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Document No.

: FM- 336
Revision : 01
PRESSURE TEST RECORD Revised on : 23 Sep. 2003
TAIYO SINAR

Nama Costumer : PT. NESTLE INDONESIA Doc. No. : 16


Project Name : NESTLE BATIK & SPARK
Project Location : BATANG

CHANGE SPRINKLER HEAD TESTING DATE 13-15 MARET 2024


:

WORKS / LOCATION : LOADING DOCK AREA TESTED BY :

SPECIFICATION OF PIPE : STEEL PIPE (GALVANIS) CHECKED BY :

PRESSURE TEST By : WATER APPROVED BY :

MEASURING INSTRUMENT / TOOL

INSTRUMENT/ TOOL OF MEASUREMENT : MECHANICAL TEST PUMP CALIBRATION / VERIFICATION CERT. NO : -

INSTRUMENT REGISTER NO. : - VALIDITY OF CALIBRATION / VERIFICATION : -

MEASUREMENT OF PIPE

WORKING PRESSURE : 6 Kg/Cm²

START TIME : 13/03/2024 14.00 WIB TEST PRESSURE : 6 Kg/Cm²

FINISH TIME : 15/03/2024 14.00 WIB TEST PRESSURE : 6 Kg/Cm²

TESTING PHOTOGRAPH

START FINISH

This is a Management System Document


TEST REPORT
PROJECT : CHANGE SPRINKLER HEAD
COSTUMER : PT NESTLE INDONESIA
CONTRACTOR : PT TAIYO SINAR RAYA TEKNIK
DESCRIPTION : PRESSURE TEST
LOCATION : LOADING DOCK AREA
RESULT

START DATE : END DATE :


START TIME : END TIME :
RESULT : RESULT :

PREPARED BY TSRT CHECKED BY TSRT APPROVED BY NESTLE

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