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Material Approval Request For Isulation: Sumbawa LNG Terminal & Regas Facility Project

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JOB CODE DOCUMENT NO REV

0-0831-00-0000 V-3140-001-A-735 2A
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SUMBAWA LNG TERMINAL &


REGAS FACILITY PROJECT

Vendor's name PT. SWADAYA CIPTA


COMPANY’s name PT. AMMAN NUSANTARA GAS
Purchaser PT. JGC INDONESIA
Plant Location Benete Bay, South Benete, West Nusa Tenggara, Indonesia
Purchase Order No. 0‐0831‐0‐P‐3140‐001‐A
Equipment/Material Name BUILDING & HVAC SPLIT SYSTEM
Item number
Document title MATERIAL APPROVAL REQUEST FOR ISULATION

RESULT CODE : A, B, C, D (by Purchaser)

NEXT STATUS : IFI, IFA, AFC, AB, CN, NA (by Purchaser)

RESUBMISSION DATE : (by Purchaser)

RESPONSIBLE DEPT./PERSON : (by Purchaser)

Review Date:
A : Approved
B : Approved with Minor Comment
C : Review/Comment
D : Reject and to be Resubmitted

Approval or review hereunder shall not be construed to relieve


Vendor / Subcontractor of his responsibilities and liability
under the Contract.

FOR APPROVAL

REV. DATE PAGE DESCRIPTION PREP’D CHK’D APP’D CPY APP’D

2A 5-Jan-24 ALL ISSUED FOR APPROVAL ALI M


JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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SUMBAWA LNG TERMINAL &


REGAS FACILITY PROJECT

RECORD OF REVISION
The revision listed below have been incorporated in this copy of the document.
REV NO SECTION PAGE DESCRIPTION
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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SUMBAWA LNG TERMINAL &


REGAS FACILITY PROJECT

MATERIAL APPROVAL REQUEST


Project : Sumbawa LNG Terminal & Regas Facility Doc. No : V-3140-001-A-737
Company : PT. Amman Nusantara Gas Date : 5-Jan-24
Contractor : JGC Indonesia
Subcontractor : PT. Swadaya Cipta

MATERIAL DESCRIPTION
Material : Insulation
Manufacture : PT. ADIMAS ISOLASITAMA
Specification : Rockwool with density 100kg/m3
: Glasswool with density 32kg/m3
: Double sided Aliminium foil
: Roof Mesh
Attachment : Company Profile & Technical data sheet

CONTRACTOR / COMPANY REVIEW

AAPPROVAL NOTE

REQUESTER APPROVAL APPROVAL


PT. SWADAYA CIPTA PT. JGC INDONESIA

MOHD ALI MASYHUR


5-Jan-24
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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SUMBAWA LNG TERMINAL &


REGAS FACILITY PROJECT

MATERIAL ASSESMENT REPORT

POLYURETHANE WATERPROOF COATING

NO DESCRIPTION PROJECT REQUIREMENT PROPOSED COMPLIANCE REMARK


MATERIAL (COMPLY/
NOTCOMPLY)
1 Insulation S-000-1340-001 PT. ADIMAS Comply
Rock Wool General Specification for Building INSULASITAMA
The insulation if required shall be 50
mm minimum thick and consist at least
3 (three) layer as follow :
Aluminium Foil • Reflected foil laminate can define • AB FOIL 720
from reinforced aluminium foil D/S
laminate double side
Glasswool • Glass wool insulation shall be made • AB WOOL
of molten glass with maximum 50mm 32kg/m3
thermal conductivity of 0.040 W/m.K.
minimum thickness shall be not less
than 50 mm. density 32 Kg/m³.
Roofmesh • Wire mesh galvanized • AB MESH 3315

Rock Wool D-C30-1340-003_3B. • ABR


EDG & GEG HOUSE Architectural ROCKWOOL
Sectios

NOTE:

ATTACHMENT

☐ Mill Certificate ☐ Material Test Result ☐Sample Product

☒ Brochure ☐ Photo ☐ Other ………………….

PREPARED BY CHECKED BY APPROVED BY


NAME AGIL BAGUS AZ SARDI ALI MASYHUR

ENGINEER LEAD ENGINEER ENGINEERING MANAGER


DATE 5-Jan-24 5-Jan-24 5-Jan-24
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
0-0831-00-0000 V-3140-001-A-735 2A
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
JOB CODE DOCUMENT NO REV
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REGAS FACILITY PROJECT
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