REQUEST FOR INSPECTION

Project Title
Job No
Client
Main Contractor
(Client Name) :

Sub-Contractor PT. Baharu Penta Kencana

R/TEP-RFI/BPK/CSTS/001
Report No.
Date
11-Jan-17
Page
1 of
2

Tangguh Expansion Project

870310
BP Berau, Ltd
CSTS (Chiyoda, Saipem, Tripatra, SAE)
Attn.

Mr. Halwan Jaya

Welding Engineer

Gentlemen,
We would like to have your presence for inspection according to the following schedules.

Date and time

January 12, 2017

Place/Area
PT. Rusli Vinilon Sakti

Inspection Item

Remarks

1. HDPE Pipe

Attachment:

2. HDPE Fitting

BQ and Certificate

Civil

Instrument

Mechanical

Structural

Electrical

Address:
Jl. Narogong Raya KM 15.5,
Pangkalan 6,
Desa Limus Nunggal,
Cileungsi, Bogor

Piping
Pipeline

COMMENT :

Involvement Party

Performed By
BPK

Signature
Name
Sign Date
Job Title

M. Dzauqi Adam
11-Jan-17
QC

Witnessed By
CSTS

MATERIAL RECEIVING INSPECTION REPORT

Project Title
Job No
Client
Main Contractor

Tangguh Expansion Project

870310

Material Arrival Date

: 11 January 2017

PO.No. / Packing List No

: 009-CR1640-PO.001-1216

NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Sub-Contractor
Report No.
Date
Page

BP Berau, Ltd
CSTS (Chiyoda, Saipem, Tripatra, SAE)

DESCRIPTION OF MATERIAL

SIZE

QTY

UoM

PIPE, HDPE PN 16 PE100 SDR 11

1"

500

PIPE, HDPE PN 16 PE100 SDR 11

1-1/2"

2500

PIPE, HDPE PN 16 PE100 SDR 11

2"

1800

PIPE, HDPE PN 16 PE100 SDR 11

3"

2400

PIPE, HDPE PN 16 PE100 SDR 11

4"

95,2

PIPE, HDPE PN 16 PE100 SDR 11

6"

3343,2

PIPE, HDPE PN 16 PE100 SDR 11

8"

504

PIPE, HDPE PN 16 PE100 SDR 11

10"

3231,2

PIPE, HDPE PN 16 PE100 SDR 11

12"

627,2

CON.RED, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

4" x 3"

11

EA

CON.RED, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

6" x 4"

10

EA

CON.RED, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

8" x 6"

EA

CON.RED, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

3" x 2"

10

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

2"

25

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11, PE ENDS, MFG. STD.

3"

60

EA

RESULT1)
ACCEPTED REJECTED

Note:
Put check mark () on the selected result.

Involvement Party

Performed By
BPK

Signature
Name
Sign Date
Job Title
Form No : 870310-115102-L99-L99-002

Crys Suryo Prayogo

13-Jan-17

Reviewed By
CSTS

PT. Baharu Penta Kencana

R/TEP-MRIR/BPK/CSTS/001
13-Jan-17
2

of

REMARKS

MATERIAL RECEIVING INSPECTION REPORT

Project Title
Job No
Client
Main Contractor

Tangguh Expansion Project

870310

Material Arrival Date

: 11 January 2017

PO.No. / Packing List No

: 009-CR1640-PO.001-1216

NO.
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Sub-Contractor
Report No.
Date
Page

BP Berau, Ltd
CSTS (Chiyoda, Saipem, Tripatra, SAE)

DESCRIPTION OF MATERIAL

SIZE

QTY

UoM

ELBOW 90, HDPE PN 16 PE100 SDR 11

4"

29

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11

6"

36

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11

8"

13

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11

10"

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11

12"

EA

ELBOW 90, HDPE PN 16 PE100 SDR 11

1"

34

EA

RED.TEE, HDPE PN 16 PE 100 SDR 11

6" x 4"

15

EA

RED.TEE, HDPE PN 16 PE 100 SDR 11

10" x 6"

EA

RED.TEE, HDPE PN 16 PE 100 SDR 11

10" x 8"

EA

TEE, HDPE PN 16 PE 100 SDR 11

4" x 4"

EA

TEE, HDPE PN 16 PE 100 SDR 11

6" x 6"

11

EA

TEE, HDPE PN 16 PE 100 SDR 11

3" x 3"

11

EA

TEE, HDPE PN 16 PE 100 SDR 11

10" x 10"

EA

TEE, HDPE PN 16 PE 100 SDR 11

1" x 1"

24

EA

3"

EA

ELBOW 45, HDPE PN 16 PE100 SDR 11

RESULT1)
ACCEPTED REJECTED

Note:
Put check mark () on the selected result.

Involvement Party

Performed By
BPK

Signature
Name
Sign Date
Job Title
Form No : 870310-115102-L99-L99-002

Crys Suryo Prayogo

13-Jan-17

Reviewed By
CSTS

PT. Baharu Penta Kencana

R/TEP-MRIR/BPK/CSTS/001
13-Jan-17
3

of

REMARKS

MATERIAL RECEIVING INSPECTION REPORT

Project Title
Job No
Client
Main Contractor

Tangguh Expansion Project

870310

Material Arrival Date

: 11 January 2017

PO.No. / Packing List No

: 009-CR1640-PO.001-1216

NO.
31
32
33
34
35
36
37
38
39

Sub-Contractor
Report No.
Date
Page

BP Berau, Ltd
CSTS (Chiyoda, Saipem, Tripatra, SAE)

DESCRIPTION OF MATERIAL

SIZE

QTY

UoM

ELBOW 45, HDPE PN 16 PE100 SDR 11

6"

12

EA

ELBOW 45, HDPE PN 16 PE100 SDR 11

12"

EA

CAP, HDPE PN 16 PE100 SDR 11

1"

EA

CAP, HDPE PN 16 PE100 SDR 11

6"

EA

STUB END, HDPE PN 16 PE100 SDR 11

2"

28

EA

STUB END, HDPE PN 16 PE100 SDR 11

3"

60

EA

STUB END, HDPE PN 16 PE100 SDR 11

4"

48

EA

STUB END, HDPE PN 16 PE100 SDR 11

6"

34

EA

STUB END, HDPE PN 16 PE100 SDR 11

8"

16

EA

RESULT1)
ACCEPTED REJECTED

EA
EA
EA
EA
EA
EA
Note:
Put check mark () on the selected result.

Involvement Party

Performed By
BPK

Signature
Name
Sign Date
Job Title
Form No : 870310-115102-L99-L99-002

Crys Suryo Prayogo

13-Jan-17

Reviewed By
CSTS

PT. Baharu Penta Kencana

R/TEP-MRIR/BPK/CSTS/001
13-Jan-17
4

of

REMARKS