A

INSPECTION REPORT

Project Title Senoro Gas Development Project Sub-Contractor

Job No 9608/SU2573 Report No.
Client JOB Pertamina Medco E & P Tomori Sulawesi Date
Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page

1. Type Inspection Item :

Leakage Test Inspection / Test /Examination / Ch

2. Inspection Report :

HOLDING RESULT
No. ITEM LOCATION REM
TIME Acc. Rej.
1 V-6052 Internal 30 Minutes

3. Remarks :
 Supporting document attache
YES NO

Performed By Approved By Reviewed By

Involvement Party T
Sub-Contractor TSC JOB PMTS

Signature

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0003 Rev.0
 SNO-Q-BPK-LT-001
11-Mar-15
1 of 1

Inspection / Test /Examination / Check

REMARK
Supporting document attached

TPI (If applicable)

 A

INSPECTION REPORT

Project Title Senoro Gas Development Project Sub-Contractor

Job No 9608/SU2573 Report No.
Client JOB Pertamina Medco E & P Tomori Sulawesi Date
Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page

1. Type Inspection Item :

Welding & NDE Inspection / Test /Examination / Ch

2. Inspection Report :

3. Remarks :
 Supporting document attache
YES NO

Performed By Approved By Reviewed By

Involvement Party T
Sub-Contractor TSC JOB PMTS

Signature

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0003 Rev.0
 SNO-Q-BPK-LT-
11-Mar-15
1 of 1

Inspection / Test /Examination / Check

Supporting document attached

TPI (If applicable)