Ref. No.

:
Date :

REQUEST FOR THE ENGINEERS REVIEW

Jakarta MRT Project Underground Sections : CP 104 & CP 105

The Employer : PT. Mass Rapid Transit Jakarta

The Engineer : JV of Oriental Consultant Co. Ltd, Japan International Consultants for
Transportation and Pacific Consultants Co. Ltd.

The Contractor : Shimizu - Obayashi - WijayaKarya - Jaya Konstruksi - Joint Venture

The Contractor submits herewith the following document for the Engineers review and approval.
Document Title : Inspection and Test Plan For Leakage Test Duct Work Installation
Document No : MRT SOWJ MEP ITP 301

Type of Document : Method Report Product Data Design Data

Statement

Test Plan Certificates Manual Plan

Programs Drawings Others

Procedures

Issue Purpose : For Review F For Approval For Construction

For Records For Action Others

Prepared By : (Name) : RamonitoLaduaDaquil

(Title) : M/E Manager
Date : __________________
(Signature)

Checked & (Name) : Kazuya Osako

Submitted By : (Title) : Contractors Representative
Date : _________________
(Signature)

This transmittal and its associated document are delivered by way of :

Courier E-Mail Hard copy hand HDMS (Aconex)

REPLY TO THE CONTRACTOR

The Document / submittal is :
Approved without Approved With Approved With To be Corrected &
Comment NONO Comment NONOC Comment NONOB Resubmit NONO A
(Name) (Comment) (Signature)
Reviewed (Title)
By: (Date)
PT. MASS RAPID TRANSIT JAKARTA
REPUBLIC OF INDONESIA

Construction of
Jakarta Mass Rapid Transit Project
Underground Section
Package CP 104 & CP 105

INSPECTION AND TEST PLAN FOR

LEAKAGE TEST DUCT WORK INSTALLATION

DOC. NO. MRT SOWJ MEP ITP -301

JV Office : Mid Plaza 2, 5th Floor, Jl. Jendral Sudirman Kav. 10 - 11, Jakarta 10220, Indonesia,
Telp : (021) 570 - 4646, Fax : (021) 570 - 0579
Revision Status

Rev. No. Date Details

Issue date

Prepared by Check by Approved by

Signature

Name Jose Camanong Tangalin RamonitoLaduaDaquil Kazuya Osako

Title Project Manager M/E Manager Contractor

PT. Binkei SOWJ Representative
 INSPECTION AND TEST PLAN FOR
LEAKAGE TEST DUCT WORK INSTALLATION