PT.

WADUK TIRTA ASIH

NO. : 009/DELV/WTA-BGR/ASAM ASAM/IX/2021
Penerima : Pengirim :
PT. PLN ( Persero ) PLTU ASAM ASAM PT. WADUK TIRTA ASIH
Asri Mulia, Jorong, Tanah Laut Regency Kp. Cimanggung, Jl. Raya Narogong KM. 26,5
South Kalimantan 70881 Kec. Klapanunggal, Bogor

Up. Bpk. Heri Siswanto Jawa Barat 16710

Tanggal : 20 September 2021

Dasar Pengiriman : Disetujui Prepare Warehouse Admin Bag.Keamanan

Dengan Hormat ,
Bersama ini kami kirimkan barang - barang tersebut di bawah ini :
No. Nama Barang Jumlah Keterangan / Catatan

1 G13C-29 GIRDER BH-700X300X15X20 1 Good ML-SEQ.-03

2 B9C-4 BEAM WF450x200x9x14 2 Good ML-SEQ.-03
3 B11C-9 BEAM WF600x200x11x17 2 Good ML-SEQ.-03
4 C5-21 COLUMN BH-450X450X25X40 1 Good ML-SEQ.-03
5 B11C-5 BEAM WF600x200x11x17 1 Good ML-SEQ.-03
6 B11C-6 BEAM WF600x200x11x17 1 Good ML-SEQ.-03
7 C2-13 COLUMN BH-900X400X25X35 1 Good ML-SEQ.-03
8 G18-7 GIRDER BH-1200X300X20X30 1 Good ML-SEQ.-03
9 G19-1 GIRDER BH-1200X350X20X35 1 Good ML-SEQ.-03
10 C6-17 COLUMN BH-400X400X20X25 1 Good ML-SEQ.-03
11 C2-13 KOMPONEN ASSY 1 Good ML-SEQ.-03
12 pl-163 SPLICE PLATE PL22x110 12 Good ML-SEQ.-03
13 pl-164 SPLICE PLATE PL22x300 6 Good ML-SEQ.-03
14 pl-165 SPLICE PLATE PL19x525 6 Good ML-SEQ.-03
15 pl-161 SPLICE PLATE PL22x400 4 Good ML-SEQ.-03
16 pl-162 SPLICE PLATE PL22x140 9 Good ML-SEQ.-03
17 pl-165 SPLICE PLATE PL19x525 6 Good ML-SEQ.-03
18 PB3-3 BEAM WF200x100x5,5x8 2 Good ML-SEQ.-03
19 C5-16 KOMPONEN ASSY 1 Good ML-SEQ.-03
20 pl-161 SPLICE PLATE PL22x140 2 Good ML-SEQ.-03
21 pl-162 SPLICE PLATE PL22x140 4 Good ML-SEQ.-03
22 pl-163 SPLICE PLATE PL22x110 4 Good ML-SEQ.-03
23 pl-164 SPLICE PLATE PL22x300 2 Good ML-SEQ.-03
24 pl-165 SPLICE PLATE PL19x525 4 Good ML-SEQ.-03
25 pl-190 SPLICE PLATE PL25x260 2 Good ML-SEQ.-03
26 pl-191 SPLICE PLATE PL25x140 4 Good ML-SEQ.-03
27 pl-192 SPLICE PLATE PL25x450 1 Good ML-SEQ.-03
28 CAT LIGHT GREY 3 Good ML-SEQ.-03
29 PART B PENGERING 3 Good ML-SEQ.-03

88

Diterima Oleh,
Pembawa : Nama :
No. Polisi Kendaraan : Bagian
No. HP : Tanggal :

Pukul :

TTD :

Ttd & Cap :

 PT. WADUK TIRTA ASIH
Kp. Cimanggung, Jl. Raya Narogong KM. 26,5
PACKING LIST Kec. Klapanunggal - Bogor 16710
Telp. : (021) 8230630
Send To : Bpk. Heri siswanto / HP.+62 812 1659 5973 Packing List No.: 009/WTA-BGR/STEEL/IX/2021
PLTU Asam - asam Asri Mulia, Jorong, Kab.Tanah Laut Date : 20 September 2021
Kalimantan Selatan 70881 Trucking No. : 09

DESCRIPTION Volume Total Volume

No. Qty Total Weight Remarks
Assy. Mark Name Profile Dimention M² / Assy. M²

1 G13C-29 GIRDER BH-700X300X15X20 10340 300 700 1 - 2,276.07 ML-SEQ.-03

2 B9C-4 BEAM WF450x200x9x14 4940 200 450 2 - 750.45 ML-SEQ.-03
3 B11C-9 BEAM WF600x200x11x17 8690 200 600 2 - 1,833.66 ML-SEQ.-03
4 C5-21 COLUMN BH-450X450X25X40 8888 450 450 1 - 3,686.99 ML-SEQ.-03
5 B11C-5 BEAM WF600x200x11x17 8190 200 600 1 - 899.70 ML-SEQ.-03
6 B11C-6 BEAM WF600x200x11x17 8190 200 600 1 - 899.70 ML-SEQ.-03
7 C2-13 COLUMN BH-900X400X25X35 9850 400 900 1 - 4,785.47 ML-SEQ.-03
8 G18-7 GIRDER BH-1200X300X20X30 10340 300 1200 1 - 3,746.04 ML-SEQ.-03
9 G19-1 GIRDER BH-1200X350X20X35 10290 350 1200 1 - 4,253.15 ML-SEQ.-03
10 C6-17 COLUMN BH-400X400X20X25 8888 400 400 1 - 2,170.82 ML-SEQ.-03
Total : 12 - 25,302.06

Warehouse Received
 PT. WADUK TIRTA ASIH
Kp. Cimanggung, Jl. Raya Narogong KM. 26,5
PACKING LIST Kec. Klapanunggal - Bogor 16710
Telp. : (021) 8230630
Send To : Bpk. Heri siswanto / HP.+62 812 1659 5973 Packing List No.: 009-A/WTA-BGR/STEEL/IX/2021
PLTU Asam - asam Asri Mulia, Jorong, Kab.Tanah Laut Date : 20 September 2021
Kalimantan Selatan 70881 Trucking No. : 09

DESCRIPTION Volume Total Volume

No. Qty Total Weight Remarks
Assy. Mark Name Profile Dimention M² / Assy. M²

11 C2-13 KOMPONEN ASSY 1 - - ML-SEQ.-03

12 pl-163 SPLICE PLATE PL22x110 975 12 - - ML-SEQ.-03
13 pl-164 SPLICE PLATE PL22x300 975 6 - - ML-SEQ.-03
14 pl-165 SPLICE PLATE PL19x525 740 6 - - ML-SEQ.-03
15 pl-161 SPLICE PLATE PL22x400 1005 4 - - ML-SEQ.-03
16 pl-162 SPLICE PLATE PL22x140 1005 9 - - ML-SEQ.-03
17 pl-165 SPLICE PLATE PL19x525 740 6 - - ML-SEQ.-03
18 PB3-3 BEAM WF200x100x5,5x8 840 2 - 35.82 ML-SEQ.-03
19 C5-16 KOMPONEN ASSY 1 - - ML-SEQ.-03
20 pl-161 SPLICE PLATE PL22x140 1005 2 - - ML-SEQ.-03
Total : 49 2.00 35.82

Warehouse Received
 PT. WADUK TIRTA ASIH
Kp. Cimanggung, Jl. Raya Narogong KM. 26,5
PACKING LIST Kec. Klapanunggal - Bogor 16710
Telp. : (021) 8230630
Send To : Bpk. Heri siswanto / HP.+62 812 1659 5973 Packing List No.: 009-B/WTA-BGR/STEEL/IX/2021
PLTU Asam - asam Asri Mulia, Jorong, Kab.Tanah Laut Date : 20 September 2021
Kalimantan Selatan 70881 Trucking No. : 09

DESCRIPTION Volume Total Volume

No. Qty Total Weight Remarks
Assy. Mark Name Profile Dimention M² / Assy. M²

21 pl-162 SPLICE PLATE PL22x140 1005 4 - - ML-SEQ.-03

22 pl-163 SPLICE PLATE PL22x110 975 4 - - ML-SEQ.-03
23 pl-164 SPLICE PLATE PL22x300 975 2 - - ML-SEQ.-03
24 pl-165 SPLICE PLATE PL19x525 740 4 - - ML-SEQ.-03
25 pl-190 SPLICE PLATE PL25x260 765 2 - - ML-SEQ.-03
26 pl-191 SPLICE PLATE PL25x140 1245 4 - - ML-SEQ.-03
27 pl-192 SPLICE PLATE PL25x450 1245 1 - - ML-SEQ.-03
28 CAT LIGHT GREY 3 - - ML-SEQ.-03
29 PART B PENGERING 3 - - ML-SEQ.-03
- - ML-SEQ.-03
Total : 27 - - T. SEQ.-03 ==> 25,337.88

Warehouse Received