adaro® REQUEST FOR INSPECTION LTA MNERALS, SMTPA PJT (Fuel Storage Tank Stage 1) [Project UTPA PUT Fuel Storage Tark Stage 1) [Discipline Eretial Work [Contractor PT. Lintech Duta Pratamay [Request date 15 aug 2024 IRFINo LDP.221100826-E10-RFI-Ig6 Location Lampunut ITP No. {LDP 221 100326-PRE-09 INSPECTION DETAIL [i Inspection Date/Time 1 1610S 2024 [2 Construction Activity No Activity 3. Inspection Aativity Inspection Gable NYY 4exd,Smim2 [&. Description Cable Used for Route Panel it Trap 0 3GPO [5 DWG No. Reference > LOP-721100829-£10-01 5 Inspection Point Witness W) Remark Items of inspection {Iran Cale specton nd Coninuy Tex 2. Visual Check Cable — 3. Check Cable Color Code Signature for Notification / Acknowledgement PT: Lniech Data Patara PT. PT. Adare Maniwal Coal Name KUSMAWAN Name ian =e Se q Date SHOW2026 [Date 1 ‘ACCEPTED 7 REJECTED POSTPONED ‘CANCELLED ‘Signature for inspection Execution FT. Lntech Duta Pratama PT. Adar Wawa Coal Nene? Coamcas an Name Date le -28 tag, [Date eft Fixaadaro® DJLINTECH CABLE INSTALLATION INSPECTION Eien Pr Wars Coal Panties Came gonre PO No. TO30007353 Equipment WO GCx UR conirac Tie. Expasin Fol Songs Tk Cop RETR ATOR Location _Pock Tap ko SP RO. Brewing Ne GOP -AUSo ym CLD Gon Dee EDP WTO Heck ust CHECKED BY. Dave 1 Check that cable tray or conduit is free of sharp edges. €~ Kromowar / 4 2 Check thatnumberof pling poinisadeguateandthenumberot | CJunt_ [88 bends between pulling points does not exceed specification = requirements, 3 Inspect cable for jacket damage prior toppling. U~ 4 Perform insulation Resistance Test (megger) on power cables after Installation and record. 5 Cables identified as per specification and drawings. (~~ 6 Cable markers installed as specified. ~~ 7 Check that cable is correct size ~~ 8 Check that cable gland tight. \~ 9 Earthing & Bonding installed correctly —~ REMARKS cerririep By: Grourausern, Yh uP pare (e028 - ey PTLINTECH DUTA PRATAMA AccePrep py f are (6/08/24 CLIENT REPRESENTATIVE, ‘Loe wo-002 Version Now?adaroW MINING LINTECH CABLE CONTINUITY TEST cient. PTMaruwal Coal Pant Area/lat No” LAMPUNUT —] Conta Doe ! LDP Wi02 008 Location: Fon Tap & SE GPO [Contract Title. : Expansion Ful Storage Tank Cop2xiS00KT._[Megger Voltage: STOUAG [erticate calibration No - BO7232296 [Test Equipment Used & Serial No > FLUKE.B7.S Continay cations, | rompoin | torcints | 12™ |contniy | checked By/0ue Q | checkea SReo-wensi | Coola (eu CT Nemes 4 Coa © | Ginine Mya | 2 | | Rivar Cola Hoe ervte rae re aul eo cra | enieg Hyacl 2 | Fae Gu yew | Ope = 7 REMARKS (CERTIFIED BY Kusmawan DATE PTLINTECH DUTA PRATAM: Jaccerren py va bh /og Form LDP Wi02-005 Version No.2adaroW REQUEST FOR INSPECTION 6MTPA PJT (Fuel Storage Tank Stage 1) Project TPA IT Fel Sorape Tank Siege 1) —[Discipine Teal Work Contracor inten Duta Prats Request dato 15 Aug 2008 FIN Top. 221 100800 AES lection Campy [It No oP 22 TODS PROT INSPECTION DETAIL 1 Inspection Date/Time > Aug 16.28 2 Consrucon Aciviy No Acti inspection Acviy inspection Cable NYY 4603 Sm a Descrpton Coble Used for Route Panel Oi ap te 3GPO 5 DWG No./ Reference LDP-221100826.10-01 e. nspecton Point Wess (W) Covtivuytear | PEREL OL TRAE 3eaPo RON BCR ap Comnuuy res | Pier or TRAP ee Covtiwoy reer | Comte tear f vitauan seece Poiana karo | =) 3eaPo : WOT Beene Ot pene Bee | — AIT Ae Cote tes" DiseL rl THERE 3earo HITAM — KUNING HUAU ‘ABU ~ KUNING WAUadaro& CABLE INSULATION TEST tient. PT Marawal Coal [Plant Area/Lot No + LAMPUNUT [Control Doc. : LDP W102-005 Location: 2.AL_That> ke_AP APS [Contract Tile: Expansion Fi Songs Tonk Cop 2iSW0KL_[Megger Voltage: 00 AC. | a Test Equipment Used & Serial No SNSULATION TEST (Certificate Calibration No : 07232228 KYORITSU SU07A SN esizi0s Tasufation able No. rom Poin 0 Poin powest | tnsuaton Cable N From Point A Toroinee | eu Checked By/Date MU | Checked 300 -wospgeie | Coe Lae Ate Ow — _| cree Cae Samy ttyl OC T= [Won [a Collate ikaw ow | Shawn Be OU — thom | nu Myo | Oc | — Den Gong Ayes] OM | J [REMARKS CERTIFIED BY Gana DATE (6-08 ~n0uq PTLINTECH DUTA PRAT: |ACCEPTED BY vate 16 /6@/e. 9 Form LDP W102-005 Version No:2REQUEST FOR INSPECTION ~ MINERALS. GMTPA PUT (Fuel Storage Tank Stage 1) Project SMTPA PIT (Fuel Storage Tank Stage 1) [Discipline Electrical Work [Contractor PT. Lintech Duta Pratama [Request date: 15 Augi 2024 FINO UDP-221100328-E1D-RFI-146 Location ‘Lampunut [ITP No. LDP-221100826-PRG-O9 INSPECTION DETAIL [1 Inspection Date/Time Aug 16, 24 2. Construction Activity No Activity '3 Inspection Activity “4. Deseription Inspection Cable NYY 4ox2,Smm2 (Cable Used for Route Panel Ol rap to SGPO [5. DWG No. /Refference _. UDP-221100829-E10-01 (6. Inspection Point Witness (W) HITAM — KUNING HMAU ABU KONING HAVNOWOMSNOO BOs “Tanah Diam SI “aL FGOLS ERE WPORPOREONSS “yoo MMM Ona a Savivar vita isan ts (Gl)