Form Check List Test-Com RO 300 CMD

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OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Filter Pump 1
Location :
Technical Specification
Model : Type / Manufacture CR 20-4 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Head

35

.. m

Motor

5,5

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Filter Pump 2
Location :
Technical Specification
Model : Type / Manufacture CR 20-4 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Head

35

.. m

Motor

5,5

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Sand Filter with Manual Operation
Location :
Model : Type / Manufacture Pressure Tank
Dimension

48" x 72"

Operation Valve

Butterfly Valve

Pentair

1 Physical
Tank Condition

48" x 72"
Accepted

Not Accepted

2 Operation Valve
Valve Condition

Butterfly Valve
Accepted

Not Accepted

Accepted

Not Accepted

Valve Connection

3 Condition of Tank & Valve


Unsatisfactory
4 General Comments

Poor

Satiscatory

Good

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Carbon Filter with Manual Operation
Location :
Model : Type / ManufacturePressure Tank
Dimension

48" x 72"

Operation Valve

Butterfly Valve

Pentair

1 Physical
Tank Condition

48" x 72"
Accepted

Not Accepted

2 Operation Valve
Valve Condition

Butterfly Valve
Accepted

Not Accepted

Accepted

Not Accepted

Valve Connection

3 Condition of Tank & Valve


Unsatisfactory
4 General Comments

Poor

Satiscatory

Good

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location
Level
Test Date

:
:
:

Drawing Ref :
Pump No. : Dosing Pump 1
Location :
Technical Specification
Model : Type / Manufacture PZ - 60 / Tacmina

Pump Name Plate


/ Tacmina

Capacity

60

ml/min

.. ml/min

Pressure

0,7

Mpa

.. Mpa

Motor

0,012

kW / 1 Ph / 220 V/ 50 Hz

..kW / 1 Ph / 220 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

ml/min
Accepted

Pressure

Not Accepted

Mpa
Accepted

rpm

Not Accepted

rpm
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

PT. Puri Zuqni

PT. Adhikarya, Tbk

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location
Level
Test Date

:
:
:

Drawing Ref :
Pump No. : Dosing Pump 2
Location :
Technical Specification
Model : Type / Manufacture PZ - 60 / Tacmina

Pump Name Plate


/ Tacmina

Capacity

60

ml/min

.. ml/min

Pressure

0,7

Mpa

.. Mpa

Motor

0,012

kW / 1 Ph / 220 V/ 50 Hz

..kW / 1 Ph / 220 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

ml/min
Accepted

Pressure

Not Accepted

Mpa
Accepted

rpm

Not Accepted

rpm
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

PT. Puri Zuqni

PT. Adhikarya, Tbk

Electrical Lift Inspection - Testing and Commissioning Document - TBI Project Management

10

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Agitator 1
Location :
Technical Specification
Model : Type / Manufacture Agitator for 200 L Tank
Motor

0.25 kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

1 Mechanical
rpm

rpm
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Motor
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Agitator 1
Location :
Technical Specification
Model : Type / Manufacture Agitator for 200 L Tank
Motor

0.25 kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

1 Mechanical
rpm

rpm
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Motor
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Feed Pump 1
Location :
Technical Specification
Model : Type / Manufacture CR 20-3 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Head

25

.. m

Motor

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Feed Pump 2
Location :
Technical Specification
Model : Type / Manufacture CR 20-3 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Head

25

.. m

Motor

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Pre-filter Cartridge 1
Location :
Model : Type / Manufacture UFC40 5/7
Cartridge Filter

Grace

SW-5-P-40-PP
String wound cartridge filter

1 Physical
Cartridge Housing

UFC40 5/7
Accepted

Not Accepted

2 Cartridge Filter
Cartridge Condition

String wound cartridge


Accepted

Quantity & installed

7 cartridge/housing
Accepted

3 Condition of Housing & Cartridge


Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : Pre-filter Cartridge 2
Location :
Model : Type / Manufacture UFC40 5/7
Cartridge Filter

Grace

SW-5-P-40-PP
String wound cartridge filter

1 Physical
Cartridge Housing

UFC40 5/7
Accepted

Not Accepted

2 Cartridge Filter
Cartridge Condition

String wound cartridge


Accepted

Quantity & installed

7 cartridge/housing
Accepted

3 Condition of Housing & Cartridge


Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : High Pressure Pump 1
Location :
Technical Specification
Model : Type / Manufacture CR 20-12 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Pressure

12

Bar

.. Bar

Motor

15

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : High Pressure Pump 2
Location :
Technical Specification
Model : Type / Manufacture CR 20-12 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Pressure

12

Bar

.. Bar

Motor

15

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Housing RO
Location :
Model : Type / Manufacture R8040B300S

ROPV

Dimension

Diameter 214mm x 4582mm

Design Pressure

300 Psi/ 21 Bar

Max. Pressure

150 F/ 66 C

Port Connection

Dia. 1,5 inch

1 Physical
Pressure Vessel

R8040B300S
Accepted

Not Accepted

Accepted

Not Accepted

Condition of Port Connection

2 Condition of Pressure Vessel


Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : RO Membran
Location :
Model : Type / Manufacture TM 720-400

Dimension

Diameter 203mm x 1016mm

embran Area

37 m2

Salt Rejection

99,7 %

Product Flow rate

38,6 m3/day

TORAY

1 Physical
Membran

TM 720-400
Accepted

2 Condition of RO Membran
Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Not Accepted

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : CIP Pump
Location :
Technical Specification
Model : Type / Manufacture CRN 20-3 / Grundfos

Pump Name Plate


/ Grundfos

Capacity

23

m3/h

.. m3/h

Head

25

.. m

Motor

kW / 3 Ph / 380 V/ 50 Hz

..kW / 3 Ph / 380 V/ 50 Hz

Motor Current

I= _______A, Imax = _______A

I= _______A, Imax = _______A

1 Mechanical
Flow

m3/h
Accepted

Not Accepted

Head

rpm

rpm

Accepted

Accepted
Rotation

Not Accepted

Not Accepted

Clockwise / Anticlockwise
Accepted

Not Accepted

2 Electrical
Voltage

..(R)(S).(T)
Accepted

Current

..(R)(S).(T)
Accepted

3 Condition of Pump
Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level
Test Date

:
:

Drawing Ref :
Pump No. : CIP Cartridge
Location :
Model : Type / Manufacture UFC40 5/7
Cartridge Filter

Grace

SW-5-P-40-PP
String wound cartridge filter

1 Physical
Cartridge Housing

UFC40 5/7
Accepted

Not Accepted

2 Cartridge Filter
Cartridge Condition

String wound cartridge


Accepted

Quantity & installed

7 cartridge/housing
Accepted

3 Condition of Housing & Cartridge


Unsatisfactory
4 General Comments

Not Accepted

Poor

Satiscatory

Good

Not Accepted
Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Intermediate Tank
Location :
Model : Type / Manufacture Storage Tank TB300

Penguin

Dimension

Diameter 1440mm x 2140mm

Liquid

Water

1 Physical
Tank Condition

TB300
Accepted

2 Condition of Tank
Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Not Accepted

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : Anti-scalant Dosing Tank
Location :
Model : Type / Manufacture Storage Tank TB32

Dimension

Diameter 690mm x 870mm

Liquid

Chemicals

Penguin

1 Physical
Tank Condition

TB32
Accepted

2 Condition of Tank
Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Not Accepted

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : pH Adjustmen Dosing Tank
Location :
Model : Type / Manufacture Storage Tank TB32

Dimension

Diameter 690mm x 870mm

Liquid

Chemicals

Penguin

1 Physical
Tank Condition

TB32
Accepted

2 Condition of Tank
Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Not Accepted

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

OWNER

PROJECT NAME

MAIN CONTRACTOR

NSC

PT. PURI ZUQNI

PADMA RESORT UBUD

PT. ADHIKARYA, Tbk

PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANT


Location

Level

Test Date

Drawing Ref :
Pump No. : CIP Tank
Location :
Model : Type / Manufacture Storage Tank TB200

Penguin

Dimension

Diameter 1440mm x 1505mm

Liquid

Chemicals

1 Physical
Tank Condition

TB200
Accepted

2 Condition of Tank
Unsatisfactory
3 General Comments

Poor

Satiscatory

Good

Not Accepted

Very Good

Test Result :

Approved
Not Approved
Re - Test
CERTIFICATION
Certified by :

PT. Gapura Liqua Mandiri


Approved by :

PT. Puri Zuqni


Witnessed by :

PT. Puri Zuqni

PT. Adhikarya, Tbk

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