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PT. PERTAMINA ( Persero ) OWNER

: INSPEKSI & SERTIFIKASI TANGKI PENIMBUN : PT. PERTAMINA (PERSERO)

LOCATION / TAG NO

:TBBM JAYAPURA/ No.! KAPASITAS "### KL

PJIT Co%r'or Proe *+r',o%

: PT. BKI (PERSERO) : : " MONT$S

PROJECT

Migas Appoinment Letter No. : Tgl :

$ M P R

No. 

I.1

1.'

A,-, *o+2e%s Re Re-,e3 Quality Control System Owner " Tan# maintenan!e $ inspe!tion s!%eule " Inspe!tion pro!eure " Organi&ation !%art " Reporting pro!eure " Spill prevention !ontrol $ plan Manu(a!turer )ata Re!or " Certi(i!ate o( (inal a!!eptan!e* COC to stanar " )esign !al!ulation " Complete etail as +uilt rawing " Mill !erti(i!ate " ,-S $ -QR " Migas weler uali(i!ation !erti(i!ate " ,or#ing pro!eure /(a+ri!ation* ere!tion* N)0* et! " Constru!tion test report /2T* RT* -T3MT* et! " Assessment Report

er,0,e1 *o+2e%

Reviewe o!uments

A-


" Ot%er re!or /(ounation* plum+ness* et!



LOCATION / TAG NO




PROJECT


$ M P R

No.

A,-, Inspe!tion Re!or

er,0,e1 *o+2e%



LOCATION / TAG NO




PROJECT


$ M P R

No. 1.7

A,-, Inspe!tion Re!or " Routine inspe!tion re!or " On"line 3 O(("line re!or

er,0,e1 *o+2e% Reviewe o!uments



LOCATION / TAG NO




PROJECT


$ M P R

No.

1.4

I.5 I.4

II. II.

A,-, Repair* alteration $ re!ontru!tion re!or /i( any " Repair 3alteration re!ommenation +ase on Inspe!tion report " Material spe!i(i!ation " ,-S 3 -QR " -late imension $ wel spa!ing Tan# (ailure re!or in!luing spill re!or /i( any 8yrotest Re!or FIEL FIEL* * IN INSPEC SPECT TION ION Tan# roo( $ Tan# s%ell

er,0,e1 *o+2e% Reviewe o!uments ,-S Migas Mill !erti(i!ate


9ille visual inspe!tion



LOCATION / TAG NO




PROJECT


$ M P R

No.

A,-,

Repair* alteration $ re!ontru!tion re!or /i( any " Repair 3alteration re!ommenation +ase on Inspe!tion report 1.4 " Material spe!i(i!ation " ,-S 3 -QR " -late imension $ wel spa!ing I.5 Tan# (ailure re!or in!luing spill re!or /i( any I.4 8yrotest Re!or II. II. FIEL FIEL* * IN INSPEC SPECT TION ION Tan# roo( $ Tan# s%ell 2isual inspe!tion $ veri(i!ation veri(i!ation availa+ility availa+ility o( : " T%i!#ness ata " Minimum t%i!#ness II.1 " Corrosion rate " Corrosion evaluation " Tan# to tan# istan!e measurement " Roo( to s%ell ;oint Tan# (ounation 2isual inspe!tion $ veri(i!ation veri(i!ation availa+ility availa+ility o( : II.' " S%ell settlement ata

er,0,e1 *o+2e% Reviewe o!uments ,-S Migas Mill !erti(i!ate


9ille visual inspe!tion !%e!# list 2eri(ie tan# roo( $ s%ell eamination

9ille visual inspe!tion C%e!# list 2eri(ie s%ell



LOCATION / TAG NO




PROJECT


$ M P R

INSPECTION AN* TEST PLAN

No.

A,-, "
er,0,e1 *o+2e% settlement 0amination

2eri(ie !orrosion $



LOCATION / TAG NO




PROJECT


$ M P R

INSPECTION AN* TEST PLAN

No.

II.7

II.7

A,-, "
er,0,e1 *o+2e% settlement 0amination

2eri(ie !orrosion $ (ire prote!tion system



LOCATION / TAG NO




PROJECT


$ M P R

No.

II.=

III. III.1

A,-,

er,0,e1 *o+2e%

Tan# Sa(ety 0uipment* 2eri(i!ation o( : " rouning system " Se!onary !ontainment "
A

REPORTING Issue statement o( Complian!e

Inspe!tion Report



LOCATION / TAG NO




PROJECT


$ M P R

No.

II.=

III.

A,-,

er,0,e1 *o+2e%

Tan# Sa(ety 0uipment* 2eri(i!ation o( : " rouning system " Se!onary !ontainment "
A

REPORTING

III.1

Issue statement o( Complian!e

Inspe!tion Report

III.'

Issue Statement o( Inspe!tion

III.7

Issuan!e o( Migas !erti(i!ation /tan# operation permit

Inspe!tion Report Tan# !erti(i!ate Migas operation permit

-repare +y*

Reviewe +y*

PT. PT. PERT PE RTAMINA AMINA (PERSERO) (PER SERO)

-T.


LOCATION / TAG NO




PROJECT


$ M P R

No.

A,-, CATUR YUDO LEKSONO

er,0,e1 *o+2e% A$MA* YUSRAN



LOCATION / TAG NO




PROJECT


$ M P R

No.

A,-,

er,0,e1 *o+2e%

CATUR YUDO LEKSONO

A$MA* YUSRAN

@r. 0ngineer Constru!tion Servi!es

Inspe!tor

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:

: 8ol -oint : Monitor : -rovie

S : Spot ,itness W : ,itness A : Approve

: Review

 : 2eri(y

FOR Ae5'%e Cr,er,'

Owner spe!.

Le-e4 I%s5e,o% User PJIT M,6's

P

R

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



Owner spe!.

P

R

P

R

456

R

Completeness ata $ re!or

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



A-I 457

P

R

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y


A-I 457

A-I 457 App.C


P

R

P

R

P

R

R

P

P

R

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



A-I 457

A-I 457 App.C -I 457 7.' $ 7.7

P

R

P

R

P

R

R

P

P7

R

P

P7

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



P



P

R7 

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



P



I 456 7.16.'.5.'+. P

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y

FOR Le-e4 I%s5e,o% User PJIT M,6's

Ae5'%e Cr,er,'

P



I 456 7.16.'.5.'+. P P

Inspe!tion report

M

M

P

Approve +y : )IT@0N MI>AS

Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y



Revisi

: 636

Tanggal

: 61 61 )esem+er '6 '61=

8alaman

:



: Review

 : 2eri(y


No.

Item


)es!ription o( Inspe!tion

Tan# Roo( an S%ell Internal Temperature Internal -ressure 0ternal -ressure Tan# Roo(

Stru!tural Integrity o( Roo( Roo( Type )imension Material T%i!#ness )ata " )ate o( Ta#en

II.1

" Approval Minimum T%i!#ness Corrosion 0valuation

No.

Item

)es!ription o( Inspe!tion

Tan# Roo( an S%ell Internal Temperature Internal -ressure 0ternal -ressure Tan# Roo(

Stru!tural Integrity o( Roo( Roo( Type )imension Material T%i!#ness )ata " )ate o( Ta#en " Approval

II.1

Minimum T%i!#ness Corrosion 0valuation " C- Reaing " Coating Conition " Anoe Corrosion Rate " Maimum Corrosion Rate " Mill Certi(i!ate " 0nvironment " 9lui Type Tan# S%ell

Material )imension S%ell ,els T%i!#ness )ata " )ate o( Ta#en " Approval Minimum T%i!#ness Corrosion 0valuation " C- Reaing " Coating Conition " Anoe Corrosion Rate " Maimum Corrosion Rate " Mill Certi(i!ate " 0nvironment " 9lui Type Tan# to tan# istan!e measurement " Measure Tan# to Tan# istan!e Roo( to S%ell @oint " 9ille wel soap +u++le /166 o( wel

" rouning strap se!ure an in goo !onition " S%ell settlement ata 0vien!e o( tan# settlement or (ounation was%out Settlement wit%in toleran!e " +ottom " i((erential " eges " +ulges3riges

II.'

"
0vien!e o( paint (ailure Compati+ility to rawing (or: -aint material Sur(a!e -reparation )ry t%i!#ness -aint appli!ation " 9ire prote!tion system 9ire prote!tion is in pla!e

9ire etinguis%er is a!!essi+le Tan# Sa(ety 0uipment
Si&ing an Capa!ity T%e tag num+er (or proper lo!ation an servi!e T%e Name -late (or -ressure3temperature $ !apa!ity Fse o( spe!i(ie gas#et* nuts an +olts Corre!t weig%t $ (ree movement o( pallets 9rangi+le ;oint C%e!# -QR3,-S N)T )T >rouning system Type o( >rouning system II.= >rouning Capa!ity >rouning Ca+le Conition >rouning Conne!tion Conition >rouning )ept% Se!o Se!on nar ary y !on !onta tain inme ment nt Type Type Capa!ity T%i!#ness Net Capa!ity o(
2eri(ie )o!ument

A!!eptan!e Criteria

visual inspe!tion

A-I 457

visual inspe!tion

A-I 457

visual inspe!tion )rawing o( storage tan#

A-I 457 A-I 457

)rawing o( storage tan#

A-I 457


A-I 457

Mill Certi(i!ate

A-I 457 A-I 457

Owner Spe!i(i!ation Owner Spe!i(i!ation Owner Spe!i(i!ation

A-I 457

visual inspe!tion

A-I 451

visual inspe!tion

A-I 451

visual inspe!tion

A-I 451

Owner Spe!i(i!ation Mill Certi(i!ate

ASTM >16' Manu(a!ture Spesi(i!ation ASTM >16'


A-I 457


A-I 457 A-I 457 A-I 457

Owner Spe!i(i!ation Owner Spe!i(i!ation Owner Spe!i(i!ation

A-I 457

visual inspe!tion

A-I 451

visual inspe!tion

A-I 451

visual inspe!tion

A-I 451


ASTM >16' Manu(a!ture Spesi(i!ation ASTM >16'

Owner Spe!i(i!ation M-R 176 )rawing o( storage tan# visual inspe!tion

No Lea#age

Status Ges No N3A

visual inspe!tion

ASM0 Se! 2III

visual inspe!tion

No Lea#age

9ounation rawing A-I 456 9ounation rawing A-I 456* Owner Spe!i(i!ation 9ounation rawing )rawing o( storage tan#

Owner specification


API 650 Para. 5.5.5 10 1! Material ienti(i!ation re!or3mill !erti(i!ate ± ±

Owner Spe!i(i!ation Owner Spe!i(i!ation Owner Spe!i(i!ation Owner Spe!i(i!ation

)rawing o( storage tan# )rawing o( storage tan# )rawing o( storage tan# )rawing o( storage tan# )rawing o( storage tan#

A-I Re!ommene -ra!ti!e 45' A-I Re!ommene -ra!ti!e 45' A-I Re!ommene -ra!ti!e 45'

-ainting pro!eure (or storage tan# -ainting pro!eure (or storage tan# -ainting pro!eure (or storage tan# -ainting pro!eure (or storage tan#

Re(er to painting pro!eure Re(er to painting pro!eure Re(er to painting pro!eure Re(er to painting pro!eure

Owner Spe!i(i!ation

A-I '666

A-I 457

Owner Spe!i(i!ation

Owner Spe!i(i!ation

Owner Spe!i(i!ation

A-I 457

0-A RCRA

Comment

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