Professional Documents
Culture Documents
Standard Form HID CH QA
Standard Form HID CH QA
Company Name
Nama Perusahaan
Cell Phone
Telepon selular
Contact Person
Nomer Telepon
Facsimile
Fax
E-mail
E-mail
Office Address
Alamat Kantor
Project Name
Nama Projek
Latitude
Garis Lintang
Units x Output
Unit x Output
Regency
Kabupaten
Longitude
Garis bujur
Total Output
Total Keluaran
Location
Kecamatan, Desa
Elevation
Elevasi
______________ masl
Consultant
Konsultant
EPC Contractor
Kontraktor Utama
Civil Contractor
Kontraktor Sipil
DEVELOPMENT STATUS / STATUS PEMBANGUNAN Circle the good answer / Lingkari jawaban yang baik Business License IUKS Obtained Yes / No Yes / No
Surat ijin Bisnis IUKS Ijin Kehutanan
Yes / No Yes / No
Yes / No Yes / No
Financing Arranged
Pengaturan Pembayaran
Yes / No
IMPORT LICENSES Special Importer ID Number DESIGN STATUS Feasibility Study Available
Ketersediaan Studi Kelayakan
/ IJIN IMPOR
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Prepared by
Pelaksanaan Oleh
Prepared by
Pelaksanaan Oleh
Prepared by
Pelaksanaan Oleh
Commencement Date
Tanggal Permulaan
TIME SCHEDULE OF CIVIL WORKS / JADWAL WAKTU PELAKSANAAN PEKERJAAN SIPIL Erection Start [months] Completion [months] ___________ months
Mulai pekerjaan [bulan] Penyelesaian [bulan] / JADWAL WAKTU PELAKSANAAN PEKERJAAN ME
________ months
Commencement Date
Tanggal Permulaan
TIME SCHEDULE OF ELECTROMECHANICAL WORKS Erection Start [months] ___ / ___ / ___
Mulai pekerjaan [bulan]
___________ months
Completion [months]
Penyelesaian [bulan]
________ months
/ TURBIN
_____________ m _____________ m _____________ m __________ masl __________ masl __________ masl __________ m3/s __________ m3/s __________ m3/s
/ KONEKSI JARINGAN
_____________ m ___________ mm _____________ m ___________ mm _____________ m ___________ mm _____________ m ___________ mm __________ masl
Speed Rise
Kecepatan Kenaikan
Pressure Rise
Tekanan Kenaikan
_________ hrs/yr
Grid Voltage
Voltase Grid
_____________ kV _____________ Hz
Grid Frequency
Frekuensi Grid
Frequency Variation
Variasi Frekuensi
No of Outgoing Lines
Jumlah Jalur Keluar
Transformers Location
Lokasi Transformer Jarak dari MV Switchgear ke Transformer (Panjang Kabel)
Distance from MV Switchgear to Transformers (Cable Length) Distance from MV Switchgear to Dead End Pole (Cable Length)
Jarak dari MV Switchgear ke Pole Akhir (Panjang Kabel)
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_____________ m _____________ m
POWERHOUSE DESIGN / DESAIN PH Access Road Elevation _____________ masl Service Bay Elevation _____________ masl
Powerhouse Width
Lebar PH
Access Rd Arrangement
Pengaturan Jalan Akses
Pre-Feasibility Study
Studi Kelayakan Awal
ATTACHMENTS PROVIDED / LAMPIRAN Circle the good answer / Lingkari jawaban yang baik General Arrangement Drawing Yes / No Gambar Penempatan umum Yes / No Yes / No Yes / No Powerhouse Drawings
Gambar Gedung Sentral
Feasibility Study
Studi Kelayakan
Yes / No Yes / No
Detailed Design
Design detail
Waterway/Penstock Drawings
Gambar Pipa Pesat / Jalur Air
Ambient Temperature
Suhu Lingkungan
Water pH
Derajat Keasaman Air
- Electrical Conductivity
- Daya Hantar listrik
- Dissolved Oxygen
- Kandungan Oksigen
- Chloride
- kloride
_____ C
/ INFORMASI TRANSPORTASI
- Sulfate
- Sulfate
Nearest Road
Jalan terdekat
Yes / No
Nearest Railrd
Rel terdekat
Nearest Seaport
Pelabuhan Terdekat
Nearest Airport
Bandara Terdekat
Yes / No
NOTES All drawings shall be provided in AutoCAD format Attach copy of all licenses/permits obtained
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