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INSPECTION REPORT

Tanjung Jati B Expention (Jawa-4) Coal Fired Steam Power Plant 2 X 1,000 MW

Area / Location TGB Unit #5 / FL + 30,500mm Inspection Item - Date -

ITP Number - RFI No.

Drawing Number - Report No.

Grout Maker Name

Grout product Name

Froundation condition Well Chiped No Foreign Material

Water condition [℃] Liter/Bag

Mixing Time

Total Grout bag

Grout Date

Inspection date

Caution :
Normal temperature formulated and mixing proces is refer to catalogue
Just before grouting remove all free water particularly from grout holes and blackoputs by
sponging out with clean rags or blow out with oil free compressed air

Instrument Tester :
Type : Serial Number : Manufacture :
Range : Calibration Date :

Special Comment if any :

Checked / Inspected by Inspected by Witnessed by Witnessed / R/Approved by Witnessed by

Company PT.WME PT.TPSC PT.TAPI JOSW / IHE BJP / OE

Name

Signature

Date

***Note

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