Jl .

Raya Tipar Cakung Km 3,9 , Sukapura, Cilincing , Jakarta 14140 Indonesia

Phone: (62-21) 440 2135 Fax: (62-21) 4402138

PT. GERBANG SARANABAJA Email: geesbe@cbn.net.id

REQUEST FOR INSPECTION

To : PT. KPI RU VI Balongan Date : March 21, 2024

Attn. : Maintenance Area 4 RFI : Pengukuran Elevasi Eksisting
Phone No. : - From : PT.GERBANG SARANABAJA
Fax. No. : - Fax No. : 021 - 4402138
Your Ref. : - Our Ref. : 01-RFI-107B-GSB

Project : OVERHAUL TANK 42-T-107B

Order No. / Job No. : V23026

We are kindly request your attendance at our Works /field site on the :
Date : Senin, 25 Maret 2024
Time : 10.00 WIB
Location Shop / Field : Tank 42-T-107B
Address : Pertamina RU VI Balongan

For the purpose of conducting the following inspection ;

Plan / Calc. Review / Appraisal Hydrostatic Press. Test

Document Verification Pneumatic Press. Test
NDE review / Assessment Review of MDR / ABCD
Welding qualification test Joint review
Fit Up / Skirt orientation check Training
Visual / Dimensional Painting
Material Test Elevation (Existing Tank)

NOTE : Please this RFI Forward to Your Third Party

Upon receive of this " RFI " would you confirm your acceptance by completing the undermention box and
return to this office.

Client Rep. AI / AIS

Distribution : Ticked Tank Inspector
Acceptance Acceptance
1C. General Manager Steel
1C. Engineering Manager
1C. Production Manager Helmy Rizqi
1C. Material / Store Supv. Date : March 21,2024 Date : Date :
1C. Field QC Eng. / Inspector Note : Note : Note :
1C. Field Prod. Eng. / Supv.
1C. Field Mat. Controller / Supv.
1C. Client