Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 11

PROJECT EPC Facilitas pengukuran Gas Senoro – PAU

JOINT OPERATING BODY PERTAMINA- MEDCO E&P


OWNER
TOMORI SULAWESI
MATERIAL INSTALLATION REPORT FABRICATOR PT. PRATIWI PUTRI SULUNG
TEST DATE TEST REPORT NO.

January, 23 2017

VISUAL INSPECTION
DO NUMBER : 244 & 258
RESULT
NO DESCRIPTION QTY PO NUMBER SERIAL NUMBER MANUFACTURE | MODEL REMARKS
LIST YES/NO PASS FAIL

1 Instrument Cable 2 Pair (FFX-0003A) 20 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
2 Instrument Cable 5 Pair (FFX-0003B) 20 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
3 Instrument Cable 1 Pair (HS-8301C-2) 24 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
4 Instrument Cable 2 Pair (JJX-0031A) 20 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
5 Instrument Cable 2 Pair (JJX-0031B) 20 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
6 Instrument Cable 12 Pair (FFM-0306) 840 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
7 Instrument Cable 5 Pair (JJS-0209B) 840 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE
8 Instrument Cable 5 Pair (JJS-0209C) 840 m CU/MGT/XLPE/IS-OS/GSWB/LSZH Fire Resistant Cable 160501 - JEMBO CABLE

DOKUMENTASI

NOTE : PREPARED BY WITNESSED BY : APPROVED BY :

- See Punch List PT PRATIWI PUTRI SULUNG JOB-PMTS JOB-PMTS

DATE : DATE : DATE :


Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Sales Gas Metering (JB-DXS-5301 to SDV-5303D)
MEDCO E&P TOMORI SULAWESI
CABLE NO. : SDY-5303D, ZSO-5303D, ZSC-5303D
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/XLPE/OS/GSWB/LSZH (Flame Retardant)

DATE : January, 31 2017 LENGTH : @ 57 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Cable No. :SDY-5303D

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : To :
Pair 1, White - Black > 2000 MΩ JB-DXS-5301 SDV-5303D √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Cable No. :ZSO-5303D

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : To :

Pair 1, White - Black > 2000 MΩ JB-DXS-5301 SDV-5303D √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Cable No. :ZSO-5303D

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : To :
Pair 1, White - Black > 2000 MΩ JB-DXS-5301 SDV-5303D √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Sales Gas Metering (JB-MCS-5301 to PT-5303G)
MEDCO E&P TOMORI SULAWESI
CABLE NO. : PT-5303G
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : Fieldbus Cable (Light Blue)

DATE : January, 31 2017 LENGTH : 17 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : To :
Pair 1, White - Black > 2000 MΩ JB-MCS-5301 PT-5303G √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Control Room USO & Panel Room USO
MEDCO E&P TOMORI SULAWESI
CABLE NO. : HS-8301-C-2
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 24 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel FFX-0003 To : Panel JJM-0219
Pair 1, White - Black > 2000 MΩ Terminal JJM-0219 Terminal JJS-0209A √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Control Room USO & Panel Room USO
MEDCO E&P TOMORI SULAWESI
CABLE NO. : FFX-0003A
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 20 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel FFX-0003 To : Panel FFM-0306
Pair 1, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Panel Room USO & Panel Room Metering PAU
MEDCO E&P TOMORI SULAWESI
CABLE NO. : FFX-0003B
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 20 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel FFX-0003 To : Panel FFM-0306
Pair 1, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 3, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 4, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 5, White - Black > 2000 MΩ Terminal FFM-0306 Terminal JJS-0209B √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 3, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 4, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 5, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Control Room USO & Panel Room USO
MEDCO E&P TOMORI SULAWESI
CABLE NO. : JJX-0031A
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 20 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel JJX-0031 To : Panel JJM-0219
Pair 1, White - Black > 2000 MΩ Terminal JJM-0219 Terminal JJS-0209B √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal JJM-0219 Terminal JJS-0209B √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Control Room USO & Panel Room USO
MEDCO E&P TOMORI SULAWESI
CABLE NO. : JJX-0031B
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 20 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel JJX-0031 To : Panel JJM-0219
Pair 1, White - Black > 2000 MΩ Terminal JJM-0219 Terminal JJS-0209B √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal TBDIN-01 Terminal JJS-0209B √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Panel Room USO & Panel Room Metering PAU
MEDCO E&P TOMORI SULAWESI
CABLE NO. : FFM-0306
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 840 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel FFM-0306 To : Panel FFS-0304
Pair 1, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 3, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 4, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 5, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 6, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK
Pair 7, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 8, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 9, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK
Pair 10, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 11, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 12, White - Black > 2000 MΩ Terminal JJS-0209B Terminal FFM-0306 √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 3, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 4, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 5, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 6, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 7, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 8, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 9, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 10, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 11, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 12, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Panel Room USO & Panel Room Metering PAU
MEDCO E&P TOMORI SULAWESI
CABLE NO. : JJS-0209B
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 840 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel JJM-0219 To : Panel JJS-0209
Pair 1, White - Black > 2000 MΩ Terminal JJS-0209A Terminal JJM-0219-A √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Spare Spare √ OK NOT OK

Pair 3, White - Black > 2000 MΩ Spare Spare √ OK NOT OK

Pair 4, White - Black > 2000 MΩ Spare Spare √ OK NOT OK

Pair 5, White - Black > 2000 MΩ Spare Spare √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 3, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 4, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 5, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date
Record No. :
CABLE INSPECTION AND TESTING
Page : 1 of 1
FIELD INSTALLATION CHECK LIST CABLE TRAYS
CLIENT : JOINT OPERATING BODY PERTAMINA - LOCATION : Panel Room USO & Panel Room Metering PAU
MEDCO E&P TOMORI SULAWESI
CABLE NO. : JJS-0209C
PROJECT : EPC Facilitas pengukuran Gas Senoro – PAU
CABLE SPEC. : CU/MGT/XLPE/IS-OS/GSWB/LSZH (Fire Resistance)

DATE : January, 23 2017 LENGTH : 840 meter

INST'L CHECK LIST FOR CABLE TRENCH/DUCT BANK


1) Cable Inspection Remark
- Cable visual condition inspection √ Check Not Check
- Cable Route and Laying as per Drawing √ Check Not Check SNO-T-WI-53-001
- Other Reference Document √ Check Not Check SNO-I-CS-53-001
2) Insulation resistance measurement at : 250 VDC. 10 Seconds
Test Voltage shall be from 100 to 5000 Volts

Insulation Resistance CONTINUITY TEST


Test applied between Result
(MEGGER TEST) Form : Panel JJM-0219 To : Panel JJS-0209
Pair 1, White - Black > 2000 MΩ Terminal JJS-0209B Terminal JJM-0219-B √ OK NOT OK

Pair 2, White - Black > 2000 MΩ Terminal JJS-0209B Terminal JJM-0219-B √ OK NOT OK

Pair 3, White - Black > 2000 MΩ Terminal JJS-0209B Terminal JJM-0219-B √ OK NOT OK

Pair 4, White - Black > 2000 MΩ Terminal JJS-0209B Terminal JJM-0219-B √ OK NOT OK

Pair 5, White - Black > 2000 MΩ Terminal JJS-0209B Terminal JJM-0219-B √ OK NOT OK

Pair 1, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 2, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 3, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Pair 4, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK
Pair 5, Cores - Screen > 2000 MΩ Not Check Not Check √ OK NOT OK

Screen - Armour 300 MΩ Not Check Not Check √ OK NOT OK

Prepared By Witnessed By Review By


PPS Sign / Date JOB PMTS Sign / Date JOB PMTS Sign / Date

You might also like