PERTAMINA KILANG PERTAMINA MEMORANDUM BALIKPAPAN Balikpapan, 08 Desember 2021 No, 164/KPB1330/2021-SO Kepada : 1. VP Finance & IT 2. Manager HSSE Lawe-Lawe 3. Manager QA/QC Dari Manager Construction Lawe-Lawe Lampiran : 1 (satu) berkas Perihal _ : Permohonan Inspeksi Alat Kerja dan Kendaraan Operasional - JO CPPHK Menindaklanjuti surat JO CPPHK RefNo. 26076-JO-KPB-LT-01238 tertanggal 08 Desember 2021 perthal tersebut di atas, mohon bantuannya untuk dapat melakukan Inspeksi serta memberikan Izin Operasi Alat Kerja dan Kendaraan Operasional dengan keterangan sebagai berikut: Nama Kontraktor JO CPPHK Nama Pekerjaan Engineering, Procurement, and Construction Lawe-Lawe Facilities No.Kontrak 003/V00000/2019-S0 Durasi Kontrak 15 October 2019 — 1 Juli 2022 Jenis Alat 4 (satu) unit Compactor/Stamper Machine 4 (empat) unit HT Motorolla 4 (satu) unit Toyota Hiace (AB 7180 HN) Tanggal Kamis, 09 Desember 2021 Lokasi Kerja ‘Area Proyek Engineering, Procurement, and Construction Lawe- Lawe Facilities Demikian kami sampaiken, atas perhatian dan kerjasamanya diucapkan terima kasin. » Manager Construction Lawe-Lawe, CN Roberman Siburian “se Tembusan: - VP Construction Lawe-Lawe & OffsiteENGINEERING, PROCUREMENT & CONSTRUCTION TAWELAWE FACKITIES ROMP RUV-BALIKPAPAN — CII [42 | LETTER ‘To: Development Director PT: KPB. Ref, No.: 26076-JO-KPB-LT-01238 Attn: Mr. Djoko Koen Soewito From: CPPHK Ce: opt: Construction Dept 4. VP Construction Lawe-Lawe & Issue Date: 08/12/2021 Offsite-Uitities 2. Construction Manager Lawe-Lawe 3. HSSE Manager Lawe-Lawe 4, PMC Project Manager © Urgent. @information For Reply Subject: Request for Equipment Inspection with Entry Permit Dear Sirs, In accordance to the Engineering Procurement & Construction Lawe-Lawe Facilities Works of ROMP RU V - Balikpapan & Lawe-Lawe according to Contract No. 003/V00000/2019-S0 \which will be carried out by the Joint Operation (JO) of China Petroleum Pipeline Engineering Co, Lid - PT. Hutama Karya (Persero), CPPHK would like submit a request for Equipment (Stamper Machine, HT, Operational Vehicle) Inspection with Entry Permit (refer to Attachment-1) Thank you for your kind attention and cooperation. Best Regards, Digitally signed by l a Cui Guojun Date: 2021-12-08 09:02+07:00 Cui Guojun Project Manager Page 17 4 ‘Adres: Menara Global Building, 11th Floor, Jenderal Gato Subroto Sweet, Ka. 27, Kuringa, South JekartaENGINEERING, PROCUREMENT & CONSTRUCTION LAWE-LAWE FACILITIES ROMP RU V- BALIKPAPAN, ‘Attachment 1: Equipment Lis for Inspection Request cD H< | Atachmont Wo | Equipment | srand | type | 22" | amount | Schedule | company | Note ipm > | Number pany | M Balipopen compactor’ proem 1 | “Samper | OA | ase | 2%] sum | Me, | tcore | new Nachine mb 0 sconce) Cave, tik inhouse 2 ‘HT Motoroia | 9°78 jaz, 1 Unit 7 (Extended Extended ur | ase Desenver oo | ended eae f i amet ASB SE: Tao La prcem cra2e | er2TRos Turedey a| ou hn . moet ST | tM omens | CP | Etec oat _| Semen Lawe-Lawe, | propa | | cra | erztros | |. | Tracey | 4 | wr | meron | F528 | S72TRES | yg wiey | cceen | extended | Z i ‘2021 Subcontractor) ai PT.CPM, craae | erzrRu2 Thustay | i 4 “T Noterota | el Unit | 5 econ | (OPP Extended 2021 i Lawe-Lawe, ~ | 5 | Operational | Toyota | Mintu | AB 7180 | |, | Thursday Puce Vehicle HIACE s HN | Desomber 09 se oe Leah ere ora 7a astaranaran Ea pepe com Tet Ada 27, Kuninga, South JakaraHoos 93 Kaku B jensiovon “Tel: 0062-81284274381 Email jocpphk@jo-cpphk com Page 3 / ft ‘Adress: Menara Global Building, 11th Floor, Jeneral GtotSubroto Sweet, Kav. 27, Kuninga, South JakartaENGINEERING, PROCUREMENT & CONSTRUCTION | TAWE-LAWE FACILITIES ROMP RUV-BaLIKeAPAN, CIID JZ Tel