COVER SHEET SITE ACCEPTANCE TEST ‘System Type ent Project [Contractor (Contract No. |Contact Person at Site Site Site Office Address Phone at Site Fax at Site | Supplier Phone / Fax —— [GUTOR Order No. __: 1110099001 Client Tag No. : 01-UPS-7101B : PT. PERTA- SAMTAN GAS. : SOUTH SUMATERA NGL PROJECT : Mr. ADITYA WAHYU PRADANA, : GUTOR Electronic Ltd. 1s includes E720,096—; IGB: Cover sheet (this page) gw ‘9GB: Battery: Commiss. Charge sheet (.2 pages) [Z 12GB: General & Punch List sheet TOGB: Battery: Discharge test sheet(7 pages) Ed) }3GB: Installation Check sheet NGB: Battery: Specific Gravity sheet ( pages) }4GB: Charger test sheet (| pages ) 12GB: Battery Temperature (1 pages ) gy 'SGR: Battery test sheet ( 1 pages) 13GB: Options Test Sheet (1 pages) y 16GB: Inverter test sheet uy 14GB: UPS Alarm Test Sheet [7GB: Bypass test sheet a fe, 13Gm Carp Alam ets pegs) /8GB: Bypass Stabilizer test sheet 2a 16GB: UPS Function Test Sheet, 11GB: Charger Function Test Sheet a PEW 1060-220/220-EAN-R, PT. TRIPATRA Hardstrasse 74 CH-5430 Wettingen / Switzerland +441 56 437 3434 / +441 56 4373421 (Performed by: Print: Pi A Sign: Date: December 19, 2011 FOSRV-O8 REV.0DGENERAL & PUNCH LIST TRUeIGBT [GUTOR Order No. :1110099001 Client Tag No. : O1-UPS-71018 28 Installation Check Charger Test DC Stabilizer Test Inverter Test Bypass Test ‘Bypass Stabilizer Test Battery: Commissioning Charge Battery: Discharge Test Battery: Specific Gravity Test Charger Options Alarm Test Functional Test 00, joooo0o0ooooo! ooosooo0ooo0oo ‘System commissioned according to checklist ‘System in Operation Without load [] Operation Instruction supplied to Contractor ‘Name ‘System handed over to Contractor / End User System handed over without defects ‘The following outstanding items have to be corrected: ae is,20nINSTALLATION CHECKS [ enovesces | [GUTOR Onder No. :1110099001 (Client Tag No. : 01-UPS-7101B 1. General Material complete ‘Recommendation for system location observed (Climatic recommendation observed Electrical Data 2. Mechanical Checks ‘Transportation damages Loose components/cards Tightness check Internal connections (inter cubicle connections) Extemal connections (permanent / vessporery)— ‘Syotem earthing (permanent / teruporary) ‘Temporary Upstream Fuses / Breaker rating AAC Permanent-pstream-Fuses / Breaker rating / 250 AAC oOnmoo0o0o000 E R ber 19, 2011 Pagename: Installation Chocks PAGE: /