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INSPECTION REPORT

PT RIFANSI DWI PUTRA CS WUR EW

Contractor : PT. Rifansi Dwi Putra SR No. : RDP 25/PHR100/2021-S0

Client : PT. Singgar Mulia

Ownner : PT. Pertamina (PHR) Date :

Job No. : C1367161-V7.1

Location : Minas, 4C-45

Description : √ Clearing Grubbing

1. TYPE OF INSPECTION: Field Inspection

2. INSPECTION ITEM: Clearing : Grubbing:

Clean up all of the grass Grub all of the soildirt

Clearing top soil / humus / soildirt Length, depth & width of grubbing area

Length and width of clearing area Others :

3. INSPECTION REPORT: Documentation

4. INSPECTION RESULT: Accepted Rejected


`

5. REMARKS :

Supporting document attached

YES NO

Prepared by: Witnessed/Reviewed by:


QA/QC PT. RDP QA/QC PT. Singgar Mulia

Date : Date :
DOCUMENTATION

Job No : Location : Minas 4C-54

Type of work : Clearing Date :

Prepared By, Reviewed/Approved By,


QA/QC RDP QA/QC SM

Date : Date :

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