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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

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