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2x1000 MW CFPP, Central Java Project IN NO.

:
Civil Work AI-FSB/IN/VI/19/055D

INSPECTION NOTICE (IN)


To SUMITOMO CORPORATION
Attention Mr Anang Sigit
WE WOULD LIKE TO HAVE YOUR PRESENCE FOR INSPECTION ACCORDING TO THE FOLLOWING
SCHEDULES AS BELOW:
INSPECTION ITP
DESCRIPTION INSPECTION ITEM
TYPE No.

AI-FSB-MS-ITP-001 Embedment Installation from Elv. +12.100


Measure & Visual Embedment Installation
Rev. 0 to +20.100

MES BVI SC BPI


D : Document Review I : Inspection Required W : Witness
INSPECTION
LEVEL W1 W1 W2 N/A
S : Surveillance H : Hold / Witness Point

MES
PREPARE RECORD SC
S/V QAQC

YES

1. Planed date & time of Inspection :


08 July 2019 at 10.00 am
untill
14 July 2019 at 10.00 am
2. Location :

Fly Ash Silo 3


Elv. +12.100 to +20.100

3. Contract Point :

CFPP Project Batang

4. Outline Of Inspection

5. Reference Procedure Of Method Statement

Method Statement for Fly Ash Silo (Rev. 01) B-UER-C-MS-9101

Prepared by, Reviewed by, Received by


ACSET MES SC

Date : Date : Date :

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