NO:PSS/DOC/2021/BG000042 DOCKING nde a BG.PST 510 PT. PANCARAN SAMUDERA TRANSPORT2= PT. PANCARAN SAMUDERA SHIPYARD LF PANCARAN 1 02 ae acs Ofe: Meneses sottanpe cedng eee estan: J1_ Boulevard Keiopa Goding LA3 No. 1 Lonto 6 Telp. +62 21 29385783 Fax: +62 21 29385782 SURAT KETERANGAN DOCKING 'Nomor 8GO42/SKD.PST S1O/PSSV/2021, Sater > Berseme surat ni menerangkan bahia Nama Kapa! Psrst0 emi Owner "ANCARAN SAMUDERA TRANSPORT denis BARGE Class BKI ‘Ukuran Utama Kapat Panjang (LOA) 144 Motor Tinggi (0) 5.40 Meter Lebar (6) 2438. Meter Garmier 345 GT ‘ola menjalani docking repair digalangen kapal milk PT.Pancaran Samudera Shipyard, sebagel berkut opal Masuk Galangan 30 Jul 2024 Barge Naik Dock 18 Agustus 2021 ‘Barge Turun Dock 21 September 2021 Barge Solesai Pokeraan Barge Ketuar Galangan ‘Demikian kari sampaikan, dengan segala hormat ata perhatan dan Kebjaksanaannya kami weapkan terma Kasih Kutal Kertenegara, 21 September 2024 PT PANCARAN SAMUDERA SHIPYARD ae ANDRI SUKMA RAMADHAN Heat of shipyard2 PT. PANCARAN SAMUDERA SHIPYARD = i oso Ga cent ee or eect are ar ean net PR tlre peti ln sareny'D BERITA ACARA ivaeciena mal Pada har in, Setasatanggal Dua Pulun Satu Bulan Septemoer Tahun Qua Ribu Dua Puluh Satu (21 September 202) yang bertanda tangan dibawah in| 1 Nema ‘ANDRI SUKMA RANADHAN satan Head of Sipyare Perusahaan PT. Pancaran Samudera Shipyard ‘Dalam hal in bertindak untuk dan atas nama PT. Pancaran Samudera Shipyard, untuk selanjtnya debut YARD 2 Noma ALDY NUARY S sebatan ‘Owner Representative Pevusshoon PT. Pancaran Samudera Transport DDaiam hat ini bertindak untuk dan atas nama PT. Pancaran Samudera Transport, yang selenutnya dsebut OWNER REPRESENTATIVE Dengan ini manyatakan dengan sebenarnya, bahwa YARD telah menyerahkan 7 (sat) unit kapal kepada OWNER REPRESENTATIVE, Yang telah setesaidiaksanakan semua perbakanvdockingrepalt dengan data-data sebagai berikut a ‘Nama Kapa! Pst 510 Type BARGE karan Panjang LOA) 0144 Meter Lebar (8) 2438 Meter Tingei (0) 549 Motor Rtn 3145 GT OWNER REPRESENTATIVE telah menetia penyarahan 1 (satu unit kepal dari YARD, yang telah selesaidiaksanakan semua perbakan/docking rept sesual kesegakatan dalam repak ist DDemikan beritaacara ini buat dengan sebenamya untuk dapalaipargunakan sebagaimana mestinya, vyaRD ‘OWNER REPRESENTATIVE PT PANCARAN SAMUDER PT. PANCARAN SAMUOERA TRANSPORT (ites Ad ANOR SUKWA RAMADHAN ‘auovnuaRY s Head of Shipyard ‘Owner Representative2= PT. PANCARAN SAMUDERA SHIPYARD EoD yi 1 Lo got R20, oo ly ata etoeges Klmartan Tn, idoese PANCARAN eos ff. Mere Sotre Ket Seg soe 1 Sotrrd taps Going a3 Net 70621 29.5701 e162 212385782 BERITA ACARA ( SERAMTERIMA DOCUMENT) aca ha in, Seas tanggal Dua Puan Sata Bulan Septabe Tahun Dua Ribu Dum Pubin Sats (21 September 2021) tein caerantrmakan document bripa 1 Docking Report BARGE PST 510 (Onl!) sebanyak: 1 Rangkap Nomor” BGOW2ISKD-PST S1PSSIV2021 Yang Menyeralan Nema MaINuRROHIM Jbotan Pelt Offer Perssonaen PT Pancran Samudes Shpyerd Yona Menetina Nama ALDY NUARY S| Jobatan Gree Representative Pervsanaan PT Pancatan Samira Teansport Document teh siserantermakan dengan Kons bak dan nga. Demian beta acara noua! dengan seberarya untuk capa pergunakansebagaimana mestnys varo ‘OWNER REPRESENTATIVE Pr: PANCARAN SAMUSERA SHIPYARD PT PANCARAN SAMUDERA TRANSPORT iu/ainureoua aLpyMuary s Projet eer ner RepresentativePT. PANCARAN SAMUDERA SHIPYARD 1.400 Gogo 20, a Kuta Kertonegora,Klhvontan Ten, doneso 1 soar Kha Gong Ast Lae Tay 822 S067 fe 16222908702 Safety > BERITAACARA (Senay TERA BARGE PET 510) Pada har ini, Selasatanggsl Dus Puluh Satu Bulan September Tahun Dua Ribu Dua Puluh Satu (21 September 2021) yang bertanda tangan bawah nt 1 Nama 1M. AINURROHIME Project Offcor PT. Panearan Semudera Shipyard Dalam hatin bert untuk dan tas nama PT. Pancaran Gamudera Shipyard Untuk selanjutnya disebut YARD 2 Nama ALDY NUARY S sabatan ‘Omer Representative Perusahaan PT. Pancaran Samudera Transport Dalam hal bert untuk dan atas nama PT. Pancatan Semudera Transport Yang selanjutrya éisebut OWNER REPRESENTATIVE. Dengan ini menyatakan dengan sebenamya, bahwa YARD telch menyerehkan 1 (satu unit kapal kopada OWNER REPRESENTATIVE, yang telah selesal diaksanakan semua perbaianidocking repair dengan data-cata sebagal bert 3 ‘Nama Kapa! pst 510 ype BARGE Ukuron Panjang (LOA) 0144 Meter Lebar (B) 24.98. Meter Tinggi 0) 549 Meter oT 3s. GT OWNER REPRESENTATIVE telah menerima penyerahan (sat) unit kapal dari YARD yang telah selesal dlaksanakan semua perbikan / docking repair digalangan PT Pancaran Semugera Shipyars sesval kesepakatan dalam repai ist ‘Adapun Kona! Kapel ‘Vtambung / Hult oni bak{ sles pengecatan } 2 Side shell ond! balk slesipengecatan } 4 Side Beare ond bik sles pengectan} 4 Deck Eaters ond! bik sles pengeeatan ) 5 beck cargo onal bak Bers (dak diahukan pengecstan) 6 Pinta Tongkang Lenehap 7 Bolder Langhap (Kons ak) 8 Zinkrode ond! bar (62 pes) 8 banDaprah onal baru (34 Bes ) 10 winch Jangkar Lengkap (Kons a) ‘Demiklan beritaacara int buat dengan sebenamya untuk dapat dlpergunakan sebagaimana mestinya, varo ones nepnesenranve F Saicana sanunena supra Prone SAIOERA TRANSCORT aupvauares Sor Reprave= PT. PANCARAN SAMUDERA SHIPYARD PANCARAN BOSS ence neers snr ngs a naar ce BERITA ACARA (FINAL INSPEKS! ) Pada hal in, Selasa tanggal Dua Puluh Satu Bulan September Tahun Dua Ribu Dua Puluh Satu (21 September 2021) “Tela diakukan final inspeks! bersama pada BARGE PST 510 antara pitak owner yang divakil oleh Bp. ALDY NUARY S ‘an pinak yaré yang of wakl elon Bp. AINURROHIM, ‘Owner menyatakan bana pekerean perbaikan such selesa dl fakukan sesual dengan lit pekerjaan yang di ‘sepakatantarapinak galangan PT. PANCARAN SAMUDERA SHIPYARD dan pihak over PT, PANCARAN SAMUDERA TRANSPORT ‘dan kapal BARGE PST 510 dinyatakan layak untuk doperasixan. DDomikin beritaacara ini dibuat dongan sebenernye untuk depetdipergunakan sebageimar mestinys, van OWNER REPRESENTATIVE Pr PancaRAi saMUDERA SHIPYARD PrIPANCATAN SANUDERA TRANSPORT — i ! Nha si amwronn suoruanys a ETS 5-62> PT. PANCARAN SAMUDERA SHIPYARD PANCARAN soot oleae eaeen eee aaetee sort go Cog i an 105 2 2 STE F162 22885722 BERITA ACARA (Cleaning Votd Tank ) satery'D Pada har in Setasa tanggal Dua Puluh Satu Bulan September Tahun Dua Ribu Dus Puluh Sat (21 September 2021) ‘elah selesaicliaksanakan pekerjaan cleaning pada kapal BARGE PST 510 sesual permintaan cari Owner ‘Adapun pekaraan clearing yang telah dlakukar, enara lain + Cleaning Void Tank 2 Cleaning Main Deck Cargo 8 Cleaning Ekstonal Dock Cargo DDemikian beritaacara ini dibuat dengan sebenainya untuk dapat dipergunakan sebegaimana mestnya, vyarD (OWNER REPRESENTATIVE PT. PANCARAN SAMUDERA SHIPYARD PT PANCARAN SAMUOERA TRANSPORT A Nhs U_AINURROHIM ALDY NUARY S “Proest Otfcer Gamer Representativeor (0) Hd pean Gu] 2 T t asrarerecs (EE ; an Sealy ee a est Fg peaung Suez] Fy peaping Sie] GISLYOd pon auvoguvisLo eteg spwpeu tines ‘npn pH aaa ee LON NOILSWASILVS Sree See oe a op COD OT GaVAdIHS VEAGNWNYS NVYVONVd ‘ldusonce ae ee mS ous sso anno PApUIRU RINE ‘Brees stony avr monoows uaz nents sweTETE gus one eumois eeu BuD0 ‘ouwoensz ‘easiowossas earns es aseercetes oan mui Ivar ucn Wouml aves at vaess ‘une (eam neti wean est waver ‘ome (ese no. avs aveo vies owune ver Wout un av one aw (aero. 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Wsahere es oN weno teres 08 ‘neo wwusoras Gdn ame a ee ueroN ns aera ao "wenn eNews fe nao ‘weno eeworoa nae nae 7 se weiow ans ree noe101 604 afasa een acdcittan asic era Cay Pt genes OT Wace oe Sopa ae SUS eee ee scape oi pei Ure 1S mie icra ce fee zheaonessA NowNeS A (azn nouowas vo oo uewnen (sales now pee susscerons wae ne crane secon nas wane i ‘forse we8 On 8s fame —‘ech ate susrvewsiraisenoroen'iin mM ‘a arenes vo eer wo SN A Borer sn is nowws V0 ‘wis evorcnas ian sexe wrtovas sense no Wear wetOW as wonerse a noo ea werorims oserse as moo ese usta eneeseas a ee wrtaviaus eserseas a eee eee WNORMS aA oa pone wruaan legerst us now‘atop oe oon + on Geausiowcn eons oem sm novstorus a pe ee ee ee 2 sravinanmenearovomsye nan wor oe 1 sauneasmussnvorons en noe a wre tedsavonces0o won owe tom ee rah‘ eNoncnaan ou wa ee saw 00 a ak woo ny toe oom esos a Co a ween Serene ae yeicumey tas ee rr ernie ves sis aera a8 automo soow ans fama now re werwsore seats oo > usm + E 7 srmeruarsavatis joer mo oom wena sew wetavaie couerer a a a wenw | evustoveus orev aa awe of om om om oe ware taco wionerustoraus camo a8 ao ee os091 seg ee apheSiteesaie i eteg sam ew moa ‘e901 ewan a (estons mone noo (e9.0me ae a vere samncew sre sornaN 19 OMEN IS aa Do AHUO Bam ous omuuino pom 1 8 oom aon one eve some 8 ot ox ome ‘waren eae amoe st om oe oun See a ee om auras nave se eee oe perenne er tsasoees as nox * em to ow aera > mmo « « sin TMM essen ea “ona a met a on sara SBM 100000 eyo mon ot tow oon sar SACO oe MN‘ete ate apoyo ar apna 083 we xpue egy urwiomme Bes oo ew “asl reetesroeseteg enasadey 2080 suo velo ‘SVT FamouETIU A -vodsia vipanys eeuNoN Cyaan wasoninys won La ‘roe aquanées re ‘xesueuHy eH,PT Pancaran Samudera Shipyard 2 REQUISITION for INSPECTION PANCARAN # stots ermertnman ine tows ‘and ACCEPTANCE FORM en 86 PST SIO TEFERENCE REGUEST o- TRIBGDOOONTOOL uenr "PT PANCARAN SAMUDERA TRANSPORT PROIECT CODE + 86.000082 cuss 2 aK ISPECTON/TEST DATE + OS September 2021 joarecony + Barge INSPECTON/TEST TIME + g.02.00 PROIECT No a REGUESTTO + Dep Guay Contat SECTION > gaae by oun DESIGNATION: ZULEKAR TEM TOBEWSPECTED: SIDEBOARD Deseiption eft. Orang No. sideboard dan Sideboard Prof FD-STBD FR 4s, Strdboard FWD FR 23-46 | Pease arrange for npecion/tes to be performed on the folowing faci arricasi DESCRIPTION T_____] [ncome nares oF - rans ea acne z arora mcr Accepted _9faf20n| sun. /weipme msecron mT rooster mM © oe sun /macnerecron saci fad es E ans vac S/ Wos WS ni : aati [inspection Result Comments /Recoramendation "Choose the appropriate requirement a on woum | CP tat NAME (MA AINURROHIM ZULFIKAR | TAJQBAL RACHMAN ‘ALDI NUARYS, ae2 _prpancaran Samudera Shipyard REQUISITION for INSPECTION PANGABAN setts ttemeprnsneitin hee ‘and ACCEPTANCE FORM oo Tera REFERENCE REQUEST No.7 WVBGOODIR/OOE uenr ITLPANCARANSAMUDERA TRANSPORT PROIECT Cove + scomooe cusss 6 IspEcTION/TEsTO8TE syapp02 JATEGORY are INSPECTION/TEST TIME + 08.00:2.00 PROJECT No Le REGUESTTO + Dep Guay Cond soon 7 aAyae ev + rome DESIGNATION: ZULRKAR fre TORE waPECTED ——SOROARD lDecrption = felt Drawing No. sideboard dan Sideboard Profil FWO-PORT FR 46, Portside FWD FR 23-46 Pease arrange for ispection/test tobe performed on the folowing fick iF APPLCABKI DESCRIPTION Te Fre RNs HEA WATCH NUMER nr wet eran Accepted. 9/8/2023 9/9/2023| WON OESRUCTVETEST(NOTERE-MPLPLU ® lwsua FAL SPeCHON SALCTORE)™ Jomeas respect) Tnspecion Result Comments / Recommendation choses the appropiate requirement 7 Panearan Suda Spar APPROVED EY REQUESTOR DCINSPECTOR Fane SORES Bae 450p21 505-2 room | im TAME TH INUAROTIA TULF TWLIQBAL RACHMAN, TALDINUARYSPT Pancaran Samudera Shipyard A REQUISITION for INSPECTION PANCARAN #tasiet ttt urnpmtinnttins nis and ACCEPTANCE FORM Fae warn TEFERENCE REQUEST Wa, + RT BGOODOA27003 lcuewr 7. AMCARAN SAMUDERA TRANSPORT PROJECT CODE 1 mcoceos lass INSPECTION TEST DATE 97572001 lcavecony —: sae INSPECTION/TESTTIME + on00200 PROIECT No, 2 fReGUEST TS — Bap Guay Cont SecTION 7 SALGE by rons Joesionsnon : 2urmse ie TOBE WSPECTED: SIDEBOARD Deception eff. Drawing No. sideboard dan Sideboard Prof AFTSTBO FR46, Starboard AFT FR1.20 Peas rrenge for inspecton/test tobe performed on the following. FrceiFarricannd DESCRPTION ToT aren aaah 7 i pleeomare oar 7 WL PEARSON 7 ‘Aecepted 373/202 fen wom PECTIC —hesepted “saponi nw sic TS REL = 2 fsa aL Were CRON ae rates um es wacoue sos oristsomi) Tnspacion Result Cammonts] Recommendation Choose the appropriate requirement aT ae me | aoe = — a = oa same | AL | 7 Hat Ce LASSE ROTPT Pancaran Samudera Shipyard 2 REQUISITION for INSPECTION PANCABAN 1 neat vt i teteeptsrat as and ACCEPTANCE FORM. fsa Tee Perso TREFERENCE REQUEST No, 7 TRVBGOSODIRTOR lcuenr PT PANCARAN SAMUDERA TRANSPORT PROIECT CODE ‘saccn0s2 ciass x” IsPECTION/TEST DATE 9y6p2001 lcarecony —: bare INSPECTION/TEST TIME 198.00-12.00 PROJECT No. 2 REGUESTTO Dep Guay Control SECTION TALE by ona JOESiGNATION : zuLrKaAR [TEM TOBE WSPECTED: SIDEBOARD loeseintion elf Deawing No. sideboard den Skleboard Prof AFT-PORT FR 46, Portside-AFTFR 1-20, Please arrange for inspection/test tobe performed onthe following IK IF APPLICAB DESCRIPTION’ REST nCCRANE MATERA ERECTION i [eansremne meat /warcn mune Fae oF ere meses ease ‘Accepted 9/af2023| B sun wine nsPicON STRUCTURE ene accepted sapaoai| noes TRUCE TST NOT PLP. UT, © Totnes ossect) Tnspecion Razak Comments Recommendation Choose the appropriate requirement aaa OT aro Sao ae Sane aE separ oo sYonaTone A LAA Nat Tae | a RET Ta TESA RATTAN TORUS“2 _prpancaran Samudera Shipyard REQUISITION for INSPECTION PANCARAN ts cast tata testermnntnrte in es ‘and ACCEPTANCE FORM oo Te TIO REFERENCE REQUEST Wo, TRVBSOORORE CGS lcuewr PT PAMCARAW SAMUDERA TRANSPORT PROJECT CODE 6200082 lass 2 aK INSPECTION/TEST DATE 2 yapon lcarecony —: sane INSPECTION TEST TIME 28.00-42.00 PROIECT Ne, 2 [REQUEST TO + Den Guat Cont secrOn ‘CAGE ey own Destonanion : 2uirnan ITEM TOBESPECTED BOTTOM Deception STARBOARD ot. Drawing No. lBoTToNs,WNER BOTTOM, DAN CHINE TANGH3 PSR 36-42 Lajur DE Pease arrange fornspectiontet to be performed on the following fcr APPucABL DESCRIPTION meu (nth er ear nn z EEE cee oer ir wei acraion 7 Z ‘Accepted sfis/a0aa| sunt / WELDING MSPECTONFAUETURE® . accepted ssa] NONOLSNUCIVE STD RP. UT> : [usu /nnacspEcnON STRUCTUR Jest vac TES OSE EST HOR = = foes tos z 2 f = inspection Result Comments / Recommendation "Choose the appropriate requirement es — vow | | A Nas2 BANCABAN PT Pancaran Samudera Shipyard 1. gk on a at aaegeaintn et doa REQUISITION for INSPECTION and ACCEPTANCE FORM [sar lcuent cuss Icarecory BS PSTSIO Pr. PST Kr Blasting REFERENCE REQUEST No. PROJECT CODE. INSPECTION/TEST DATE INSPECTION/TEST TIME PROJECT No. TR78G000042)007 2o/e/2024 99.0017 REQUEST TO ev DESIGNATION Dep Quality Contral SECTION ‘aazac [FEN TOBE INSPECTED? Description BLASTING UNDERWATER - BLASTING TOPSIDE |- BLASTING EXTERNAL DECK/WALKWAY - BLASTING EXTERNAL SIDEBOARD | BLASTING INTERNAL SIDEBOARD - BLASTING INTERNAL DECK/CARGO DECK BASTING Reff. Drawing No. Please arrange for inspection/test to be performed on the following TICKIF APPLICABLE DESCRIPTION [ROWAN HATER RSPECTION ANSFERNGHEAT/ arco NUMBER -LP / WELD PREPARATION Jancx cava WsPEcTOn [sua weiDiie msPECHON STRUCTURE Now DesTRUCTVETESF(NOTRE,MPLP, UT, * sua. rRALINSPEcTON STRUCTURE Jw TEST/ VACUUM TST / ose TST ORO TEST® HMSUAL BLASTING & panne inspection Result Comments / Recommendation Founded some flash rust/rusty area and area need to grinding on minor area, {Q¢ fully advice to do repair and re inspect is required Re inspection and final inspection has conducted together Owner rep’, asthe result & satisfying * Choose the appropriate requirement 7 arc a ST ROVER REGUESTOR OC REPECTOR PEER ERS OnE \ SIGNATURE A Ye lat TAME TNRUR ROTM | —ROSpSARANTO | —TATGBAC RACH TIDY RUARYSPT Pancaran Samudera Shipyard REQUISITION for INSPECTION and ACCEPTANCE FORM BG PSTSI0 REFERENCE REQUEST No, > 1R/BG000082/008 Pr.Pst PROJECT CODE ext INSPECTION/TEST DATE 20/8/2021 JcaTEsORY PAINTING INSPECTION/TEST TIME; 99.00 1T PROJECT No, [REQUESTTO ‘Dep.Qualiy Control ‘SECTION ‘azac ev DESIGNATION [TEM TOBE INSPECTED? PAINTING Description eff. Drawing No. - BLASTING UNDERWATER BLASTING TOPSIDE |- BLASTING EXTERNAL DECK/WALKWAY - BLASTING EXTERNAL SIDEBOARD - BLASTING INTERNAL SIDEBOARD - BLASTING INTERNAL DECK/CARGO DECK Please arrange for inspection/test to be performed on the folowing. TICKIF APPLICABLE DESCRIPTION ReSUTT [NCGOMING WATERAT REPECTON freansrenne hear /enrou num Is / WELD PREPARATION — [sack caucine inspection eeu sua /wexbaic nsPecron (eraucTURE” NON DesTRUCTWE TEST NOT [ISUAL/ FINAL INSPECTION (TRUCTURE}® Jae Tes vacuun Test / WOse TesT/HYORO TEST VisuaL SLASTING & PAINTING [inspection Result Comments / Recommendation Founded some miss coat, low DFT, paint sagging & water mark on minor area, "GC fully advice to do repair and re inspect i required. Re inspection and final inspection has conducted together Owner reps, asthe result satisfying * Choose the appropriate requirement a sewn | CA ; (U lla NAME “AINNUR ROWIN ROGEARWANTO TMIQBAL RACHMAN ‘ALDY NUARY'S= AIR TEST [Poco yacrssrva revision | PANCARAN REPORT fhe. bees fowner [PT, PANGARAN SAMUDERA TRASNPORT Date of inspection 72 Septombor 2071 ourrace conomon [=] werneo [LZ] onouno ruse 1 onan > smoeoreun — FE] arteaweions [EO] aren uvonosrane omen , Hweonc recess [=] ov smn CO omen > Jecone ce To esene, EJ ercxcuene CO wetoeser exmnaron EJ encerner EE] eenneowewo TO omen: , eumscin oe] ouaw 1 mucr eras én oy eeacresr sms TO omer casero Fes) Ty owresr oO ee IT fares pe - ae [Neen NEL TNE: 10 MINUTES oleae PREPARED EY Zar Aiba ‘Gomer Surveyor[ Bs AIR TEST = omer TFL PREARAN SAURISERA TRRSNPORT — [Doon CRYBSSRT PANCARAN [pp 3G PST Io ae Ne : a ALL TANK. [Date “arrera0eT KOMPRESOR PENGISIAN ANGIN, TEKANAN 0,2 BARAIR TEST loaner BT PANGARAN SAMUDERA TRASHPORT [Locate DRY BOCRW. Projet BG. PSTSIO oe Dee. Ne — VOID PSI. FPS SPEDE [Date Sea PENYEMPROTAN SABUN PENYEMPROTAN SABUN PENYEMPROTAN SABUN PENYEMPROTAN SABLN2B PANCARAN PT. PANCARAN SAMUDERA SHIPYARD BLASTING AND PAINTING INSPECTION REPORT [Fiojed Name JES PSTSIO RepanNe, Date fieiez0er [Component [ident Not Projecto ‘Surface Preparation Cleaning [| V ] BLASTING. (rower -toounc HYDRO JETTING Sandard ot Gearing [Ful Bast to Sa 20 00%) a Press «0 Fam Vieromatr 0 [rea inepestes oT BOTTOM (100%) COMPLETED constr fe inspected Beers % Blast Profle isan rome slat one [tach Press -O- Fim) | Atace Press -O- Fim) (ltach Press 0 - Fm ) [Gonpieton of Cleaning [Gate TaR077 hime ia OO WTA PAINTING TaGoat Pra Goat 3d Coat Paint Manufacturer TOTUN PANT Type of Paint JOTAMASTIC BO AL 7 Batch No. (A) @ Ba00070-4 73968257 [T¥Be of Thinner SOTUNTHINNER NO 17 [Bato No, 2aTS7E0-4 JDP Cra Temp CIR wel we 3% [Sutace Temp © are Star Date Tine 1ee2021 400 WTA |WrT/ DFT Micons: 1508 lnspected by ‘OG,Paint Rep And Owmer Rep Remarks [Thisis to crty thatthe above tems have been inspected and acceped by the Paint Representabves lowe a ENT REPRESENTRTWE | — SORE REPRESSTATIE Jvenarure 4: Tat jawe ross baat aol OFHORTS bate= PT. PANCARAN SAMUDERA SHIPYARD. BLASTING AND PAINTING INSPECTION REPORT ARAN EAD ABON PigjeaiNane—[BSPSTETO RepariNo aces Component Date e071 [eat Nez Project No Surtace Preparation Cleaning |['V] BLASTING. (rower roo.nc (J ivoro sere 'Sandaré of Canag Full Bist o Sa 20 TOOT [Types of Abresve [Sica Sand [Press -0- Fin Miso Pes repectes RTICAL BOTTOM (00%) COMPLETED Esometer [es inspected Beare cr Gist Prone Bee Pte aa Poe |(Atach Press -O Fim) Attach Press -O- Fim) (tach Press 0 - Fim) ee ae EE PANTS Paria a pb Fanaa SRT Paes] a |e ; Ferme Sere es eT Froareoee fae] ee ae a = Sarcae[—ee —| mee] ferro ma Imre Saree on fee |Thisis to cay that tne above tems have bean inepectec and accepted by the Paint Reprecentatves SoMPaNT is PAINT REQRESENTATVE | — OWNER REPRESETAINE lncwarone a wa Ay tea AaPRORES [OATEB PT. PANCARAN SAMUDERA SHIPYARD. = BLASTING AND PAINTING INSPECTION REPORT RaNcaBan SaAoErs Project Name [BG PST STO Report No RerSaaaD [Component Date jzsrz021 geet WS Projet No Surtoce Preparation /Cieanina [ V | BLASTING. (Trower roounc (Jnpro verme Sendedo Cesing [S20 (00%) 8 SaZOTIOR [pes otAvresve [Sica Sma Press 0- Fim acronerID [es repectes FOPSIDE (TDR) COMPLETED, comet [ves peste Baa e is Pree isan [Sex Piohe ‘Atacn Press -0-Fim) |(atacn Pree -O-Fin) Attach Press -0 - Fm) Complaton of Ceaning [Baia DBD [Tine 17 OOWITA PAINTING Teton ara Coa Batok Pam anrecurer TON PANT pe of Pant TTANASTIC 00AL sth No. (A o Beowo7o4 | —2Re6825 Type of Thinner TOTUN THINNER NO 17 atch No. T5768 OP C/Ar Temp GTRF wel scm Suface Ter Be [Stat Date Tne | s0aeoen | rao WTA WET OFT Merere 7 [inspected by mg QC,Paint Rep And Owner Rep Remarks This isto certty that the above items have been inspected and accepted by the Pent Representatves oR FRE ANT REPRESENT | — GRR RESETS sonarune = an Has rae ross aS IOS OR ALENT bare= PT. PANCARAN SAMUDERA SHIPYARD => BLASTING AND PAINTING INSPECTION REPORT Pigjed Name JES PSTSIO Repeats [Component ae eet [eat Nae ProjeotNo Surface reparason Clearing || v] BLASTING. Clrowerroouns (avpro serine [Standard of Cleaning Full Blast to Sa 2.0 (100%) [Types of Abrasive [Siica Send ress =O - Fin Mert [es nepeces |EXTERNAL DEGK (00%) / COMPLETED carat [res inspected Beare o% ast Prose aerate Blast Prom |(Ata0n Prose-O- Fim) (Atach Press -- Fim) | atach Press -O- Fim) (Gonpiotonoi Ceara [Dae TameNET fine ie sama PAINTING etCoat Prd Got ed Coat aie Nanctactirer JOTON PART ype or Pant TOTAMASTIC OAL fetch No. © ‘Baccoro-s [25658251 ype of Tanner TOTUN THINNER NOT? Batch No BarsTESA [DP C/A® Temp CTR we [awe 7 Suave Ten © we Ser Date Tne vwaaon | 1ea0WiTa Wr OFT Micrene 5 inepacted by OG Paint Rep And Owner Rep Remarks [This is to erty et the above tems have been inspected and acceped bythe Paint Representatives [COMPANY TRIPS PAINT REPRESENTATIVE ‘OWNER REPRESENTATIVE. = Ve Ck Ta [NAME ROSIS RRVANTO_ ZUUKIPERAMIN ALDY NUARY S odPT. PANCARAN SAMUDERA SHIPYARD BLASTING AND PAINTING INSPECTION REPORT ow) ANCARAN EAADERA Sr AnD Projea Name [BG PST SIO ReportNa F Date i [Component ligent No.5 Project No. Surtece Preparation Cleaning [TV] puasTin. {Jeowsn ro0us (Joo serine [Sandor of Ceaning Full Blast to Se 20 100) Types ofAbrosie — [Sica Sang [Press -0- Fim Niortai [ea specter [EXTERNAL DECK (00H) COMPLETED [Econetr es specs BEE % est roe aa re sae Pre catacn Press -0-Fim) (tac Pest -0- Fim) (atach Pees -©- Fim) Compioton or Cea Dae a [ine Dawa PAINTING ‘siGoat Tra Coat maton Pant Manatee TOTUN PART [ype oft TOTAASTICBOAL [etch no. ® Be00070% | —_7B06825-7 [ype of Thinner JOTUN THINNER NO 17 [ten No TST [DP C/A Temp CTR wo] we 7 [saace Temp © Ea [San Date Tine manoa | —1ocowira [WET DFT microns 2 inspected by ‘QC Paint Rap And Owner Rep Remarks |The i to cortty that he above toms have bean inspected and accepted bythe Paint Representatives oe = eee aa Ya C That Fe aes ates ae =4s PT. PANCARAN SAMUDERA SHIPYARD = BLASTING AND PAINTING INSPECTION REPORT PANCARAN SAMUCERE SHEAR (Project Name [BO PSTHIO Reporte 7 Component ar Nars PaeaTN an Sioa tepareen/ Sema ILA] MATE (_Jeowerrooune [_jxvoro sernne [Sander of eanng [Ful Blast to Sa 20 00%) [ines of Abresve [Sica Sng Press - 0 Fin Meroter [ea napect IEXTERNAL DECK [100%] | COMPLETED Iconator aes raped Bare % etest Prone saat ae Profs \‘AtacnPress-0- Fm) (tach Prees -0-Fim) (tach Press -O- Fim) Conioson of aang Dae OETA Hine TE oo WTA PAINTING imcom Draco weak Pant Manta TOTUN PART [ye Paint TOTAMASTICOOAL faech No. ® Baooo7e% | 23066057 Hype of Taner JOTUN THINNER NO 17 [atch Na BaTSTOO- [oP C/A Temp CIR wel we 7 stave Temp aC [Serato Tine Bmne | Te coWTA [WET / DFT Merene 2a nepeced ‘GE Paint Rap And Oana Rap Remarks [This is to certy thatthe above toms have been inspected and accepted by the Pent Representatives coum TPR ANT REPRESENTATWE | — ORWER REPRESENTATWE oe, \ \\ rae Fas a ZEN DYRORYS parE= PT. PANCARAN SAMUDERA SHIPYARD. = BLASTING AND PAINTING INSPECTION REPORT PANCARAN EhADERA Stra ject Name —[BSPSTETO Report No Ro emear Date iriia024 ion No Project Sutece Proparatin/Cleanre |[V | wanpcurannc _{_|powsRT00uing —— | WYDROJETTING Sandra oro pes of Arasve [ca Sana [Press -0 Fim Meramato [ea rected IFLAT BOT TOW (100%) COMPLETED. [Beamer ives pected Beare om east Prone sas Pris (Baa Pome AtacnPress-0- Fim |catacnPress-0- Fim) ((Atacn Press -0- Fi [Completion of Geanng De aA SwWTE PAINTING aiGoat Trace Si Coat Pana Manachrer JOTUN PANT Z Hype of Pat Z TOTAWASTIC 80 AL RT as aah No @ Z Ea) 25810754 Hype or Tne JOTON THINNER 17 [been No Z aTSTEO [DP ci Ar Tere CIR 7 we [we 7 L [Sutece Temp © Z are [sartDate Tine Z aoa wooowna | 7 IFT OFT Wane Va ai LD Inepected by {DOPaet Rep Ard Owner Rep Remarks isto crtly that he above ems have been inspected an accepted bythe Paint Representatives (COMPANY Firs PANT RERRESENTATNE ‘GWNER REPRESENTATIVE [stonaTURE \ K ; ae ROE NTT, Ta GT ADYRUARTS BareB PT. PANCARAN SAMUDERA SHIPYARD. S DUSTING AND PAINTING NSPECTON REPORT PANCARAN BANGARAN [Project Name 10, oa eer ea ne a [ident No. 6 SeracePrepoton Comoro [Van cuz (Toso errne SS ses eS tern Bone ee foes foe a ae =a acres enteral Paneer ————s aaa a ra = a —— suv - fara TSR OCT : pom ae et ; Feat a i fam a z Seema 7 =e ep Sarre ; 7 [im ee ees 7 a ah fans oka bata den tas ioater tdietaeiscraciorcas bara = SRST — | aR RST eae Ye \— Has i mange nda aes [parea PT. PANCARAN SAMUDERA SHIPYARD > BLASTING AND PAINTING INSPECTION REPORT RAN EASSARAN [Project Name [BG PST 610 [Report No. tt |Component ete loans Satan cane rapiene coca leowsnsooue 1 wwonoserma Sascore es pana aaa os sar nee ——_ pee Sarre aoe eotreslolreny | peeemevoiney 5 a er aa PAINTING a oo ao Parmar RN Z mara TROT pene [a ae Serta SUNTAN con 7 sae cane Z eee aecetowe 7 a ; a Te ee [WET 7 DFT Microns: 1250, Y“ ine Eas a for This to certy tat the above tens have been inspected and accepted by the Pat Representatives couPar GF: PT REP ESENTATWE ER RETRESENTRIE a Joa ame TOR RATHNS zac ABUTS [DATEPANCARAN BADER BYARD PT. PANCARAN SAMUDERA SHIPYARD. BLASTING AND PAINTING INSPECTION REPORT [Project Name [BG PST 510 [Report No °$5/2030_ [Component lident. No. 10. [Project No ‘orice Prowein/Cesnre [[V] wanpautawa {_lpawenzaoune TT inono errs essere enue ne Sree: — eo ee es, — a pecaareiie pace Pe aan = ae ae ane saan foe [a se pe see pee ; ar 2 4 = [stat Date Tine. 7 Pea TODOWITA Z ae = ee Sra = Fe pee aL TT a = ee es yy - Ks = oy wn ats a24 PT. PANCARAN SAMUDERA SHIPYARD. — BLASTING AND PAINTING INSPECTION REPORT PANCARAN SAMDERA SNAP eae = 5 Ee oe |Component [iden No.iT Project No Sates Pmt ee Clemmons (Lesa rrn oo as Se eae = oof das om a aa a eee csi eens aie Fane ea a Fans sy = ao et poe Fara ; Senne Som aa Bee | TT Fara Taner I ene ae Sosa 7 a se ae eee 5 73 Soar [ae a errors M os 7 ieee Raa "Remarks [Tis is to cet thatthe above tems have been inspected ae scepted bythe Paint Representatives [meme a Sa RS —| aE lstouarune N Ta ae 5 aA ADRS peBa PT. PANCARAN SAMUDERA SHIPYARD = BLASTING AND PAINTING INSPECTION REPORT PANCARAN DANGARAN (rapa BSPETETO raat mepeas Ee Sea Component ident. No.i2 [Project No_ Sees hapeon/ Sows [TV] mamas {leawsatooue (1 wrpaosermne woe pee a ensecs as ae ee ee — fo Se — err | Atach Press -O-Fim ) \(Atach Press - © Fam ) |cAtacn Press -0-Fim ) \Censleion sf Ceanna [Date PROF [ime ooo TA PAINTING isto Bra Coat aoa [Pant Man tactrer Z| JOTUN PANT Z [Type of Pare JOTAGUARD 62 BLACK [Beth No. (Al ® esc Baeie7et Hype of Tanner Z OTON THINNER #7 3 [each No Z 2aTSTERT 7. [OP Gr Ar Temp CF RMS Ed we 7m [Suoce Temp © we [stn Date Tine Baa 05.00 TT DFT Meron oy inspected by ‘G Pant Rep And Owe Rep [Remarks : [This is to cetity thatthe above terns have been inspected and accepted by the Paint Representatives [sonar cz FANT RERRESETATWE OWE REPRESENTATWE Jscusrure Raj ran ROSS TAN ZA BY ORRTS rePT. PANCARAN SAMUDERA SHIPYARD. 7awe BLASTING AND PAINTING INSPECTION REPORT [Project Name [BO PST SIO [Report No Soro Date. feveoei [Component deni No_13 Projet NO, Sires Peertor/ Coons LV] gunpcugauma [_Ipowanzoouna (Lina weemc [sincera ot Creanng [Ti of Abrasive [sea Sand [Prece-O- Fm MeromtariD (ea species |FLAT BOTTOM (00%) / COMPLETTED. [Eeometer [rea inspected Boe % fiat Prote Bias Prate Tat Pree tach Press -O- Fim } tach Press -0 Fm) | Atach Press -0- Fim) [Compieion of Gieering Date 21ara021 aoowE PAINTING TetCoat Bd eat Bato [Pare maniac Z 7 TOTON PANT [Te of Pane ‘TOTAGUARD 82 RED Joucine. a) | Z E woes [200057 [Tipe of Taner Z SOTUN THINNER 17 [asin No. 2aUSTE [OF Cir Temp C7RH® Z ze ae [we ma [Satace Temp © 7 7 320 [Sir Oe Tine ce BRO TaoowiTA [WT OFT Marans Z 1258 Inepected by {GG Pant Rep And Owner Rep IRemarns [Tiss to crty that he above tems have been inspected and accepted by the Pant Representatives \ [couPaT \FrgS TANT RERGESENTATVE ‘OWNER REPRESENTATE [NAW ROSS WATANTO ZoNe LBV NUARYS [parePT. PANCARAN SAMUDERA SHIPYARD BLASTING AND PAINTING INSPECTION REPORT ICAR, CADSABAN Peja ae JES PST STD Rasa he ama Date iano [component Fane PaestN Sertace Preparation /Ciemring HAND CLEANING {rower roo. (| wvorovernne Seria coving Ties Asie Sie Sd [Bea Orin oer Desire ERTEAC BOTTON (06%) TCOWPLETTED—| esiaer frextesscereaee —[~ om etree ear rae ere | Atach Press -O- Fim) (Aton Pees 0 - Fl) tach Press 0 - Fim ) [comaiaon o Cearra ae RET [ine aT PAINTING Tate Bacar Sato Pat Marra JOTUN PANT [ie ot Pat SEAFORGE SHIELD DARK RED famcn no. a) [16 z Z aren Fie of tion Z TOTON THRNERT asco 7 z Zasioie [DP Gi Ar Teme Gr Re Z I TZ we] «wc | mK tice Toro 7 =e [Seta [Toe I Z i Bien | aaa [wer rDFT mice % 1p specs Pat Ry Ad Oar Rep Remar is ew caty at he sbove tens have been spect an acct by th Pat Represettes [couPany RS FANT REIRESENTATIE ‘GANER REPRESENTATIVE ne Nee ( Th hae ATT ZARA ADYROARYS loareUTE ORR ALAN C TBT-Free Selfpolishing Antifouling to this ship is compliant with IMO’s AFS Convention* Supplied t PT. PANCARAN SAMUDERA TRANSPORT. TK. PST 510 upply 20 SEPTEMBER, 202This is to certify that Date of issue 20 September, 2021 “TK. PST 510” was coated on the underwater area with TBT-free Self-Polishing Anti Fouling Self- Polishing system In compliance with the IMO Antifouling Systems Convention of 2001 (AFS/CONF/26) This certify is limited to the area which the antifouling system applied at dry docking at PT. Pancaran Samudera Shipyard, September 2021 The product is manufactured by Jotun Coatings and contains the following active ingredients SeaForce | Shield, D Red Dicopper Oxide (CAS Number 1317-39-1) Zineb (CAS Number 12122-67-7) Safeguard Universal ES, Plum (2.comp. primer) was applied to seal off any possibleexisting TBT-antifouling ARIFIN TSS Support - Marine Coatings Indonesia Jotun Coatings This certificate does not replace the "Certificate of Compliance” issued by the proper authority5 ; BIRO KLASIFIKASI INDONESIA 8 SERTIFIKAT PERSETUJUAN TIPE 1964 Type Approval Certificate No. 00089.20.TPO1168 No. Persetujuan 00363TA20 2 Tanggel Persetujuan 17 Juli 2020 Dae of prov Dengan ini dinyatakan bahwa produk dibawah ini telah memenuhi dan disetujui berdasarkan persyaratan dari Peraturan dan/alau Standard yang tercantum dibawah ini {his to certify thatthe fllecing products has been complied and approved bx accordance with regulrements ofthe Bulesand or Standards listed below Produk + Antifouling Systems Pembuat : PT. JOTUN INDONESIA Honcho Kawasan Industri M2100 BLOK KK-1, Cikarang Barat, Sekesi 17520, Indonesia Tipe Produk : SEAFORCE SHIELD Standard persetujuan + Rules for Approval of Manufacturers and Service Suppliérs (Pt 4, Vol. XI) Aorove stants Guidance for The Approval and Type Approval of Materials and Equipment for Marine Use (Part 1, Vol. W) IMO - Intemational Convention on the Control of Harmful Anti-fouling System on Ships. Sertiikat ini berlaku hingga tanggal yang ditetapkan di bawan dengan syarat jika terdapat perubahan atau ‘modifikasi pada produk harus segera diberitahukan ke BKI. This cerijeate remains wld url the date set below provided that ten are ay elteraions or mrxdiotons 1 the approved pret BKE shall be noiied immedi Sertifikat ini berlaku sampai dengan :16 Juli 2025 Th certificate is val nal Jakarta 21 September 2020 .nDirektr Operas Kepal Departemen Operas! Klsihast Catatan:Sertikat ini erdii dar 3 halaman fae Ths cenooets coms pages ci Sune og phn lo, oes nimple pe sh, kr Ras ua etn 214393PT. JOTUN INDONESIA No. Serikat Persetujuan :00089,20. P1168 Ni ofAppona Cerone Lembar Pengukuhan Endorsement Sheet : Folie Pemeriksaan periodik (16 Juli 2022 s/d 16 Juli 2023) Tanggal Povo sree (6 uy 202? wll 1-day 2033) | pe | | No. Lapren | | Reportna | surveyor Catatan: Sentifikat akan ditangguhkan secaraotomats ka tidak dikukuhkan dalam rentang waka yang telah ditetapan datas None The cert wil 6 aol suspended ft endorsed whi the pected tine prs honeh Lampiran 1 Annex to Sertifikat Persetujuan Tipe Type Approval Certificate 1964 No, Sertifkat:00088,20.TP01168 No. Persetuuan : 00863TA20 Neccommene jer Desteipst Produk ag Peat Goren ‘Seaforce Shields atin ree se polishing, hydraysing anton paint with actve contents 2 mention below Cuprous Oxide (CAS No, 1317-38-1 Zine’ CAS No, 12122.67-7 ‘The product avalable in various colours. Kondisi Persetujuan 1. This approval is soley connected to the control of harmful of Anti Fouling System as required by approval standard applied, The approval is not indudes any evaluation of corrosion protecive performance, toxicity, contamination polluton, cr fre technical roperties. 2 Consideration isto be pad tothe manufacturing recommendation concerning coating application 3. Individual product cetfication is not required, Dokumentas! Persetujuan opo! Documeon> 41. BAI Asaossmont Roport No. 01168 TP/C1/2020 2 Technical Data Sheet anc Material Sately Data Sheet for Seaforce Shield 3. Type approval test report no, LT-10-20-0459 conducted by Unit Laboratori Jasa Periguiian, Kabra, dan Set Institut Pertanian Sogor recognized by BX Penandsan Produk Waring Prose! ‘The following tems are to be clearly marked on the paint container labels or ether sulable places, Product name < ‘Manufactures name or trade mark Manufacturers production address, ‘Type of Ant Fouling System ‘Storage instruction Production date Baten number 'BK''S approval number : 00983TA20 Pomeriksaan periodik Parosen Sunt For retention of the approval, a BX! Surveyor shal conduct perocical survilance to verity that approved qually system. ete ofthe manufacturing works are maintained satisfactory ‘The main scope ofthe periodical surveitance wil normally inlude: = Vertieaton of te manufacturer's production and quality system with regard ta ensure continued consistent production of the Type Approved proce athe manufacturers premees, Review ofthe approval documentation and that this is sll used as basie for the production Review of possible changes tothe properties ofthe product, Verfication ef the product marking. rroaosa0rereed a 214394