Nama Proyek :
Tower :
Alamat Proyek :
Painting Contractor :
2. Nama : ...................................................
Jabatan : ...................................................
Nama Perusahaan : ...................................................
III. Sistem cat untuk : eksterior / interior **), tahapan produk yang digunakan :
1. Primer coat
Product : ................................................................................................................
No. batch : ................................................................................................................
Keterangan : ................................................................................................................
Diaplikasi tanggal : ................................................................................................................
2. Finish coat I
Product : ................................................................................................................
No. batch : ................................................................................................................
Keterangan : ................................................................................................................
Diaplikasi tanggal : ................................................................................................................
3. Finish coat II
Product : ................................................................................................................
No. batch : ................................................................................................................
Keterangan : ................................................................................................................
Diaplikasi tanggal : ................................................................................................................
Berita acara ini ditanda tangani bersama – sama dan masing- masing pihak dalam keadaan
sadar tanpa tekanan dari pihak manapun.
(........................................) (......................................)
*) Foto dokumentasi terlampir, **) Pilih salah satu