Doc.

No :
Date : 31-Aug-23

REQUEST FOR INSPECTION (RFI)

Owner : PT. Citra Palu Minerals (CPM)

Contrator : PT. Adiprotek Envirodunia
Project Title : 4000 TPD Poboya Gold and Silver Project
Contract No :

Person in change :

We would like to have your presence for inspection according ti the following scedules

Date and time Place / Area Inspection item Remakas

Result : Accepted Rejected

Coment : Yes No

Note :

Comments :

PT. Adiprotek Envirodunia /

CV. Nurul Amalia PT.Enviromate Technology PT. Citra Palu Mineral
International
Print Name Hermawan Susantho

Signature

Date