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Wasco Engineering Indonesia: Receiving Inspection Report

This receiving inspection report documents the inspection of 8 items received from Schneider Electric France. The inspection included reviewing documentation, performing visual and non-destructive examinations, checking dimensions, and verifying manufacturing origin. All items passed inspection by Wasco Engineering Indonesia and were approved by Schneider, PJV, and Wasco representatives.

Uploaded by

Ahmad Fazri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
68 views16 pages

Wasco Engineering Indonesia: Receiving Inspection Report

This receiving inspection report documents the inspection of 8 items received from Schneider Electric France. The inspection included reviewing documentation, performing visual and non-destructive examinations, checking dimensions, and verifying manufacturing origin. All items passed inspection by Wasco Engineering Indonesia and were approved by Schneider, PJV, and Wasco representatives.

Uploaded by

Ahmad Fazri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 16

F-QC-008

REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
1
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
2
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
3
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
4
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
5
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
6
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
7
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
8
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
9
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
10
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
11
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
12
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
13
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
14
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
15
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
16
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
17
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
18
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
19
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
20
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
21
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
22
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
23
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
24
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
25
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
26
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
27
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
28
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
29
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
30
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
31
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
32
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
33
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
34
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
35
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
36
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
37
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
38
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
39
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
40
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
41
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
42
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
43
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
44
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
45
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
46
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
47
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
48
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
49
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
50
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
51
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
52
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
53
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
54
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
55
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
56
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
57
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
58
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
59
Check Dimensional□ A
Manufacturing origin□ A

Documentation□ A
Visual □ NDE□ A
60
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16
F-QC-008
REV. 3

WASCO ENGINEERING INDONESIA


JL. BRIDJEN KATAMSO KM5 TANJUNG UNCANG
BATAM INDONESIA 29432
Client : SCHNEIDER ELECTRIC FRANCE Report No. : BASSAIRE-0009-RIR-HVAC-MAT-029
Project No. : 0009 Tag No. :
Prepared by : BASSAIRE QA/QC Date : 06.03.2019
RECEIVING INSPECTION REPORT

ITEM PURCHASE DATE DATE HEAT NO. / QC


INSPECTION LOT DESCRIPTION / SIZE / ORIGINAL MARKING QTY CERT. NO. INSPECTION RESULT
NO. ORDER NO. RECEIVED INSPECTED LOT NO. INITIAL

Documentation□ A
Visual □ NDE□ A
61
Check Dimensional□ A
Manufacturing origin□ A

Witnessed / Reviewed / Witnessed/Reviewed/ Witnessed/Reviewed/ Witnessed/Reviewed/


Prepared / Checked by
Approved By Approved By Approved By Approved By
COMPANY BASSAIRE SCHNEIDER PJV

SIGN
NAME AHMAD FAZRI
DATE 06.03.2019
Page of 16

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