair Annealing Total Total Repair
Total Balancer Total Transport
No Tanggal Retest dengan Repair Penambahan Afkir Ganti Total Biaya Total Keterangan
Tanpa Balancer Balancer Repaint Tanpa Balancer Balancer Tanpa Balancer Balancer Balancer 1 Balancer Tabung Fee
Repaint Annealing Plat Balancer Valve
Balancer 1 Plat 2-4 Plat Balancer 1 Plat 2-4 Plat Balancer 1 Plat 2-4 Plat Plat 2-4 Plat
1 11/2/2020 - 619 10 179 808 589 15 135 739 - - - - 25 314 339 - 1,547 - 20,056,740 - 20,056,740 -
2 11/3/2020 - 536 10 189 735 214 11 159 384 - - - - 21 348 369 - 1,119 - 14,759,235 - 14,759,235 -
3 11/4/2020 281 567 11 184 762 348 12 144 504 - - - - 23 328 351 - 1,547 - 17,937,790 - 17,937,790 -
6 11/7/2020 281 683 9 114 806 221 7 138 366 - - - - 16 252 268 - 1,453 - 16,444,050 - 16,444,050 -
7 11/9/2020 - 946 11 202 1,159 285 9 94 388 - - - - 20 296 316 - 1,547 - 19,662,675 - 19,662,675 -
8 11/10/2020 - - - - - - - - - - - - - - - - 620 620 2,600 1,692,600 - 1,692,600 -
9 11/11/2020 - 519 9 203 731 469 9 125 603 - - - - 18 328 346 - 1,334 - 17,449,655 - 17,449,655 -
10 11/12/2020 - 1,027 6 121 1,154 213 9 77 299 - - - - 15 198 213 - 1,453 - 18,143,790 - 18,143,790 -
11 11/13/2020 - 1,076 6 146 1,228 240 6 73 319 - - - - 12 219 231 - 1,547 - 19,344,990 - 19,344,990 -
12 11/14/2020 - 655 10 202 867 484 8 94 586 - - - - 18 296 314 - 1,453 - 18,738,335 - 18,738,335 -
13 11/16/2020 - 564 9 241 814 282 7 111 400 - - - - 16 352 368 - 1,214 - 15,912,870 - 15,912,870 -
14 11/17/2020 - 843 9 284 1,136 181 8 128 317 - - - - 17 412 429 - 1,453 - 18,860,760 - 18,860,760 -
15 11/18/2020 - 351 9 289 649 373 11 79 463 - - - - 20 368 388 - 1,112 - 14,817,165 - 14,817,165 -
16 11/19/2020 - 698 6 184 888 459 8 98 565 - - - - 14 282 296 - 1,453 - 18,672,500 - 18,672,500 -
17 11/20/2020 - 976 8 109 1,093 339 8 107 454 - - - - 16 216 232 - 1,547 - 19,464,105 - 19,464,105 -
18 11/21/2020 - 576 9 190 775 429 9 247 685 - - - - 18 437 455 - 1,460 - 19,376,865 - 19,376,865 -
19 11/23/2020 - 773 11 113 897 538 7 105 650 - - - - 18 218 236 - 1,547 - 19,657,825 - 19,657,825 -
20 11/24/2020 - 574 5 66 645 121 3 64 188 - - - - 8 130 138 - 833 - 10,471,525 - 10,471,525 -
21 11/25/2020 - 425 2 138 565 92 5 52 149 - - - - 7 190 197 - 714 - 9,220,925 - 9,220,925 -
22 11/26/2020 - 501 4 93 598 133 7 95 235 - - - - 11 188 199 - 833 - 10,706,070 - 10,706,070 -
23 11/27/2020 280 793 7 234 1,034 130 10 93 233 - - - - 17 327 344 - 1,547 - 17,682,620 - 17,682,620 -
24 11/28/2020 281 551 11 151 713 561 8 103 672 - - - - 19 254 273 - 1,666 - 19,265,805 - 19,265,805 -
25 11/30/2020 - 251 3 59 313 350 4 47 401 - - - - 7 106 113 - 714 - 9,186,905 - 9,186,905 -
Total 1,685 15,317 185 3,998 19,500 7,380 193 2,502 10,075 - - - - 378 6,500 6,878 620 31,880 2,600 391,209,000 - 391,209,000
1 02/11/2020 334 84 -
2 02/11/2020 255 66 -
3 03/11/2020 179 94 -
4 03/11/2020 35 76 -
5 04/11/2020 80 55 -
6 04/11/2020 268 101 -
7 05/11/2020 117 17 -
8 06/11/2020 91 30 -
9 06/11/2020 121 99 -
10 07/11/2020 121 69 -
11 07/11/2020 100 76 -
12 09/11/2020 119 68 -
13 09/11/2020 166 35 -
14 10/11/2020 - - -
10/11/2020 - - -
15 11/11/2020 83 82 -
16 11/11/2020 386 52 -
17 12/11/2020 126 30 -
18 12/11/2020 87 56 -
19 13/11/2020 134 27 -
20 13/11/2020 106 52 -
21 14/11/2020 116 82 -
22 14/11/2020 368 20 -
23 16/11/2020 139 90 -
24 16/11/2020 143 28 -
25 17/11/2020 71 106 -
26 17/11/2020 110 30 -
27 18/11/2020 49 63 -
28 18/11/2020 324 27 -
29 19/11/2020 369 47 -
30 19/11/2020 90 59 -
31 20/11/2020 150 67 -
32 20/11/2020 189 48 -
33 21/11/2020 173 59 -
34 21/11/2020 256 197 -
35 23/11/2020 209 40 -
36 23/11/2020 329 72 -
37 24/11/2020 121 67 -
38 25/11/2020 92 57 -
39 26/11/2020 133 102 -
40 27/11/2020 94 68 -
41 27/11/2020 36 35
42 28/11/2020 213 30
43 28/11/2020 348 81
44 30/11/2020 350 51 -
Total 7,380 2,695 -
Jakarta, 01 Desember 2020
Pelaksana Mengetahui,
PT. RETESTERINDO SARANAMIGAS ABADI Petugas PT. Vijayanti Persada
Ka Bengkel Pemeliharaan Tabung LPG
Dengan
No. Tanggal Repaint Keterangan
Balancer
1 02/11/2020 315 100 -
2 02/11/2020 304 89 -
3 03/11/2020 295 52 -
4 03/11/2020 241 147 -
5 04/11/2020 156 142 -
6 04/11/2020 411 53 -
7 05/11/2020 159 46 -
8 06/11/2020 142 170 -
9 06/11/2020 512 101 -
10 07/11/2020 105 44 -
11 07/11/2020 578 79 -
12 09/11/2020 594 52 -
13 09/11/2020 352 161 -
14 10/11/2020 - - -
10/11/2020 - - -
15 11/11/2020 410 139 -
16 11/11/2020 109 73 -
17 12/11/2020 612 65 -
18 12/11/2020 415 62 -
19 13/11/2020 502 51 -
20 13/11/2020 574 101 -
21 14/11/2020 596 39 -
22 14/11/2020 59 173 -
23 16/11/2020 152 119 -
24 16/11/2020 412 131 -
25 17/11/2020 241 202 -
26 17/11/2020 602 91 -
27 18/11/2020 251 129 -
28 18/11/2020 100 169 -
29 19/11/2020 83 121 -
30 19/11/2020 615 69 -
31 20/11/2020 524 92 -
32 20/11/2020 452 25 -
33 21/11/2020 522 79 -
34 21/11/2020 54 120 -
35 23/11/2020 532 52 -
36 23/11/2020 241 72 -
37 24/11/2020 574 71 -
38 25/11/2020 425 140 -
39 26/11/2020 501 97 -
40 27/11/2020 341 50 -
41 27/11/2020 452 191 -
42 28/11/2020 254 55 -
43 28/11/2020 297 107 -
44 30/11/2020 251 62 -
Total 15,317 4,183 -
Jakarta, 01 Desember 2020
Pelaksana Mengetahui,
PT. RETESTERINDO SARANAMIGAS ABADI Petugas PT. Vijayanti Persada
Ka Bengkel Pemeliharaan Tabung LPG
Didin Wahyudi
M. Septian Fajri P
LAPORAN POSISI STOCK TABUNG LPG 3 KG
Pelaksana : PT. Retesterindo Saranamigas Abadi
Periode bulan : November 2020
Lokasi : Jl.Rambutan RT.07/RW.11 Jatiasih Bekasi
Tabung LPG 3 Kg (Pcs)
No Tanggal Keterangan
Baru Baik Rusak Afkir Total
1 01/11/2020 - - - - - -
2 02/11/2020 - 2,966 34 - 3,000 -
3 03/11/2020 - 2,948 52 - 3,000 -
4 04/11/2020 - 2,973 27 - 3,000 -
5 05/11/2020 - 2,925 75 - 3,000 -
6 06/11/2020 - 2,938 62 - 3,000 -
7 07/11/2020 - 2,942 58 - 3,000 -
8 08/11/2020 - - - - - -
9 09/11/2020 - 2,943 57 - 3,000 -
10 10/11/2020 - 3,000 - 620 3,620 -
11 11/11/2020 - 2,965 35 - 3,000 -
12 12/11/2020 - 2,951 49 - 3,000 -
13 13/11/2020 - 2,931 69 - 3,000 -
14 14/11/2020 - 2,907 93 - 3,000 -
15 15/11/2020 - - - - - -
16 16/11/2020 - 2,821 179 - 3,000 -
17 17/11/2020 - 2,898 102 - 3,000 -
18 18/11/2020 - 2,750 250 - 3,000 -
19 19/11/2020 - 2,943 57 - 3,000 -
20 20/11/2020 - 2,889 111 - 3,000 -
21 21/11/2020 - 2,913 87 - 3,000 -
22 22/11/2020 - - - - - -
23 23/11/2020 - 2,843 157 - 3,000 -
24 24/11/2020 - 2,789 211 - 3,000 -
25 25/11/2020 - 2,903 97 - 3,000 -
26 26/11/2020 - 2,892 108 - 3,000 -
27 27/11/2020 - 2,784 216 - 3,000 -
28 28/11/2020 - 2,835 165 - 3,000 -
29 29/11/2020 - - - - - -
30 30/11/2020 - 2,751 249 - 3,000 -
- 72,400 2,600 620 75,620 -
TANGGAL
NO NAMA SP(P)BE/SPPEK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 PT. SURYA ALAM PRATAMA V V V V V V V V V V V V V
Kepada Yth,
Domestic Gas Region Manager III
Jl. Jend. Ahmad Yani No.105, Dawuan Bar., Kec. Cikampek
Kabupaten Karawang Jawa Barat
Dengan hormat,
Mengacu Surat Perintah Pelaksanaan No. 891/BPT-L/Q23030/2020-S0 tanggal 27 Oktober 2020,
Kami PT. RETESTERINDO SARANAMIGAS ABADI selaku pelaksana pekerjaan "Retest, Retest dengan
Repaint dan Repair Tabung LPG uk. 3 Kg di Workshop Retester Bekasi - Jawa Barat melaporkan Realisasi
Pelaksanaan Pekerjaan sebagai berikut :
Dengan ini kami menyampaikan Justifikasi atas volume pelaksanaan pekerjaan yang tidak sesuai dengan SPP
periode November 2020 dengan rincian sebagai berikut :
1. Realisasi pengiriman tabung Afkir ke MWH & LPG Cylinder tidak sesuai dengan alokasi pekerjaan
dikarenakan tabung afkir di workshop kami belum cukup banyak, sehingga kami hanya melakukan
penukaran tabung afkir sebanyak 620 Tabung.
Demikian Justifikasi ini kami sampaikan, atas perhatian dan kerjasamanya kami ucapkan terima kasih.
Mengetahui
Jakarta, 01 Desember 2020
Hormat kami, Mengetahui
PT. RETESTERINDO SARANAMIGAS ABADI Petugas PT. Vijayanti Persada
Ka. Bengkel Pelemiharaan Tabung