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Form No

: MRR-KHI-COOEC-03

Revision No

:0

Report No

:3

Page No

of

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

Received Location

COOEC

Product Name / Code:

Product Receiving Details


Monolithic Isolation Joint

Comment / Remarks
-

Manufacturer:

PT. Sriti Andini Perdana / PT. Excel Prima Energi

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

Delivery Order No:

Quantity Order Received:

3 Items

Type of Packaging:

Wooden Box & Pallet with plastic cover

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Order Completed:

Yes

No

Certificate received at COOEC's office


-

External Surface Coating Thickness Check:

Yes

No

Internal Surface Coating Thickness Check:

Yes

No

Item #

Description

Monolithic Isolation Joints Coating thickness


above 300 microns

Qty

Unit

Coating / Painting

Remarks

16" (406.4mm) OD x 0.44" (11.1mm) Reserved


length 5.9" (1.8m)

pc

Yes, above 300 micron

16" (406.4mm) OD x 0.44" (14.3mm) Reserved


length 5.9" (1.8m)

pc

Yes, above 300 micron

300 mm long Test Ring API 5L - X65 PSL2 16"


(406.4mm) OD x 0.44" (11.1mm)

pcs

Comment / Remarks:

Inspection result of Items #1 and #2 Coating thickness above 300 micron


Attached The inspection photos, DO, Manufacture Coating Report

PT. KHI Pipe Industries


Received by
Reviewed by

QC Inspector

QC Supervisor

COOEC
Reviewed by

HCML
Reviewed by

Form No

: MRR-KHI-COOEC-02

Rev No

:0

Report No

:2

Page No

of

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

Received Location

COOEC

Product Name / Code:

Product Receiving Details


Flanges And Fittings / 2nd Batch - Seafreight

Comment / Remarks
-

Vendor Name:

PT. Sriti Andini Perdana / PT. Excel Prima Energi

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

August 6, 2015

Delivery Order No:

Quantity Order Received:

7 Items

Type of Packaging:

Wooden Box & Pallet with plastic cover

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Certificate received at COOEC's office

Order Completed:

Yes

No

Bolt Surface Coating Thickness Check:

Yes

No

Nut Surface Coating Thickness Check:

Yes

No

Item #

Qty

Packing

Size

Weight

WELD NECK RTJ FLANGE SIZE 16" x WT14.3mm


CLASS 900# ASTM A694-F65

1 Wooden
Case

155 x 145 x 45
cms

910kgs

SWIVEL FLANGE RTJ SIZE 16" x WT14.3mm CLASS


900# ASTM A694-F65

1 Wooden
Case

155 x 155 x 50
cms

1540kgs

TEST RING SIZE 16" x WT14.3mm CLASS 900#


ASTM A694-F65

1 Wooden
Case

95 x 95 x 52 cms

220kgs

83 x 83 x 47 cms

582kgs

115 x 115 x 49
cms

940.6 kgs

4
5
6
7

Description

Some Items have Coating Thickness below


project specification (masukin quantity)

BLIND FLANGE SIZE 16" x WT14.3mm CLASS 900#


1 Wooden
2
CARBON STEEL ASTM A105
Case
ACCESSORIES FOR ABOVE FLANGES (BOLT)
130
ACCESSORIES FOR ABOVE FLANGES (NUT)
260
1 Pallet
ACCESSORIES FOR ABOVE FLANGES (GASKET)
15
-- LAST ITEM --

Comment / Remarks:

Remarks

Coating Thickness
Issue
Oval

Some of Bolt & Nut coating thickness are below minimum specification (25 micron)
Received gasket are oval that different from project specification (octagonal)

PT. KHI Pipe Industries


Received by

Reviewed by

QC Inspector

QC Supervisor

COOEC

HCML

Reviewed by

Reviewed by

Form No

: MRR-KHI-COOEC-01

Rev No

:0

Report No

:2

Page No

of

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

Received Location

COOEC

Product Name / Code:

Product Receiving Details


Flanges And Fittings / 1st Batch - Airfreight

Comment / Remarks
-

Vendor Name:

PT. Sriti Andini Perdana / PT. Excel Prima Energi

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

July 15, 2015

Delivery Order No:

Quantity Order Received:

Type of Packaging:

Wooden Box

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Certificate received at COOEC's office

Order Completed:

Yes

No

Item #

Description

Qty

Packing

Size

Weight

WELD NECK RTJ FLANGE SIZE 16" x WT14.3mm


CLASS 900# ASTM A694-F65

1 Wooden
Case

155 x 145 x 45
cms

910kgs

SWIVEL FLANGE RTJ SIZE 16" x WT14.3mm CLASS


900# ASTM A694-F65

1 Wooden
Case

155 x 155 x 50
cms

1540kgs

TEST RING SIZE 16" x WT14.3mm CLASS 900#


ASTM A694-F65

1 Wooden
Case

95 x 95 x 52 cms

220kgs

83 x 83 x 47 cms

582kgs

115 x 115 x 49
cms

940.6 kgs

4
5
6
7

BLIND FLANGE SIZE 16" x WT14.3mm CLASS 900#


1 Wooden
2
CARBON STEEL ASTM A105
Case
ACCESSORIES FOR ABOVE FLANGES (BOLT)
130
ACCESSORIES FOR ABOVE FLANGES (NUT)
260
1 Pallet
ACCESSORIES FOR ABOVE FLANGES (GASKET)
15
-- LAST ITEM --

Remarks

Coating Thickness
Issue
Oval

Comment / Remarks:

PT. KHI Pipe Industries


Received by
Reviewed by

QC Inspector

QC Supervisor

COOEC
Reviewed by

HCML
Reviewed by

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

COOEC

20-Feb-16

Product Name / Code:

Product Receiving Details


Monolithic Isolation Joint

Com

Manufacturer:

PT. Excel Prima Energi

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

19-Jan-16

Delivery Order No:

001/DO-COOEC/I/2016

Quantity Order Received:

3 Items

Type of Packaging:

Wooden Box & Pallet with plastic cover

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Order Completed:

Yes

No

PT. KHI Testing Required:

Yes

No

Date Sample Deli

PT. KHI Test Report Received: Yes

No

Date Test Report

Item #

Description

Qty

Monoliothic Isolation Joint 16" (406.4mm) OD x 0.44" (11.1mm)


Reserved length 5.9" (1.8m)

Monoliothic Isolation Joint 16" (406.4mm) OD x 0.44" (14.3mm)


Reserved length 5.9" (1.8m)

Accessories for Monoliothic Isolation Joint 300 mm long Test Ring


API 5L - X65 PSL2 16" (406.4mm) OD x 0.44" (11.1mm)

Comment / Remarks:

PT. KHI Pipe Industries


Received by
Reviewed by

COOEC
Reviewed by

QC Inspector

QC Supervisor

Form No

: MRR-KHI-COOEC-03

Revision No

:0

Report No

:3

Page No

of

INSPECTION REPORT

ECEIVED & INSPECTION REPORT


Date Received

Received Location

20-Feb-16

PT.KHI Pipe Industries


/ Plan 3
Comment / Remarks
Date Sample Delivery to Laboratory: Date Test Report Received: Unit

Remarks

pc

pc

pcs

HCML
Reviewed by

Form No

: MRR-KHI-COOEC-02

Rev No

:0

Report No

:2

Page No

of

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

Received Location

COOEC

Product Name / Code:

Product Receiving Details


Flanges And Fittings / 2nd Batch - Seafreight

Comment / Remarks
-

Vendor Name:

PT. Sriti Andini Perdana / PT. Excel Prima Energi

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

August 6, 2015

Delivery Order No:

Quantity Order Received:

7 Items

Type of Packaging:

Wooden Box & Pallet with plastic cover

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Certificate received at COOEC's office

Order Completed:

Yes

No

Bolt Surface Coating Thickness Check:

Yes

No

Nut Surface Coating Thickness Check:

Yes

No

Item #

Qty

Packing

Size

Weight

WELD NECK RTJ FLANGE SIZE 16" x WT14.3mm


CLASS 900# ASTM A694-F65

1 Wooden
Case

155 x 145 x 45
cms

910kgs

SWIVEL FLANGE RTJ SIZE 16" x WT14.3mm CLASS


900# ASTM A694-F65

1 Wooden
Case

155 x 155 x 50
cms

1540kgs

TEST RING SIZE 16" x WT14.3mm CLASS 900#


ASTM A694-F65

1 Wooden
Case

95 x 95 x 52 cms

220kgs

83 x 83 x 47 cms

582kgs

115 x 115 x 49
cms

940.6 kgs

4
5
6
7

Description

Some Items have Coating Thickness below


project specification (masukin quantity)

BLIND FLANGE SIZE 16" x WT14.3mm CLASS 900#


1 Wooden
2
CARBON STEEL ASTM A105
Case
ACCESSORIES FOR ABOVE FLANGES (BOLT)
130
ACCESSORIES FOR ABOVE FLANGES (NUT)
260
1 Pallet
ACCESSORIES FOR ABOVE FLANGES (GASKET)
15
-- LAST ITEM --

Comment / Remarks:

Remarks

Coating Thickness
Issue
Oval

Some of Bolt & Nut coating thickness are below minimum specification (25 micron)
Received gasket are oval that different from project specification (octagonal)

PT. KHI Pipe Industries


Received by

Reviewed by

QC Inspector

QC Supervisor

COOEC

HCML

Reviewed by

Reviewed by

Form No

: MRR-KHI-COOEC-01

Rev No

:0

Report No

:2

Page No

of

INSPECTION REPORT

MATERIAL RECEIVED & INSPECTION REPORT


Customer

Date Received

Received Location

1-Oct-15

PT.KHI Pipe Industries /


Plan 3

COOEC

Product Name / Code:

Product Receiving Details


Flanges And Fittings / 1st Batch - Airfreight

Comment / Remarks
-

Vendor Name:

PT. Sriti Andini Perdana

COOEC Purchase Order No:

BD-PPL-C-003

Delivery Date:

30-Sep-15

Delivery Order No:

012/DO-COOEC/IX/2015

Quantity Order Received:

Type of Packaging:

Wooden Box

Packaging Condition:

Good

Damage

Certification Received:

Yes

No

Order Completed:

Yes

No

Item #

Qty

Packing

Size

Weight

Remarks

WELD NECK RTJ FLANGE SIZE 16" x WT14.3mm


CLASS 900# ASTM A694-F65

1 Wooden
Case

155 x 145 x 45
cms

910kgs

SWIVEL FLANGE RTJ SIZE 16" x WT14.3mm CLASS


900# ASTM A694-F65

1 Wooden
Case

155 x 155 x 50
cms

1540kgs

TEST RING SIZE 16" x WT14.3mm CLASS 900#


ASTM A694-F65

1 Wooden
Case

95 x 95 x 52 cms

220kgs

1 Wooden
Case

83 x 83 x 47 cms

582kgs

130
260
15

1 Pallet

115 x 115 x 49
cms

940.6 kgs

Coating Thickness
Issue

4
5
6
7

Description

BLIND FLANGE SIZE 16" x WT14.3mm CLASS 900#


CARBON STEEL ASTM A105
ACCESSORIES FOR ABOVE FLANGES (BOLT)
ACCESSORIES FOR ABOVE FLANGES (NUT)
ACCESSORIES FOR ABOVE FLANGES (GASKET)

Oval

Comment / Remarks:

PT. KHI Pipe Industries


Received by
Reviewed by

QC Inspector

QC Supervisor

COOEC
Reviewed by

HCML
Reviewed by