For Approval: Result Code: A, B, C, D

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JOB CODE DOCUMENT NO. REV.

0-0831-00-0000 V-31M0-001-A-572 2B
PAGE 1 OF 20

SUMBAWA LNG TERMINAL &


REGAS FACILITY

Vendor's name PT. PANCA DUTA PRAKARSA


COMPANY’s name PT Medco Sumbawa Gas
Purchaser PT JGC Indonesia
Plant Location Benete Bay, South Benete, West Nusa Tenggara, Indonesia
Purchase Order No. 0-0831-0-P-31M0-001-A
Equipment/Material name Marine Work
Item number
Document title WPS-PQR STEEL AND STRUCTURE

RESULT CODE : A, B, C, D

NEXT STATUS : IFI, IFA, AFC, AB, CN, NA

RESUBMISSION DATE :

RESPONSIBLE DEPT./PERSON :

Review Date:
A : Approved
B : Approved with Minor Comment
C : Review/Comment
D : Reject and to be Resubmitted
Approval or review hereunder shall not be construed to relieve Vendor /
Subcontractor of his responsibilities and liability under the Contract.

FOR APPROVAL

REV. DATE PAGE DESCRIPTION PREP’D CHK’D APP’D CPY APP’D

2B 26-Aug-23 All Issued For Approval M. Jordy Deri Y. Indra D.

2A 10-May-23 All Issued For Approval G. Pribadi M. Jordy Indra D.

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