APPROVAL FORM

Date : September 13, 2

● Ref No :
● Subject Approval : Purchasing Work Equipment Turn Arround (Item TA)
● Background : Turn Around (TA) Activity
● Purpose : To Support Turn Around Activity at Extraction Plant
● Scope Of Work : Preparation for supporting TA Activity, should be done before Turn Arr
(TA) Activity Start :
1.
2. Purchase Sheet Cover Blue for protection drum molsieve
Tent Rental Rest Area for TA Workers
● Budget :

Scope Of Work BQ Unit Unit Price Total Remark

I. Pembelian Material :
1. Terpal Blue Sheet Size 8x10 m 10 ea 400,000 4,000,000
2. Tali Kambing size 4 mm 4 roll 75,000 300,000 Bahan Serat Plastik
3. Papan (2 x 20cm x 4 m) 10 lbr 45,000 450,000
4. Kayu Kasau (5 cm x 7 cm x 4 m) 20 btg 25,000 500,000
5. Paku 3" & 4" Campur 2 Kg 15,000 30,000
6. Cat Altex PTE Hitam 800 gr 2 btl 50,000 100,000
7. Cat Altex PTE Kuning 800 gr 2 btl 50,000 100,000
8. Thinner ND 2 btl 10,000 20,000
9. Kuas 2½" 3 ea 7,000 21,000
5,521,000

II. Sewa Tenda :

1. Tenda 6x6 m (9 unit x 200rb = 1,8jt) 10 days 1,800,000 18,000,000
2. Panggung 4x6 m (4 unit x 500rb = 2jt) 10 days 2,000,000 20,000,000
3. Kursi (60 bh x 1500 = 90rb) 10 days 90,000 900,000
38,900,000

II. Man Power :

1. Task Force (10 Hari selama TA) 70 oh 75,000 5,250,000 Pekerjaan :
- Membantu Loading/Unloading Mo
- Packing Molsive
- Cleaning Tangki & Vessel Cold Sepa

Total : 49,671,000
· Attachment : Detail as attached
Proposed by : Review by : Approved by :
Nama : Herman Nama : Budiyana Nama :
Position : Maintenance Manager Position : Operation Director Position :
Sign, Sign, Sign,

Nama : Syaiful Anwar

Position : GM Extraction Plant
Sign,
Nama : Vacant Nama :
Position : Finance Director Position :
Sign, Sign,
Nama : Maria Katryn
Position : Finance Manager
Sign,
 Date : September 13, 2016

round (Item TA)

xtraction Plant
ty, should be done before Turn Arround

otection drum molsieve

Remark

Bahan Serat Plastik

Pekerjaan :
- Membantu Loading/Unloading Molsive
- Packing Molsive
- Cleaning Tangki & Vessel Cold Separator

Approved by :
Vacant
Vice President Director
Baek Weon Son
President Director
APPROVAL FORM
Date : September 14, 2
● Ref No :
● Subject Approval : Purchasing Work Equipment Turn Arround (Item TA)
● Background : Turn Around (TA) Activity
● Purpose : To Support Turn Around Activity at Extraction Plant
● Scope Of Work : Preparation for supporting TA Activity, should be done before Turn Arr
(TA) Activity Start :
1.
2. Purchase Sheet Cover Blue for protection drum molsieve
Tent Rental for Rest Area TA Workers
● Budget :

Scope Of Work BQ Unit Unit Price Total Remark

I. Pembelian Material :
1. Terpal Blue Sheet Size 8x10 m 10 ea 400,000 4,000,000
2. Tali Kambing size 4 mm 4 roll 75,000 300,000 Bahan Serat Plastik
3. Papan (2 x 20cm x 4 m) 10 lbr 45,000 450,000
4. Kayu Kasau (5 cm x 7 cm x 4 m) 20 btg 25,000 500,000
5. Paku 3" & 4" Campur 2 Kg 15,000 30,000
6. Cat Altex PTE Hitam 800 gr 2 btl 50,000 100,000
7. Cat Altex PTE Kuning 800 gr 2 btl 50,000 100,000
8. Thinner ND 2 btl 10,000 20,000
9. Kuas 2½" 3 ea 7,000 21,000
5,521,000

II. Sewa Tenda :

1. Tenda 6x6 m (6 unit x 200rb = 1,2jt) 10 days 1,200,000 12,000,000
2. Panggung 4x6 m (3 unit x 500rb = 1,5jt) 10 days 1,500,000 15,000,000
3. Kursi (60 bh x 1500 = 90rb) 10 days 90,000 900,000
27,900,000

II. Man Power :

1. Task Force (10 Hari selama TA) 70 oh 75,000 5,250,000 Pekerjaan :
- Membantu Loading/Unloading Mo
- Packing Molsive
- Cleaning Tangki & Vessel Cold Sepa

Total : 38,671,000
· Attachment : Detail as attached
Proposed by : Review by : Approved by :
Nama : Herman Nama : Budiyana Nama :
Position : Maintenance Manager Position : Operation Director Position :
Sign, Sign, Sign,

Nama : Syaiful Anwar

Position : GM Extraction Plant
Sign,
Nama : Vacant Nama :
Position : Finance Director Position :
Sign, Sign,
Nama : Maria Katryn
Position : Finance Manager
Sign,
 Date : September 14, 2016

round (Item TA)

xtraction Plant
ty, should be done before Turn Arround

otection drum molsieve

Remark

Bahan Serat Plastik

Pekerjaan :
- Membantu Loading/Unloading Molsive
- Packing Molsive
- Cleaning Tangki & Vessel Cold Separator

Approved by :
Vacant
Vice President Director
Baek Weon Son
President Director
APPROVAL FORM
Date : September 14, 2
● Ref No :
● Subject Approval : Purchasing Work Equipment Turn Arround (Item TA)
● Background : Turn Around (TA) Activity
● Purpose : To Support Turn Around Activity at Extraction Plant
● Scope Of Work : Preparation for supporting TA Activity, should be done before Turn Arr
(TA) Activity Start :
1. Purchasing Material Slip Blind.
2. Purchasing Material at DHU Unit area & rest area for TA Worker.
● Budget :

Scope Of Work BQ Unit Unit Price Total Remark

I. Pembelian Material :
1. Slip Blind 1 Lot 7,800,000 7,800,000
2. DHU Unit & Rest Area for TA Worker 1 Lot 75,000 38,671,000
Total : 46,471,000

· Attachment : Detail as attached

Proposed by : Review by : Approved by :
Nama : Herman Nama : Budiyana Nama :
Position : Maintenance Manager Position : Operation Director Position :
Sign, Sign, Sign,

Nama : Syaiful Anwar

Position : GM Extraction Plant
Sign,
Nama : Vacant Nama :
Position : Finance Director Position :
Sign, Sign,
Nama : Maria Katryn
Position : Finance Manager
Sign,
 Date : September 14, 2016

round (Item TA)

xtraction Plant
ty, should be done before Turn Arround

area & rest area for TA Worker.

Remark

Approved by :
Vacant
Vice President Director

Baek Weon Son

President Director