PT. PERTA SAMTAN GAS
APPROVAL FORM
RefNo: 006 /ovAes vs 1019 - ae Date :24th of May , 2017
* Subject Approval : Budget Execution of Install Water Meter (what)
stor
* Background
1. Indonesian Legal compliance to UU RI No. 37 Tahun 2004 Sumberdaya Air (why)
2. Finding during SA Proper at KLHK Requirement of PROPER for PPA is neraca air (why)
3. Part of SA Proper which is PPA folder : SA-PPA, Sheet Ketentuan Teknis point 4 and 7 for flowmeter
and neraca air (why)
4. Water meter to be done before assessment ASAP for calculation of neraca air before Proper closing
period of Proper 2016-2017 done on 2017. (when)
* Purpose
1, Propose to install water meter for calculate water production and consumption into “neraca air” at
Extraction Plant Prabumulih. (where)
2. Equipment to control and calculate balance water consumption and production. (what)
Scope Of Work : - Execution on Q Ill 2017 (when)
- Conduct by PSGAS itself (how)
+ Detail as attached (how)
Budget :
No Scope of Work in
Price
Bc
9.750.000
~Upah Manpower ( Pemasangan/install Metering for
Water 2") aii
fotal (IDR)
+ Attachments : - Recapitulation estimation cost and BOQ
Proposed By Check & review by Approved by
Name: Dandy Wahyu Name :Maria Katryn Name: Aris Marhendrawanto
Position : Maintenance superintenden| Position: Finance Manager Position: VP Director
Signature Signature Signature
Name: Acep Saefuddin ee
Postion : O&M Manager
Signature :
Cte Name Lee lun Hee Name Baek Weon Son
Position :internal Audit Manager | Position : President Director
Name Syaiful Anwar Signature : Signature :
Position: GM Operation 4p
chet Ri
OSer AH orang atl Mims wore om CE (my Sap Stem