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    Concreting Permit Form: Installation For 150 KV Transmission Line Rengat-Pangkalan Kerinci Section 1

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    Dedi Mulyadi
    This document is a concreting permit form for the installation of a 150kV transmission line between Rengat and Pangkalan Kerinci. It provides details for the concreting of tower foundations, including: 1) The tower survey number and schedule 2) Foundation class and structure 3) Reference drawings 4) Grade and quantity of concrete materials 5) Concreting equipment and responsible personnel It concludes by declaring whether concreting can proceed based on checklist results.

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    Concreting Permit Form: Installation For 150 KV Transmission Line Rengat-Pangkalan Kerinci Section 1

    Uploaded by

    Dedi Mulyadi
    17 views4 pages
    This document is a concreting permit form for the installation of a 150kV transmission line between Rengat and Pangkalan Kerinci. It provides details for the concreting of tower foundations, including: 1) The tower survey number and schedule 2) Foundation class and structure 3) Reference drawings 4) Grade and quantity of concrete materials 5) Concreting equipment and responsible personnel It concludes by declaring whether concreting can proceed based on checklist results.

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    This document is a concreting permit form for the installation of a 150kV transmission line between Rengat and Pangkalan Kerinci. It provides details for the concreting of tower foundations, including: 1) The tower survey number and schedule 2) Foundation class and structure 3) Reference drawings 4) Grade and quantity of concrete materials 5) Concreting equipment and responsible personnel It concludes by declaring whether concreting can proceed based on checklist results.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    17 views4 pages

    Concreting Permit Form: Installation For 150 KV Transmission Line Rengat-Pangkalan Kerinci Section 1

    Uploaded by

    Dedi Mulyadi
    This document is a concreting permit form for the installation of a 150kV transmission line between Rengat and Pangkalan Kerinci. It provides details for the concreting of tower foundations, including: 1) The tower survey number and schedule 2) Foundation class and structure 3) Reference drawings 4) Grade and quantity of concrete materials 5) Concreting equipment and responsible personnel It concludes by declaring whether concreting can proceed based on checklist results.

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    You are on page 1of 4

    PT.

    PLN ( PERSERO )
    Unit Pembangunan Sumatra Bagian Tengah
    Unit Pelaksana Konstruksi Jaringan Riau - Kepri

    INSTALLATION FOR 150 KV TRANSMISSION LINE RENGAT-PANGKALAN KERINCI


    Contract No : 178.PJ.PLN2017/DAN.02.02/UIPII/2017 Tgl. 11 Agustus 2017

    CONCRETING PERMIT FORM


    (Formulir Ijin Pengecoran)

    1. Location / Lokasi Pengecoran

    Tower Survey No : TW.


    Tower Schedule No : T.

    2. Type of Tower / Tipe Tower :

    3. Foundation Class / Kelas Pondasi : Condition : Class

    Pad : A B C D Chimney :
    4. Foundation Structure / Struktur Pondasi :
    Pile Cap : A B C D Pile :

    5. Refference Drawing / Gambar Referensi :

    6. Grade of Concrete / Mutu Beton : K-225 K-175

    7. Stub Setting : OK NOT OK

    8. Additive / Bahan Additif yg digunakan :

    9. Casting Concrete Metode / Metode Pengecoran : Site Mix / Ready Mix

    10. Concreting Equipment / Peralatan Pengecoran :


    Concrete Pump Concrete Mixer (____m3

    Mix Truck Vibrator

    Crane Etc

    9. Quantity of Concrete Material : Concrete Volume Estimated = M³


    (Jumlah Material Pengecoran)

    Cement ( PC/PCC ) = Kg

    Sand = M3

    Gravel/Split = M3

    Additive = Kg

    10. Cube Test Number / Jumlah Kubus : pcs


    11. Labour / Tenaga Kerja : man

    12. Responsible Person for Concreting Preparation :


    (Penanggung Jawab Persiapan Pengecoran)

    13. Responsible Person for Concreting :


    (Penanggung Jawab Pelaksana Pengecoran)

    14. ConclusionBased on the check list results, it is hereby declared that concreting : can be done / can not be done

    REMARKS : Checked by, Checked by, Prep

    PT. PLN (Persero) PUSMANKON PT


    UPK RIAU-KEPRI

    NAME : NAME : NAME

    DATE : DATE : DATE


    SSION LINE RENGAT-PANGKALAN KERINCI SECTION 1
    7/DAN.02.02/UIPII/2017 Tgl. 11 Agustus 2017

    FORM - 1

    No. :

    Pengecoran) Date :

    Chimney : A B C D

    Pile : A B C D

    Concrete Mixer (____m3) Water Pump ( 1, 2, __ )

    Dolak

    : Theodolit

    , Type = I
    concreting : can be done / can not be done

    Prepared by,

    PT PERCIE

    NAME :

    DATE :

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