) ADEPT ADVISORS INDIA PRIVATE kIMITED FORM No. 11 (See rules 62 and 64) 4. Name ofthe Occupier Pinnacle Engineering 2.Name & exdoss Plot NO.F7,Opposite of oftheFecioy—_attanshett Petrol Pump,MIDC Pin: 416436 its Saal Kupwad,Sangit ‘Name: FOT Crane; Make: Eshanav lect & Crane 8.0) ype ldnicaton number and destin of Components; Cap 3 Ton; S.No: SEEHNSOI; Location: lt if ing chine ba, pes and New Shop Tig sen (0) Datsfersrctin renee eatne nae Minsnen tes lg meee ee ‘oes dg ncles wee tink ae hey 4 Date of iat examinations mad under eS al section 26 (6) (ane 29 (1) I) ane by whom was carted out 5.) Msnoane (Ut pars, any. which ware Inscesble] rete focvng pars ofthat ot Ht propery manaied arin goo wong oer? na, alo wat dts have been ound: (Eon afita ort ne NA indy oes econ {rls ented sand coh. mA ie NA (6.ter ga tsi, wt (Cag ada at i. a. Bl. er E . “Sn DOr eet NAL (heres pe reattach Be NAL NA (Breies NA {Wr tur asang (9 Other eectical equpment. Bs NA (WOter pans@ (©) Dato and numberof tha carte relating to any test nd ‘examination made under subue (1) of rue 6 ogee wh ‘the name ofthe person Wha issued th cecal (€)() Date of anneaing or there heat trestrant ofthe chain and fing lace carne ot uncer ube (5) of rue 64 snd by hom, Rwas eared out (i Particulars of any defect found at any such ‘sxaminaion of sla annealing an afscting the sefe working load and of the steps taken to remedy such defect. {6 Repairs, renewals or alterations (f any) requited and ‘the period within which they should be executed and maximum safe working load subject to repairs, renewals or slternations (any). ‘Tested for first ime NA ‘Test Load 38 Ton found OK. SWL3 Toa “We cerity that on .09/08 2022, Wie thoroughly examined the host, lf, iting machine, ropes and Ming tackles and details ‘of examinations /testcameaout senclosedherewith ha the aboveis correct repartofthe result Dale: 99/08/2022 ‘Address: Cosmos Commarlal Complex, 205 BI, E Ward, New Shahupur, Kolhapur - 416 01. rose eta (Resi) 0291 =2526149 (od) Oezz8t2t19 vis ‘Sighature Mr. AMIT'N. MATE Qualifications : BE. (Prod.) ME. (Moch-Prod) AMIE. ADIANCED OPLOMAIN NOUSTRIAL SAFETY _APPROVED OOVPETENT PERSON CPC.No: MSIDISH/CPC’M.040/2020 wi: 31/122022 Date: 09/08 2022