INSPECTION RELEASE NOTE

REPORT NO : PAGE : :
ISSUED BY :
IDENTIFICATION ITEM :

LOCATION :

INSPECTION SEQUENCE :
INSPECTION STATUS : FINISHED UNFINISHED

UNFINISHED INSPECTION NOTE

NO : FINDINGS

RECTIFICATION NOTE

Inspected by Acknowledged by Reviewed By Reviewed By Reviewed By

QC SUPERVISOR BVI SC BPI

1.A. Package Title and Narrative Description

Startup Package CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION
The CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION turnover package will cover all sy
1.B. List of Attached Drawings

Drawing Number Rev. Drawing Title

B-EAY-I-BVU-7097 1 CHS DUST SUPPRESSION SYSTEM PID DIAGRAM OF TWR-1 AND COAL RECEIVING AT
B-EAY-I-BVU-7098 1 CHS DUST SUPPRESSION SYSTEM PID DIAGRAM OF TWR-2
B-EAY-I-BVU-7099 1 CHS DUST SUPPRESSION SYSTEM PID DIAGRAM OF TWR-3

1.C. List of Referenced Drawings

Drawing Number Drawing Title

B-EAY-I-BVU-7096 CHS DUST SUPPRESSION SYS PID DIAGRAM DRAWING LIST
B-GHA-M-BVT-7455 ELEVATION OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7456 MATERIAL LIST OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7457 DETAIL OF FITTINGS OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7458 DETAIL OF SUPPORT-1 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7459 DETAIL OF SUPPORT-2 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7460 DETAIL OF SUPPORT-3 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7461 DETAIL OF SUPPORT-4 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7462 DETAIL OF SUPPORT-5 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7463 DETAIL OF SUPPORT-6 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7464 DETAIL OF SUPPORT-7 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7465 DETAIL OF SUPPORT-8 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7466 DETAIL OF SUPPORT-9 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7467 DETAIL OF WATER PUMP SUPPORT OF DUST SUP SYSTEM OF TWR-1

Rev. 0 Page 3 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION

CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Drawing Number Drawing Title
B-GHA-M-BVT-7468 DETAIL OF HANGER-1 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7469 DETAIL OF HANGER-2 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7470 DETAIL OF HANGER-3 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7471 DETAIL OF HANGER-4 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7472 DETAIL OF HANGER-5 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7473 DETAIL OF PIPE DN150 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7474 DETAIL OF PIPE DN100 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7475 DETAIL OF PIPE DN80 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7476 DETAIL OF PIPE DN65 OF DUST SUPPRESSION SYSTEM OF TWR-1
B-GHA-M-BVT-7653 ELEVATION OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7654 MATERIAL LIST OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7655 DETAIL OF FITTINGS OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7656 DETAIL OF SUPPORT-1 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7657 DETAIL OF SUPPORT-2 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7658 DETAIL OF SUPPORT-3 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7659 DETAIL OF SUPPORT-4 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7660 DETAIL OF SUPPORT-5 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7661 DETAIL OF SUPPORT-6 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7662 DETAIL OF HANGER-1 OF DUST SUPPRESSION SYSTEM OF TWR-3
B-GHA-M-BVT-7554 ELEVATION 1 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7555 ELEVATION 2 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7556 MATERIAL LIST OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7557 DETAIL OF FITTINGS OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7558 DETAIL OF SUPPORT-1 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7559 DETAIL OF SUPPORT-2 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7560 DETAIL OF SUPPORT-3 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7561 DETAIL OF SUPPORT-4 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7562 DETAIL OF SUPPORT-5 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7563 DETAIL OF HANGER-1 OF DUST SUPPRESSION SYSTEM OF TWR-2
B-GHA-M-BVT-7564 DETAIL OF HANGER-2 OF DUST SUPPRESSION SYSTEM

Rev. 0 Page 4 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Drawing Number Drawing Title
OF TWR-2
B-GHA-M-BVT-7565 DETAIL OF HANGER-3 OF DUST SUPPRESSION SYSTEM OF TWR-2

1.D. Package Status Section

Certificates

1.D – A: Erection Completion Certificate (ECC)

1.D – B: Mechanical Completion Certificate (MCC)

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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

1.D - A
Erection Completion Certificate (ECC)

I hereby certify that the erection, installation, construction, examination, testing, inspection, stamping, certification
control of the Unit Startup Coordinator and the construction personnel will abide by the requirements of the Unit S

List of attachments required to document erection completion:

 Construction list of Outstanding Work and Deficiencies
 Construction/Startup Quality Completion Certification Sheet (w/construction certifications signed)
 List of Construction Quality/Checkout Forms required
 Copy of Construction Quality/Checkout Forms (completed as applicable to system)

SSP Construction Manager Date

BVI Construction Manager Date

We hereby accept this system to be under the control of Startup, and are in general agreement that the work perfo

BVI Startup Manager Date

SC hereby accepts and agrees with the above Erection Completion Certificate by the above Parties of the Constructi

Sumitomo Corporation Date

Rev. 0 Page 6 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

1.D - B

Mechanical Completion Certificate

I hereby certify that the examination, testing, inspection, startup checkout, commissioning, and documentation req

List of attachments required to document mechanical completion: Completed Turnover Package (as defined by the

Black & Veatch is hereby making notice to the PT BPI - Sumitomo Corporation of turnover for the above mentioned

BVI Startup Manager Date

The PT BPI - Sumitomo Corporation hereby acknowledges substantial completion of the CEAN-01 - COAL DUST CON

This certification is strictly an acknowledgment of the system substantial completion and the satisfactory completio

Sumitomo Corporation Date

PT BHIMASENA POWER INDONESIA Date

Rev. 0 Page 7 of 25
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1.E. Punchlist
CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

No. Description Location Initiated By Res

Party
Req Complete Agreed
Complete

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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Section 2: Mechanical Section

2.A. Mechanical Scope List

2.A - 1: List of Mechanical Equipment

No. Tag Description

1 12GHA01AA003 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
2 12GHA01AA009 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
3 12GHA01AA015 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
4 12GHA01AA021 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
5 12GHA01AA027 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
6 12GHA01AA033 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
7 12GHA01AA039 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
8 12GHA01AA045 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
9 12GHA01AA051 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
10 12GHA01AA057 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
11 12GHA01AA063 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
12 12GHA01AA069 FILTER FOR TWR-1 AND COAL RECEIVING AT WHARF
13 12GHA02AA003 FILTER FOR TWR-2
14 12GHA02AA009 FILTER FOR TWR-2
15 12GHA02AA015 FILTER FOR TWR-2
16 12GHA02AA021 FILTER FOR TWR-2
17 12GHA03AA003 FILTER FOR TWR-3
18 12GHA03AA009 FILTER FOR TWR-3

2.A - 2: List of Manual Valves

No. Tag Description

1 12GHA01AA001 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
2 12GHA01AA002 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
3 12GHA01AA004 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
4 12GHA01AA005 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
5 12GHA01AA007 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
6 12GHA01AA008 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
7 12GHA01AA010 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
8 12GHA01AA011 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
9 12GHA01AA013 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
10 12GHA01AA014 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
11 12GHA01AA016 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
12 12GHA01AA017 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
13 12GHA01AA019 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
14 12GHA01AA020 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
15 12GHA01AA022 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
16 12GHA01AA023 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
17 12GHA01AA025 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
18 12GHA01AA026 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
19 12GHA01AA028 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
20 12GHA01AA029 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
21 12GHA01AA031 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
22 12GHA01AA032 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
23 12GHA01AA034 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
24 12GHA01AA035 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
25 12GHA01AA037 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
26 12GHA01AA038 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
27 12GHA01AA040 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
28 12GHA01AA041 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
29 12GHA01AA043 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
30 12GHA01AA044 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
31 12GHA01AA046 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
32 12GHA01AA047 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
33 12GHA01AA049 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
34 12GHA01AA050 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
35 12GHA01AA052 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
36 12GHA01AA053 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
37 12GHA01AA055 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
38 12GHA01AA056 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
39 12GHA01AA058 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
40 12GHA01AA059 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
41 12GHA01AA061 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
42 12GHA01AA062 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
43 12GHA01AA064 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
44 12GHA01AA065 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
45 12GHA01AA067 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
46 12GHA01AA068 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
47 12GHA01AA070 REDUCING VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
48 12GHA01AA071 BALL VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
49 12GHA02AA001 BALL VALVE FOR TWR-2
50 12GHA02AA002 BALL VALVE FOR TWR-2
51 12GHA02AA004 REDUCING VALVE FOR TWR-2
52 12GHA02AA005 BALL VALVE FOR TWR-2
53 12GHA02AA007 BALL VALVE FOR TWR-2
54 12GHA02AA008 BALL VALVE FOR TWR-2
55 12GHA02AA010 REDUCING VALVE FOR TWR-2
56 12GHA02AA011 BALL VALVE FOR TWR-2
57 12GHA02AA013 BALL VALVE FOR TWR-2
58 12GHA02AA014 BALL VALVE FOR TWR-2
59 12GHA02AA016 REDUCING VALVE FOR TWR-2
60 12GHA02AA017 BALL VALVE FOR TWR-2
61 12GHA02AA019 BALL VALVE FOR TWR-2
62 12GHA02AA020 BALL VALVE FOR TWR-2
63 12GHA02AA022 REDUCING VALVE FOR TWR-2
64 12GHA02AA023 BALL VALVE FOR TWR-2
65 12GHA03AA001 BALL VALVE FOR TWR-3
66 12GHA03AA002 BALL VALVE FOR TWR-3
67 12GHA03AA004 REDUCING VALVE FOR TWR-3
68 12GHA03AA005 BALL VALVE FOR TWR-3
69 12GHA03AA007 BALL VALVE FOR TWR-3
70 12GHA03AA008 BALL VALVE FOR TWR-3
71 12GHA03AA010 REDUCING VALVE FOR TWR-3
72 12GHA03AA011 BALL VALVE FOR TWR-3

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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

2.B. Construction/Startup Mechanical Quality Certification

2.B. - C: Construction Mechanical Quality Certification Checklist

No. Certification Description Resp. Disc. Contractor
Verification

Date Comments
All mechanical equipment has been inspected and
verified to be free from defects. Const. M
All equipment has been properly set and grouted if
applicable. Const. M
All piping, valves, strainers, expansion joints and
3. other piping accessories have been completely and correctly installed in accordance with the
specifications and drawings.
All pipe / duct supports have been properly installed
4. and adjusted, all spring can pins pulled and hangers checked for proper cold settings.
All piping / vessels have been pressure tested as
5. required and Pressure Test Data Reports are attached.

Const. M

Const. M Const. M
All piping has been properly flushed or blown clean,
and the Flushing and Blowdown Report is attached. Const. M
All temporary measures for blowing or cleaning
7. operations have been removed and system restored to normal condition
Const. M
8. All temporary S/U strainers have been removed. Const. M All mechanical equipment has been prop
accordance with the specification. Const. M
Rev. 0 Page 12 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

2.B. – S: Startup Mechanical Quality Certification Checklist

No. Certification Description Resp. Disc.

All manual valves have been operated to ensure

proper operation and seating. SU M
All operational components and systems properly
setup and adjusted for normal operation SU M
All stuffing boxes and packing glands have been
checked for proper adjustment. SU M

B&V Commissionin g Engineer Verification

Date Comments
Rev. 0 Page 13 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

2.C. Mechanical Construction/Startup Checkout Documentation

Checkout Forms / Testing Records:

Form Ref. Title Utilization Responsibility

CEGMF-832
Equipment Alignment Report (pipe connected / disconnected)

Recording of alignment data for all

rotating equipment Const.
CEGMF-835 Flushing and Blow down
Report
Record flush or blow down data
for all pipe systems Const.

Note: Forms listed above denoted as “Construction Responsibility” are included for reference. Use of Contractor’s f
Startup Checklists / Verification Records: (See attached)
Rev. 0 Page 14 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Section 3: Instrument & Control Section

3.A. I&C Scope List

3.A - 1: List of Pneumatic/Hydraulic Operated Valves or Dampers

No. Tag Description

1 12GHA01AA006 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
2 12GHA01AA012 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
3 12GHA01AA018 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
4 12GHA01AA024 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
5 12GHA01AA030 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
6 12GHA01AA036 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
7 12GHA01AA042 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
8 12GHA01AA048 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
9 12GHA01AA054 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
10 12GHA01AA060 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
11 12GHA01AA066 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
12 12GHA01AA072 SOLENOID VALVE FOR TWR-1 AND COAL RECEIVING AT WHARF
13 12GHA02AA006 SOLENOID VALVE FOR TWR-2
14 12GHA02AA012 SOLENOID VALVE FOR TWR-2
15 12GHA02AA018 SOLENOID VALVE FOR TWR-2
16 12GHA02AA024 SOLENOID VALVE FOR TWR-2
17 12GHA03AA006 SOLENOID VALVE FOR TWR-3
18 12GHA03AA012 SOLENOID VALVE FOR TWR-3

3.A - 2: List of Motor Operated Valves or Dampers

N/A

3.A - 3: List of Instruments

N/A

3.A - 4: List of Control Panels

N/A
Rev. 0 Page 15 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

3.B. Construction/Startup I&C Quality Certification

3.B. - C: I&C Construction Quality Certification Checklist

No. Certification Description Resp. Disc. Contractor
Verification

Date Comments
All instruments have been inspected and verified to be
free from defects. Const. I
All instruments have been properly installed in
accordance with the specifications. Const. I
3. All instruments tags have been properly installed. Const. I
Rev. 0 Page 16 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

3.B. - S: I&C Startup Quality Certification Checklist

No. Certification Description Resp. Disc.

All air operated control and solenoid valves have been

B&V Commissioning Engineer Verification

Date Comments
1. properly set, adjusted and function tested and the Control Valve Test Data Reports are attached. All DCIS inp
2. instrument and control devices have been verified and
function tested.
All non-DCIS control schemes associated with
3. instrument and control devices have been checked and function tested.
SU I SU I
SU I
All instrumentation has been valve in, blown down
and put in service. SU I
Rev. 0 Page 17 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

3.C. I&C Construction/Startup Checkout Documentation

Checkout Forms / Testing Records:

Form Ref. Title Utilization Responsibility

CEGMF-839 Control Valve Test Data
Report
Calibration and testing of all
control valves SU

Note: Forms listed above denoted as “Construction Responsibility” are included for reference. Use of Contractor’s f

Startup Checklists / Verification Records: (See attached)

Rev. 0 Page 18 of 25
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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Section 4: Electrical Section

4.A. Electrical Scope List

4.A - 1: List of Electrical Equipment

N/A

4.A - 2: List of Power Circuits

N/A

4.A - 3: List of Control Circuits

No Circuit No From Equip From Description To Equip To Description

CVY1A/1C BELT

1 CEAYI9556019 12GHA01AA006

2 CEAYI9556021 12GHA01AA024

3 CEAYI9556023 12GHA01AA054

4 CEAYI9556025 12GHA01AA060

5 CEAYI9556027 12GHA01AA048

6 CEAYI9556029 12GHA01AA030
7 CEAYI9566021 12GHA01AA018

8 CEAYI9566023 12GHA01AA066
CONVEYOR HEAD DUST SUPPRESSION SPRAY SOLENOID VALVE
CVY2A BELT CONVEYOR TAIL DUST
SUPPRESSION SPRAY SOLENOID VALVE CCVY1A BELT CONVEYOR TAIL AND CENTRAL DUST SUPPRESSION SPRAY SO
HPR-1A RECEIVING HOPPER DUST SUPPRESSION SPRAY SOLENOID VALVE HPR-1C RECEIVING HOPPER DUST SUPPRE
SUPPRESSION SPRAY SOLENOID VALVE
CVY1B BELT CONVEYOR TAIL AND CENTRAL DUST SUPPRESSION SPRAY SOLENOID VALVE

12EAY01GH001

12EAY01GH001

12EAY01GH001

12EAY01GH001

12EAY01GH001

12EAY01GH001
12EAY01GH002

12EAY01GH002
COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY#1
PLC PANEL IO STATION DO2

COAL JETTY #2
PLC PANEL IO STATION DO2

COAL JETTY #2
PLC PANEL IO STATION DO2

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CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION
No Circuit No From Equip From Description To Equip To Description
CVY1D BELT

9 CEAYI9566025 12GHA01AA072

10 CEAYI9566027 12GHA01AA042

11 CEAYI9566029 12GHA01AA036

12 CEAYI9566019 12GHA01AA012

13 CEAYI9603007 12GHA02AA006

14 CEAYI9603009 12GHA02AA012

15 CEAYI9603011 12GHA02AA018

16 CEAYI9603013 12GHA02AA024
17 CEAYI9603015 12GHA03AA006

18 CEAYI9603017 12GHA03AA012
CONVEYOR TAIL AND CENTRAL DUST SUPPRESSION SPRAY SOLENOID VALVE
HPR-1B RECEIVING HOPPER DUST SUPPRESSION SPRAY SOLENOID VALVE HPR-1D RECEIVING HOPPER DUST SUPPR
CVY2A BELT CONVEYOR HEAD DUST SUPPRESSION SPRAY SOLENOID VALVE
CVY2B BELT CONVEYOR HEAD DUST SUPPRESSION SPRAY SOLENOID VALVE
CVY3 BELT CONVEYOR TAIL DUST
SUPPRESSION SPRAY SOLENOID VALVE
CVY4A BELT CONVEYOR TAIL DUST
SUPPRESSION SPRAY SOLENOID VALVE CVY3 BELT CONVEYOR HEAD DUST
SUPPRESSION SPRAY SOLENOID VALVE
CVY4B BELT CONVEYOR TAIL DUST
SUPPRESSION SPRAY SOLENOID VALVE

12EAY01GH002

12EAY01GH002

12EAY01GH002

12EAY01GH002

12EAY11GH002
12EAY11GH002

12EAY11GH002

12EAY11GH002

12EAY11GH002

12EAY11GH002
COAL JETTY #2
PLC PANEL IO STATION DO2

COAL JETTY #2
PLC PANEL IO STATION DO2

COAL JETTY #2
PLC PANEL IO STATION DO2

COAL JETTY #2
PLC PANEL IO STATION DO2

COAL YARD #2
PLC PANEL IO STATION DO1
COAL YARD #2
PLC PANEL IO STATION DO1

COAL YARD #2
PLC PANEL IO STATION DO1

COAL YARD #2
PLC PANEL IO STATION DO1

COAL YARD #2
PLC PANEL IO STATION DO1

COAL YARD #2
PLC PANEL IO STATION DO1

Rev. 0 Page 20 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION

CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

4.B. Construction/Startup Electrical Quality Certification

4.B. - C: Electrical Construction Quality Certification Checklist

No. Certification Description Resp. Disc. Contractor
Verification
Date Comments
All raceways/cable trays have been properly installed
1. and correctly identified in accordance with the drawings and specifications.
All conduits terminating in enclosures or cable trays
2. have grounding bushings where required and are properly connected to grounding system in accordance
with the drawings and specifications.

Const. E

Const. E
All electrical panel covers and conduit fitting covers
have been securely attached. Const. E
All power instrument and control circuits have been
4. properly installed, properly identified, continuity tested, insulation tested, and the Megger Test
Reports are attached.
All power instrument and control circuits have been
5. properly and correctly terminated in accordance with the specifications and referenced schematics and
electrical drawings.

Const. E

Const. E
All jumpers shown on referenced schematics and
electrical drawings have been properly installed. Const. E

Rev. 0 Page 21 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION
CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION
4.B. - S: Electrical Startup Quality Certification Checklist

No. Certification Description Resp. Disc.

All DCIS input, output and alarms associated with

B&V Commissioning Engineer Verification

Date Comments
1. electrical equipment and devices have been verified and function tested.
All non-DCIS control schemes associated with
2. electrical equipment and devices have been checked and function tested.
SU E

SU E
Rev. 0 Page 22 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION

CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

4.C. Electrical Construction/Startup Checkout Documentation

Checkout Forms / Testing Records:

Form Ref. Title Utilization Responsibility

CEGMF-826 Megger Test Report Generic megger sheet for cable, motors, etc.

Note: Forms listed above denoted as “Construction Responsibility” are included for reference. Use of Contractor’s f

Startup Checklists / Verification Records: (See attached)

Rev. 0 Page 23 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION

CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Section 5: Supplier / Misc. Section

Form Ref. Title Utilization Responsibility

Report to be completed by all
CEGMF-843 Manufacturer's
Representative Service Report
manufacturer's representatives for sitework or inspections
Const./SU
Rev. 0 Page 24 of 25
CENTRAL JAVA PROJECT
PT BHIMASENA POWER INDONESIA - SUMITOMO CORPORATION

CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION

Section 6: Package Drawings

Attached Drawings As Noted in Section 1B

Rev. 0 Page 25 of 25
PT BHIMASENA POWER INDONESIA
GN Power
GN Power Ltd.
CENTRAL JAVA PROJECT

BLACK & VEATCH

R

CHINA NATIONAL MACHINERY IMP.& EXP.CORP

中 国 华 电
华 电 重 工 股 份 有 限 公 司
CHINA HUADIAN
HUADIAN HEAVY INDUSTRIES CO.,L
LES45667 28•Dec•2017 08:22:10
PT BHIMASENA POWER INDONESIA
GN Power
GN Power Ltd.
CENTRAL JAVA PROJECT

BLACK & VEATCH

R
CHINA NATIONAL MACHINERY IMP.& EXP.CORP

中 国 华 电
华电重工股份有限公司
CHINA HUADIAN
HUADIAN HEAVY INDUSTRIES CO.,L

LES45667 28•Dec•2017 07:59:41

PT BHIMASENA POWER INDONESIA
GN Power
GN Power Ltd.
CENTRAL JAVA PROJECT

BLACK & VEATCH

R
CHINA NATIONAL MACHINERY IMP.& EXP.CORP

中 国 华 电
华 电 重 工 股 份 有 限 公 司
CHINA HUADIAN
HUADIAN HEAVY INDUSTRIES CO.,L
LES45667 28•Dec•2017 07:57:59
nover package will cover all system components required for operation of the sub-system. Scope boundaries are established to allow for

R-1 AND COAL RECEIVING AT WHARF

 ection, stamping, certification and documentation for all onsite construction work included in the CEAN-01 - COAL DUST CONTROL - RECE
the requirements of the Unit Startup Coordinator tagging system as it is administered by the Site Startup personnel.

fications signed)

greement that the work performed is substantially complete and proper as stated.

above Parties of the Construction Turnover of this system (sub-system) occurred on the date of BVI’s signature above and that the Constru
oning, and documentation required for proper commissioning of the CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPP

er Package (as defined by the Startup Procedure)

over for the above mentioned system.

he CEAN-01 - COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION sub-system and the associated turnover package docume

and the satisfactory completion of the Turnover Package, which includes a punchlist of all remaining items to be resolved in order to consi
Initiated By Responsible
dance with the

nical equipment has been properly tagged in

eference. Use of Contractor’s forms in place of those listed above is acceptable if the information contained is equivalent.
orts are attached. All DCIS input, output and alarms associated with
eference. Use of Contractor’s forms in place of those listed above is acceptable if the information contained is equivalent.
To Description
DUST SUPPRESSION SPRAY SOLENOID VALVE CVY1C BELT CONVEYOR TAIL AND CENTRAL DUST SUPPRESSION SPRAY SOLENOID VALVE
CEIVING HOPPER DUST SUPPRESSION SPRAY SOLENOID VALVE CVY2B BELT CONVEYOR TAIL DUST
To Description
CEIVING HOPPER DUST SUPPRESSION SPRAY SOLENOID VALVE CVY1B/1D BELT CONVEYOR HEAD DUST SUPPRESSION SPRAY SOLENOID VA
ding system in accordance

the Megger Test

ferenced schematics and

eference. Use of Contractor’s forms in place of those listed above is acceptable if the information contained is equivalent.
P167689.67.0403.05•C6010 P. 1/1 St:NE 01/D
es are established to allow for sub-system construction, commissioning, and operation.
- COAL DUST CONTROL - RECEIVING CONVEYOR DUST SUPPRESSION sub-system has been completed in accordance with the technical spe

re above and that the Construction Punch List herein contain all remaining items to be resolved for the system to be completed before Fin
IVING CONVEYOR DUST SUPPRESSION sub-system has been substantially completed in accordance with the Technical Specifications perti

ated turnover package documentation and therefore accepts responsibility for the care, custody, and control of the system (or specific com

o be resolved in order to consider the system complete. This system acceptance is also indicative that from this time forward the PT BPI -
is equivalent.
is equivalent.
N SPRAY SOLENOID VALVE
RESSION SPRAY SOLENOID VALVE
is equivalent.
P167689.67.0403.05•C6008 P. 1/1 St:EN 01/DEC/17 MK•01043
P167689.67.0403.05•C6009 P. 1/1 St:NE 01/DEC/17 MK•
03.05•C6010 P. 1/1 St:NE 01/DEC/17 MK•01043
ordance with the technical specifications, drawings, specifications and instructions pertinent to this system. Upon acceptance of this certifi

em to be completed before Final Acceptance. (Accepted as Mechanically Complete).

e Technical Specifications pertinent to this system.

l of the system (or specific components identified in the case of a partial turnover).

this time forward the PT BPI - Sumitomo Corporation will perform the normal operations and maintenance functions on the system and it
9 P. 1/1 St:NE 01/DEC/17 MK•01043
Upon acceptance of this certificate the system will be placed under the
unctions on the system and its components.