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TRANSMITTAL FORM

Project: PROYEK PEMBANGUNAN JALAN TOL ANCOL TIMUR - PLUIT (ELEVATED) Transmittal No. :
TKN/WK/HBRII/0110

Attn : Bpk. Yudha Dwi N.

Company : PT. Wijaya Karya (Persero) Tbk.

Address :

CC :
Client Copy Med Purpose Remarks

Item Doc/Dwg. No. Sht Rev Description Size Copy Med File

1 TKN-670-HBRII-PT-DWG-001~051 17 0 Shopdrawing EJ LS P20S-P21S TKN A4 1 PDF Sesuai nama file lampiran

2 TKN-670-HBRII-PT-DWG-001~051 - 0 Shopdrawing EJ LS P20S-P21S TKN A4 1 CAD Sesuai nama file lampiran

3 TKN-670-HBRII-PT-DWG-001~051 5 0 Shopdrawing Detail Recess P20S-P21S TKN A4 1 PDF Sesuai nama file lampiran

4 TKN-670-HBRII-PT-DWG-001~051 - 0 Shopdrawing Detail Recess P20S-P21S TKN A4 1 CAD Sesuai nama file lampiran

5 TKN-670-HBRII-PT-DWG-001~051 8 0 Shopdrawing Detail Duct Locator P29S-P30S TKN A4 1 PDF Sesuai nama file lampiran

6 TKN-670-HBRII-PT-DWG-001~051 - 0 Shopdrawing Detail Duct Locator P29S-P30S TKN A4 1 CAD Sesuai nama file lampiran

-END-

Chargeable : Purpose: For Approval


Remarks :

Please confirm receipt of the materials listed above by signing and faxing the original copy of the Document Transmittal Form to the originator

Project Engineering : Receiver :


Nico Nathaniel Sutanto

Signature : Signature :

Date: 2-Nov-23

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