Report No.

: 533/QC/SI/VII/17

Date : 26 July 2017

PT. MAXXIS INTERNATIONAL INDONESIA

NEW FACTORY PHASE - 1 PROJECT

GIIC BLOCK CG/1, DELTA MAS

JAWA BARAT - INDONESIA

REQUEST OF INSPECTION
ON
26 July 2017
July-17

PT. SMCC UTAMA INDONESIA

Submitted by Submitted by Checked by

M. HADIYIN
Site Manager QC Site Manager
 SUMITOMO MITSUI CONSTRUCTION GROUP

PT. SMCC UTAMA INDONESIA

With technology & synergy

Client : PT. MAXXIS INTERNATIONAL INDONESIA Date : 26 July 2017

Project : NEW FACTORY PROJECT Ref. No. : 533/SMCC/ME/MXS/IS/SI/VII/2017

INSPECTION FOR M & E WORKS

Location MECHANICAL WORK REMARK

1 Zone 2 - 129 BFL-RFL Pressure Test for Fire Protection

CL C-F ~ CL 1-9 *) Start Pressure : 13.2 bar (Time 08:43 WIB)

Duration Time 2 Hours : 13.2 bar

*) Finish Pressure : 13.2 bar (Time : 10:50 WIB)

COMMENTS:
SUBCON SMCC SPVR./SM SMCC QC

ACCEPTABLE NOT ACCEPTABLE

(name/signature) (name/signature) (name/signature)
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (July, 26th 2017)

Explanation : Pressure Test for Fire Protection (Start Time : 08.43 a.m) Explanation : Pressure Test for Fire Protection (Start Time : 08.43 a.m)
Building 129 BFL-RFL - Zone 2 Coloum C-F ~ Coloum 1-9 Date : July 26, 2017 Building 129 BFL-RFL - Zone 2 Coloum C-F ~ Coloum 1-9 Date : July 26, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 1 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 2

Explanation : Pressure Test for Fire Protection (Finish Time : 10.50 a.m) Explanation : Pressure Test for Fire Protection (Finish Time : 10.50 a.m)
Building 129 BFL-RFL - Zone 2 Coloum C-F ~ Coloum 1-9 Date : July 26, 2017 Building 129 BFL-RFL - Zone 2 Coloum C-F ~ Coloum 1-9 Date : July 26, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 3 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 4

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (April, 10th 2017)

Explanation : Piping Installation HIVP Pipe for Water Supply Explanation : Piping Installation HIVP Pipe for Water Supply
Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017 Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 5 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 6

Explanation : Piping Installation HIVP Pipe for Water Supply Explanation : Piping Installation HIVP Pipe for Water Supply
Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017 Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No.

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (April, 10th 2017)

Explanation : Piping Installation HIVP Pipe for Water Supply Explanation : Piping Installation HIVP Pipe for Water Supply
Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017 Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 9 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 10

Explanation : Piping Installation HIVP Pipe for Water Supply Explanation : Piping Installation HIVP Pipe for Water Supply
Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017 Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No.

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (April, 10th 2017)

Explanation : Piping Installation HIVP Pipe for Water Supply Explanation : Piping Installation HIVP Pipe for Water Supply
Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017 Building 129 2FL - Zone 2 Coloum E ~ Coloum 9 Date : April 10, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 1 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 2

Explanation : Explanation :
Date : Date :
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 3 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 4

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (February, 18th 2017)

Explanation : Installation Sleeve Pipe Size 100A for Fire Hydrant Explanation : Installation Sleeve Pipe Size 100A for Fire Hydrant
Building 109 1FL - Zone 6 Coloum A9 ~ Coloum 1 Date : February 14, 2017 Building 109 1FL - Zone 6 Coloum A9 ~ Coloum 1 Date : February 14, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 5 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 6

Explanation : Explanation :
Date : Date :
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 7 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 8

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (February, 08th 2017)

Explanation : Installation HIVP Pipe Size 25A for Water Supply Explanation : Installation HIVP Pipe Size 15A for Water Supply
Building 109 1FL - Zone 6 Coloum 9-10 ~ Coloum A2 Date : February 8, 2017 Building 109 1FL - Zone 6 Coloum 9-10 ~ Coloum A2 Date : February 8, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 9 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 10

Explanation : Installation HIVP Pipe Size 25A for Water Supply Explanation : Installation HIVP Pipe Size 15A for Water Supply
Building 109 1FL - Zone 6 Coloum 9-10 ~ Coloum A2 Date : February 8, 2017 Building 109 1FL - Zone 6 Coloum 9-10 ~ Coloum A2 Date : February 8, 2017
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 11 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 12

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Floor Drain Size 50A for Drainage Water Explanation : Installation Floor Drain Size 50A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 13 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 14

Explanation : Installation Floor Drain Size 50A for Drainage Water Explanation : Installation Floor Drain Size 50A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 15 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 16

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Floor Drain Size 80A for Drainage Water Explanation : Installation Floor Drain Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 17 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 18

Explanation : Installation Floor Drain Size 80A for Drainage Water Explanation : Installation Floor Drain Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 19 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 20

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Floor Drain Size 50A for Drainage Water Explanation : Installation Floor Drain Size 50A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 21 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 22

Explanation : Installation Floor Drain Size 50A for Drainage Water Explanation : Installation Floor Drain Size 50A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 23 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 24

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 150A for Drainage Water Explanation : Installation Sleeve Pipe Size 150A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 25 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 26

Explanation : Installation Sleeve Pipe Size 150A for Drainage Water Explanation : Installation Sleeve Pipe Size 150A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 27 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 28

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 29 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 30

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 31 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 32

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 33 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 34

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 35 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 36

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 37 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 38

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 39 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 40

Project : PT.MAXXIS INTERNATIONAL INDONESIA Report By :

Location : GIIC Block CG/1, Deltamas, Cikarang Pusat - Bekasi
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 150A for Drainage Water Explanation : Installation Sleeve Pipe Size 150A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 41 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 42

Explanation : Installation Sleeve Pipe Size 150A for Drainage Water Explanation : Installation Sleeve Pipe Size 150A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : December 23, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 43 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 44
 VISUAL BY PHOTOGRAPH
INSPECTION REPORT (December, 23rd 2016)

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : November 29, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : November 29, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 45 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 46

Explanation : Installation Sleeve Pipe Size 80A for Drainage Water Explanation : Installation Sleeve Pipe Size 80A for Drainage Water
Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : November 29, 2016 Building 101 2FL - Zone 4 Coloum A-B ~ Coloum 8-10 Date : November 29, 2016
Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 47 Owner : PT.MAXXIS INTERNATIONAL INDONESIA Photo No. 48