QUALITY ACCEPTANCE LETTER
REFERENCE NO : 0 JDE NO : 0
PROJECT NAME : COATING SERVICE FOR UNDERGROUND CONTRACT NO : C683633
PIPE ROAD CROSSING LOCATION : 4T-18
OWNER / CLIEN : PT. CHEVRON PACIFIC INDONESIA DATE : 6-Jun-11
SUPERVISION : PT. TRIPATRA FLUOR CONSORTIUM
THIS ACCEPTANCE LETTER IS TO CERTIFY THAT SUBCONTRACTOR HAS COMPLETED THE WORKS AS
MENTIONED BELOW :
SYSTEM : WORK ORDER
JDE NO : 0
SCOPE OF WORK : HIGH TEMPERATURE PIPELINE COATING
(detail inspected area is attached in drawing)
COMPLETION TYPE : 1 PARTIALLY 1 COMPLETE / TURN OVER
(detail inspected area is attached in drawing)
THE FOLLOWING REQUIRED TEST & INSPECTION HAVE BEEN CONDUCTED AS PER APPLICABLE CODES,
STANDARD AND PROJECT SPECIFICATION
1 DESCRIPTION
2 SUMMARY REPORT
3 MONITORING BLASTING COATING
4 REPLICA TAPE INSPECTION REPORT
5 FINAL COATING INSPECTION FAB. SHOP YARD
6 FINAL COATING INSPECTION REPORT & HDT TEST
7 HAND OVER MATERIAL PIPE FINISH COAT IN FAB. SHOP TO FIELD
8 ROAD CROSSING CLEARANCE
9 RESULT ACTIVITY BLASTING & COATING
ALL THE REQUIRED INSPECTION REPORTS & QUALITY DOCUMENT HAVE BEEN ATTACHED IN THIS PACKAGE, CHECKED
AND REVIEW BY ALL PARTIES BELOW :
PREPARED BY, REVIEWED BY, APPROVED BY,
QA - QC NUKOTE INDONESIA QA - QC CPI REPRESENTATIVE QA - QC CPI
APPROVED BY,
QA - QC CPI
Coating Inspection Report Form -
Holiday Test Report
Costumer : PT. Chevron Pacific Indonesia Date : 18/04/2019
Supervision : PT. SMBR Chevron Coating System : 2.15
: Sleeve Installation for Replace
Contractor : PT. KRS Project Title Clamp 6-24 Inch
: Coating Work on Pipe Sleeve
SR NO : 1282641 Description 6-24 Inch
Location : Water Line Pematang GS to Petani Service Line : Pipe Sleeve 6-24 Inch
Holiday Test
√
Reject Accept
Notes
Holiday Tester
Manufacture
Holiday Test at:
Elcometer 270
Model Digital
Calibrated
√ Yes No - PKM 3750 - 20" - 5 Pairs
Voltage Low Voltage
DFT Thickness 150-325 Micron - PKM 3300 - 20" - 3 Pairs
Standard RPO188 RPO274
COM - SU - 5191 - B - PKM 1600 - 20" - 5 Pairs
- PKM 1050 - 20" - 3 Pairs
- PKM 5500/2850 - 20" - 3 Pairs
Prepared/Operate by KRS QC Check/Witness by SMBR QC
Name : Paskah H. Purba # 3146 Name : Apde # 417478
Date : Date :
HOLIDAY DETECTION TEST RECORD
Project Name : Sleeve Installation for Replace Clamp 6-24 Inch
Client : PT. Chevron Pacific Indonesia
Pipe Dia. : Pipe Sleeve Diameter 6-24 Inch
Coating
: Interseal, Interthane
Date of Test : 18/04/2019 Material
Equipment Type : HDT DETECTOR ELCOMETER 270 LOW VOLTAGE Manufacture : International
Test Voltages : 67.5 V Refer to : Nace RP 0188
SR NO. : 1282641 Coating : 150 - 325 Micron
Thickness
RESULT RESULT FINAL
NO DESCRIPTION REMARKS
1 ST 2 ND JUDGMENT
1 Pipe Sleeve 20"-SLN-PKM 3750 - 5 Pairs-Pematang GS to Bekasap 20 0 ACCEPTED
ACC AFTER REPAIR
2 0 0 ACCEPTED
Pipe Sleeve 20"-SLN-PKM 3300 - 3 Pairs-Pematang GS to Bekasap
3 Pipe Sleeve 24"-SLN-PKM 1600 - 5 Pairs-Pematang GS to Bekasap 3 0 ACCEPTED ACC AFTER REPAIR
5
4 Pipe Sleeve 24"-SLN-PKM 1050 - 3 Pairs-Pematang GS to Bekasap 0 ACCEPTED ACC AFTER REPAIR
5 Pipe Sleeve 24"-SLN-PKM 5500/2850 - 3 Pairs-Pematang GS to Bekasap 0 0 ACCEPTED
Total 28 0
Examinated by, Witness/Checked By,
KRS QC SMBR QC
Paskah H. Purba #3146 Apde #417478
: Interseal, Interthane
: International
: Nace RP 0188
: 150 - 325 Micron
Holiday Test Photograph (NACE RP-0188)
Holiday Test at PKM 3750-20"-5 Pairs
Holiday Test at PKM 3300-20"-3 Pairs
Holiday Test at PKM 1600-20"-5 Pairs
Holiday Test at PKM 1050-20"-3 Pairs
Holiday Test Photograph (NACE RP-0188)
Holiday Test at PKM 5500/2850-20"-3 Pairs
DFT Check
RESULT Of BLASTING & COATING ACTIVITY
Project Name : COATING SERVICE FOR UNDERGROUND PIPE ROAD CROSSING
Client : PT. CHEVRON PACIFIC INDONESIA
Location : Coating Shop
Coating Material : Atometal AM-C-I
R/C Location : Area 6/7 FPR Package
