Acceptance Certificate 验收合格证

Equipment name Air Compressor set Supplier Installation PT. Airnergy Sarana Jaya
设备名称 安装的供应商

Contacts 联系 Pak Martahan Sirait Telephone 电话 0778-4097840 / +62 813-1470-7476

Acceptance personnel of
Antok
Party A
甲方验收人员

1. Quality 质量
Good condition with no damage
外观良好，无损坏情况
person in charge 负责人

2. Equipment commissioning 设备调试

• Air Dryer:
- Test Run – Ampere (I): 2.7 A
- Power Supply 220V - Check OK
- Check Outlet air dryer - OK
• Air Compressor:
- Test Run – Ampere (I): L1 = 20.3 A, L2 = 20.3 A, L3 = 20.3 A
- Power Supply 380 V AC / 3 Phase - OK
- Check Outlet air compressor - OK
person in charge 负责人

3. Equipment configuration 设备配置

Good condition

状况良好
person in charge 负责人
S/N Product Name Specification Unit Quantity Remarks
产品名称 规格 单位 数量 备注

1 Air Compressor set SHARK / LWPM -1215 & SHD- unit 1 Installation
18HTF
Signature of Party A's representative Signature of Party B's representative
甲方代表签字 乙方代表签字

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