PT PLN (Persero) PLN PUSAT MANAJEMEN PROYEK PLN ‘COMMENT No. 1 Review by: Approved by CCROUT DATE REVIEW FOR APPROVAL OF DRAWINGS / DOCUMENTS 2019 DRAWINGS / DOCUMENT NUMBER DRAWINGS / DOCUMENTS TITLE REV. CONTRACTOR REV. STATUS FIELD INSPECTION AND TEST PLAN FOR INSTRUMENT | IKCPO-YYB-G-05-067 0 A CLOCK SYSTEM KALSELTENG 2 CFSPP (2X100 MW) ~ ~~ COMMENT PLN COMMENTS CONTRACTOR RESPONSE aus : - No. Approved Date: 2 San: [yo -\- 2019 Us mq Date 27 hy Ee ae /___| Response by: Date: Sign:CONTRACTOR DOCUMENT REVIEW a“ = | wech toe [LJ pare 5 [eect |__|) commana 2 fisc — AC] approveo ‘SUPORT 8] AppRovED AS NOTE CONTRACTOR CD) Nor approved RECORD 1] INFORMATION 2 | workine pocumeNT Muneorracren PROD 2 BY DATE s Los [DATE out | comma no. T 0 | pec2720%6 issued For Approval (GAGE CONSORTIUM PUSMANPRO DESCRIPTION PREPARED & CHECKED APPROVED, PT. PLN ( PERSERO ) Jl. Trunojoyo Blok M 1/135. Kebayoran Banu Jakarta 12610 Phone : 462.21-7261875 7261122 7262234 Fax : +62-21-7221830 e-mail : webmaster@pln.coid Contract Agreement No. 1594 PJ/DAN.02.01/D1R/2016 PROUECT KALSELTENG 2 CFSPP(2x100MW) PT. PLN ( PERSERO ) PUSAT MANAJEMEN PROYEK oj 4/4) 8] 8] -[o[o/- | -]o/5/-|y¥]¥[B]- [ole [7] - [o]6|- folo PIN DOC.No. ‘CONTRACTOR ‘CONSORTIUM OF PT TRUBA JAYA ENGINEERING- HYUNDAI ENGINEERING CO. LTO.~ ITOCHU CORPORATION Trubi AHyunoal FTOGWS ‘SUB CONT WENDOR REV, DOC. NO. prepared [__OATE | nme ceecKe0 8Y | peozr 2018 pare _ FIELD INSPECTION AND TEST PLANS FOR INSTRUMENT CLOCK | anac = SYSTEM consormum | f= = —_L | APPROVED DATE CONTRACTOR DOCUMENT NUMBER REV. SEEROTED.—}— OME ij. | PLN IKCPO-YYB-G-05-067 0PROVEC KALSELTENG 2 CFSPP(2x100MW) CONTRACTOR DOG. NO. 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INSTRUMENT CLOCK SYSTEM REVISION ° roGws ATTACHMENTPLN KALSELTENG 2 CFSPP (2x10 MW) Tobe /TOCHS \ Date: Date: Date: UPP KALBAGTENG CLOCK SYSTEM Poe. no Page: Rev.no INSTRUMENT Description: Date Report nos Location / Area: Other: Equipment /System no. Sub System: orawing No. system No cueck rrems aco | wo | NA ReMaxs 1 check orientation & position 2, |Check location accordance with approved drawing 3. |Confirm the tag number asper drawings 4 | cheek that presevation are good condition (nodamage) [confirm the equipmentis fixed tothe support secrely with bolt, ut, plain and spring washers Comment a ms — Nowe: Tick "as applicable, ACC = Acceptable Re} = Rejected NA= Not Applicable inspected witness Approved Quality Control / Consortium PT. PLN (PUSMANPRO} PT. PLN (UPP Kalbagteng)