form untuk submittal p3
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8/4/2019 Form untuk submittal P3
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CONTRACTOR'S NAME PROJECT'S NAME
PT. PEMBANGUNAN PERUMAHAN (PP) - ITOCHU HASANUDDIN UNIVERSITY ENGINEERING
Joint Operation FACULTY DEVELOPMENT PROJECT
JBIC LOAN IP-541
P 3 S M I S 0 0 1 0
ISSUEER AND ADDRESSEE(S) OF THE REQUEST
From : PP- ITOCHU Joint Operation To : Oriental Consultants Co.,Ltd.
Name : I Nyoman Karmana Signature : Name : Nobutaka Komai
(Project Manager)
Date :
CONTRACT NO : 15375/H.4/LK.13/2011
TRANSMITTAL OF :DAILY REPORT EQUIPMENT DATA METHODE OF STATEMENT
WEEKLY REPORT BUILDING EQUIPMENT DATA TEST RESULT
MONTHLY REPORT BROCHURE OF MATERIAL CHANGE ORDER
SCHEDULE MANUFACTURING'S CERTIFICATE VARIATION ORDEROF COMPLIENCE
OTHERS
DESCRIPTION OF ITEM SUBMITTED
1 Volume of Cut & Fill for Package-3 2
REVIEW / APPROVAL
POSITION :
NAME :
APPROVED
APPR WITH COMMENT
(see below/attached)
REJECTED(with details below/attached)
DATE:
SIGNATURE :
Comments: ……………………………………………………………………………………………………………………………………………………
6
MISCELLANEOUS APPROVAL REQUEST
26-Sep-11
ITEM
NO
DESCRIPTION OF ITEM SUBMITED
(Type, size, model number etc)NO. OF COPIES
CONTRACT REFERENCE DOCUMENTVARIATION
FOR ENGINEER
USE CODESPEC. PARA NO. DRAWING SHEET NO.
1 2 3 4 5
26-Sep-11
PP-ITOCHU Joint Operation Consultants Engineer
Site Engineer Manager Project Manager
Galang Bastiono I Nyoman Karmana
26-Sep-11