TENGIZCHEVROIL

FGP / AREA 7SS

Contract: FR8000235

KLIMA-0009-TCO-RFI-
NOTIFICATION OF READINESS FOR INSPECTION
NO: HVAC-58-SU-
(NORFI)
3301-001
Project: AREA- TENGIZCHEVROIL PO No. 0009
058-SU-3301 FGP / AREA 7SS
Contract: FR8000235

Date: 21/03/2019 No. of Pages incl. cover:

To: Construction Manager Email : Jean-
Charles.COYAUD@non.schneider-
electric.com
Copy to: Purchasing Manager Email : abdelghani.chaib@schneider-
electric.com
Copy to: QA/QC Leader Email : Michel.vieux@schneider-
electric.com
Copy to: Project Manager Email : petrica.macarov@schneider-
electric.com
Copy to: Technical Leader Email : bertrand.cabaret@schneider-
electric.com
Copy to Engineering Integration Leader Email : laurent.sauze@schneider-
electric.com
Copy to Senior Inspection Engineer Email : allan.low@energyengg.com
PJV Representative
Copy to Fairhurst in charge of the package Email : Andy.Fairhurst@fluor.com
Copy to Package SQS representative Email : AEIJ@chevron.com (Dan Riley)

Suppliers Name: KLIMA ENERGY Sub-Supplier Name: N/A

Contact Name: Eddie L. Contact Name: N/A
Email: ops@klimasynergy.com Email: N/A
Phone: +6282191708408 Phone: N/A

Location / Address: PT. Wasco Engineering Indonesia, Date & Time:21 MARCH 2019
Batam
Jl. Brigjen Katamso Km.5
Kel. Tanjung Uncang Kec. Batu Aji Time: 10.15 AM - Finish
Batam Indonesia 29424
Telp: +62 778 392 212/ 396 216
Fax: +62 778 396 211

The proposed location & date has been confirmed with:

Form No: 015-C002-QAC-FRM-PJV-000-00025-00_H02 Supplier Quality

Surveillance
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 TENGIZCHEVROIL
FGP / AREA 7SS
Contract: FR8000235

Outside Bassiare office

* Shop Inspector / *3rd Party Inspector (*delete as applicable).

For the Inspection & Test Plan activities identified below.

Item / Tag Activit Code

ITP No. Description of Activity / Inspection / Test to be performed
No. y No. R/W/H
051-0005- R/W Damper Installation Inspection
HHH-ITP-
1 000-SQF-
00001-
00_K01

Any other information:

To avoid unnecessary visits, Supplier herewith declares that:- (Please tick the boxes below)

YES NO N/A
All above-mentioned items are available.
All above mentioned items passed successfully in-house inspection.
Material and / or test-certificates for above mentioned items are available,
checked and approved by Supplier
Applicable 3rd party inspection has taken place / will take place at the same
date*. *(delete as appropriate)
All relevant documents have been processed/reviewed Code 1 or Code 2.
All flange facings are in accordance with the project / order specifications.
All equipment / material is in compliance with the project / order
specifications.

COMPLETED BY KLIMA ACCEPTED BY ACCEPTED BY TCO/PJV

ENERGY SCHNEIDER
SIGNATURE

PRINT NAME
DATE

Form No: 015-C002-QAC-FRM-PJV-000-00025-00_H02 Supplier Quality

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 TENGIZCHEVROIL
FGP / AREA 7SS
Contract: FR8000235

ATTACHMENT 1

ITR Tag Equipment

S/N ITR Tag Number Location Service
Description Description
Damper Battery Room Supply
1 58-FD-3301-6 Fire Damper Switch Room
Installation Air Duct
Damper Volume Control Battery Room Supply
2 58-VCD-3301-12 Switch Room
Installation Damper Air Duct
Damper Volume Control Switch Room Supply
3 58-VCD-3301-8 Switch Room
Installation Damper Air Duct
Damper Battery Room Lobby
4 58-FD-3301-7 Fire Damper Switch Room
Installation Supply Air Duct
Damper Volume Control Battery Room Lobby
5 58-VCD-3301-13 Switch Room
Installation Damper Supply Air Duct
Damper Volume Control Switch Room Return
6 58-VCD-3301-16 Switch Room
Installation Damper Air Duct
Damper Volume Control Switch Room Return
7 58-VCD-3301-17 Switch Room
Installation Damper Air Duct
Damper Volume Control Switch Room Return
8 58-VCD-3301-18 Switch Room
Installation Damper Air Duct
Damper Switch Room Pressure
9 58-FD-3301-8 Fire Damper Switch Room
Installation Relief Air Duct
Damper Switch Room Pressure
10 58-FD-3301-9 Fire Damper Switch Room
Installation Relief Air Duct

Form No: 015-C002-QAC-FRM-PJV-000-00025-00_H02 Supplier Quality

Surveillance
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