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MDR
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0% found this document useful (0 votes)
253 views10 pagesContoh Manufacture Data Report
MDR
Uploaded by
Technical Support PT. Arumi Solusi NegeriCopyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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PT Boma Bisma Indra (rersero)
KANTOR PUSAT J. KM Maroy 229 Surabaya doves 6182| Ph. +6231 35905184 Fax 6231331686 | capers @iticaid | wow bicaié
Certificate of Conformity
Document No.: 035/1510-03/08.2022
Order No. : 21,0803
Customer : PT. SMELTING INDONESIA
User : PT. SMELTING INDONESIA
Project Name : PENGECORAN
PO NO. : 20001141, tgl 21 September 2021
tem No. eke
Item Name : COLUMN PIPE 7108
Name of Manufacturer : PT. BOMA BISMA INDRA (Persero)
Address of Manufacturer : JL imam Bonjol 18 Pasuruan - Jawa Timur
Indonesia
We certify that the above item were inspected and tested satisfactory
in accordance with the, Fabrication drawing, code, phurchase Order,
and Customer specification.
The items are found fit regular service at the working specified in the pressent
Partial’s data Book
PT. BOMA BISMA INDRA
Date : August 15, 2022
Balance Business Innovation
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‘DMGLNESN PALA NOLS on 8 Pn ees Zz Pe 0 o-Ps
ATOR ASN DRT aa TC 0 OU A ater Hyon a an eT P91 OS
tient 09° Fom:18-1
PT Boma Bisma Indra Porsero)
ACCEPTANCE FOR SHIPPING
PROJECT NAME — : PENGECORAN & MACHINING | CUSTOMER, PT. SMELTING
JOB NO. +: 21.080.3 DELIVERY DATE — : 12-08-2022
ITEM NAME : PIPE COLUMN 7108 BOC. NO. 01/0. 080/AF S/22
ITEM NO, =
WE CERTIFY THAT THE INSPECTION HAVE ALREADY APPLIED ACCORDING
DOC, NO.: DT - DRAWING
NOTE
LABORATORY REPORT
REC.No : 01/4C-LR/08ON/22
—DT : PIPE COLUMN 710B
REC.No : 01/QC.080/DT/22
‘SIGKOF THE aC
MIFTAKHUL H.
REVIEW OF INSPECTION RECORD ARE COMPLETED
Hi.
SIGN OF QA SUB DEPT.
AFTER PACKED CONDITION |
|
‘SIGN OF PPC SUB SUB DEPT.
BASED ON ACTUAL CONDITION OF PRODUCT, WE RELEASE FOR SHIPPING
a”
SIGN BY/ NAGER
Fommi 6-1 FORM: FDR-1-5
Hl PT Boma Bisma Indra (Persero)
LABORATORY REPORT
IBBI JOB NO : 21.0803 MATERIAL SUS 316
CUSTOMER : PT. SMELTING PROD.DATE 18-01-2022
USER PT. SMELTING QUANTITY 1 pe
STANDARD : JIS G5501 BATCH/HEATNO. — : VII-A/68
TEM NAME: PIPE COLUMN 7108 DOC. NO. o1/ac-LR/080N/22
||, CHEMICAL COMPOSITION fe
Etement c [| s [| ™ |? . le]. :
Standard % [O08%max|076%mar| 2% max |