Page 1 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : FUEL STORAGE TANK

TAG. NO : B1GO-TK-01A

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Date
Time Dev. Stage A-B Dev. Stage A-C Dev. Stage A-D
Stage A (0% ) Stage B ( 25% ) Stage C ( 50% ) Stage D (75%)
No. (Degree)
TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell
1. (0°)
2. (45°)
3. (90°)
4. (135°)
5. (180°)
6. (225°)
7. (270°)
8. (315°)
Note : For shell will be survey 500 mm from top of bottom plate

Comment :

Prepared & Witnessed by Completed & checked by Witnessed/Reviewed by

GEOINDO PT.EMK/IMN PT.AR

Name : Name : Yuwantoni Name :

Date : Date : Date :
 Page 2 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : FUEL STORAGE TANK

TAG. NO : B1GO-TK-01A

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Date
Time Dev. Stage A-E Dev. Stage A-F Dev. Stage A-G
Stage A (0% ) Stage E (1st-100% ) Stage F (2nd-100% ) Stage G ( 75 %)
No (Degree)
TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell

1. (0°)
2. (45°)
3. (90°)
4. (135°)
5. (180°)
6. (225°)
7. (270°)
8. (315°)
Note : For shell will be survey 500 mm from top of bottom plate

Comment :

Prepared & Witnessed by Completed & checked by Witnessed/Reviewed by

GEOINDO PT.EMK/IMN PT.AR

Name : Name : Yuwantoni Name :

 Page 3 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : FUEL STORAGE TANK

TAG. NO : B1GO-TK-01A

Date : Date : Date :

 Page 4 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : FUEL STORAGE TANK

TAG. NO : B1GO-TK-01A

Sketch :
1
1
8 2
8 2

7 3

4
6 44
6

5
 Page 5 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : FUEL STORAGE TANK

TAG. NO : B1GO-TK-01A

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Date
Time Dev. Stage A-H Dev. Stage A-I Dev. Stage A-J
Stage A (0% ) Stage H (50% ) Stage I (25% ) Stage J ( 0 %)
No (Degree)
TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell TOC Shell
1. (0°)
2. (45°)
3. (90°)
4. (135°)
5. (180°)
6. (225°)
7. (270°)
8. (315°)
Note : For shell will be survey 500 mm from top of bottom plate

Comment :

Prepared & Witnessed by Completed & checked by Witnessed/Reviewed by

GEOINDO PT.EMK/IMN PT.AR

Name : Name : Yuwantoni Name :

Date : Date : Date :
 Page 6 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : RECYCKLE WATER TANK Report No: U3-IR-ME-P4-0351

TAG. NO : T.2375-01

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Stage A (0% ) Stage B (25% ) Dev. Stage (B-A) Stage C ( 50% ) Dev. Stage (C-A) Stage D (75%) Dev. Stage (D-A)

Anchor Anchor Anchor Anchor Anchor Anchor Anchor

Shell Shell Shell Shell Shell Shell Shell
Bolt Bolt Bolt Bolt Bolt Bolt Bolt

1 6646 6560 6645 6559 -1 -1 6646 6559 0 -1 6646 6558 0 -2

2 6587 6510 6586 6509 -1 -1 6585 6510 -2 0 6586 6510 -1 0
3 6431 6362 6430 6362 -1 0 6431 6362 0 0 6430 6361 -1 -1
4 6419 6338 6419 6337 0 -1 6419 6338 0 0 6418 6338 -1 0
5 6434 6370 6434 6369 0 -1 6435 6370 1 0 6434 6369 0 -1
6 6511 6434 6511 6434 0 0 6511 6434 0 0 6510 6433 -1 -1
7 6591 6520 6590 6519 -1 -1 6590 6520 -1 0 6590 6520 -1 0
8 6644 6566 6643 6565 -1 -1 6644 6566 0 0 6643 6565 -1 -1

Comment : Prepared by Witnessed by Witnessed/Reviewed by

PT. GKT IKPT SRI-U3

 Page 7 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : RECYCKLE WATER TANK Report No: U3-IR-ME-P4-0351

TAG. NO : T.2375-01

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Stage A (0% ) Stage E (1st-100% ) Dev. Stage E-A Stage F (2nd-100% ) Dev. Stage F-A Stage G (0%) Dev. Stage (G-A)
No
Anchor Anchor Anchor Anchor Anchor Anchor Anchor
Shell Shell Shell Shell Shell Shell Shell
Bolt Bolt Bolt Bolt Bolt Bolt Bolt
1 6646 6560 6644 6557 -2 -3 6644 6557 -2 -3 -6646 -6560
2 6587 6510 6585 6510 -2 0 6586 6509 -1 -1 -6587 -6510
3 6431 6362 6431 6361 0 -1 6431 6362 0 0 -6431 -6362
4 6419 6338 6419 6338 0 0 6420 6338 1 0 -6419 -6338
5 6434 6370 6435 6370 1 0 6435 6369 1 -1 -6434 -6370
6 6511 6434 6511 6434 0 0 6511 6434 0 0 -6511 -6434
7 6591 6520 6589 6519 -2 -1 6589 6519 -2 -1 -6591 -6520
8 6644 6566 6643 6564 -1 -2 6643 6564 -1 -2 -6644 -6566

Comment : Prepared by Witnessed by Witnessed/Reviewed by

PT. GKT IKPT SRI-U3

 Page 8 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : RECYCKLE WATER TANK Report No: U3-IR-ME-P4-0351

TAG. NO : T.2375-01

Sketch

Comment : Prepared by Witnessed by Witnessed/Reviewed by

Comment : Prepared by Witnessed by Witnessed/Reviewed by
Comment : Prepared by Witnessed by Witnessed/Reviewed by
 Page 9 of 3

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : RECYCKLE WATER TANK Report No: U3-IR-ME-P4-0351

TAG. NO : T.2375-01
PT. GKT IKPT SRI-U3
 Page 4 of 4

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : MES DAILY TANK

TAG. NO : T.6323-01

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Stage A (0% ) Stage B (25% ) Dev. Stage (B-A) Stage C ( 50% ) Dev. Stage (C-A) Stage D (75%) Dev. Stage (D-A)

Anchor Anchor Anchor Anchor Anchor Anchor Anchor

Shell Shell Shell Shell Shell Shell Shell
Bolt Bolt Bolt Bolt Bolt Bolt Bolt

1 1361 1281 1361 1281 0 0 1361 1281 0 0 1361 1281 0 0

2 1360 1287 1360 1286 0 -1 1360 1286 0 -1 1359 1286 -1 -1
3 1378 1302 1377 1302 -1 0 1378 1302 0 0 1378 1302 0 0
4 1390 1305 1390 1305 0 0 1390 1305 0 0 1390 1306 0 1
5 1401 1314 1402 1315 1 1 1400 1314 -1 0 1401 1315 0 1
6 1401 1316 1401 1316 0 0 1400 1315 -1 -1 1401 1316 0 0
7 1392 1312 1391 1311 -1 -1 1391 1311 -1 -1 1391 1311 -1 -1
8 1374 1289 1373 1287 -1 -2 1373 1288 -1 -1 1374 1289 0 0

Comment : Prepared by Witnessed by Witnessed/Reviewed by

PT. GKT IKPT SRI-U3

 Page 4 of 4

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : MES DAILY TANK

TAG. NO : T.6323-01

SETTLEMENT CHECK TANK (LOCAL ELEVATION)

Stage A (0% ) Stage E (1st-100% ) Dev. Stage E-A Stage F (2nd-100% ) Dev. Stage F-A Stage G (0%) Dev. Stage (G-A)
No
Anchor Anchor Anchor Anchor Anchor Anchor Anchor
Shell Shell Shell Shell Shell Shell Shell
Bolt Bolt Bolt Bolt Bolt Bolt Bolt
1 1361 1281 1360 1281 -1 0 1361 1281 0 0 -1361 -1281
2 1360 1287 1360 1286 0 -1 1359 1285 -1 -2 -1360 -1287
3 1378 1302 1378 1303 0 1 1377 1301 -1 -1 -1378 -1302
4 1390 1305 1391 1307 1 2 1390 1306 0 1 -1390 -1305
5 1401 1314 1401 1314 0 0 1401 1314 0 0 -1401 -1314
6 1401 1316 1401 1316 0 0 1401 1316 0 0 -1401 -1316
7 1392 1312 1392 1311 0 -1 1391 1311 -1 -1 -1392 -1312
8 1374 1289 1373 1290 -1 1 1373 1289 -1 0 -1374 -1289

Comment : Prepared by Witnessed by Witnessed/Reviewed by

PT. GKT IKPT SRI-U3

 Page 4 of 4

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : MES DAILY TANK

TAG. NO : T.6323-01

Sketch 1
8
2

Comment : Prepared by Witnessed by Witnessed/Reviewed by

Comment : Prepared by Witnessed by Witnessed/Reviewed by
Comment : 6 Prepared by Witnessed by Witnessed/Reviewed by

5
 Page 4 of 4

SETTLEMENT CHECK TANK SUMMARIZE

ITEM INSPECT : MES DAILY TANK

TAG. NO : T.6323-01 6
PT. GKT IKPT SRI-U3
5