SURVEY FINAL CHECK REPORT

Project W.O No Report No. Location Date : : : : :

INSPECTION TYP

ELEVATION ANCHOR BOLT

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO : DETAIL DRAWING NO :

POINT NO BACK SIDE 14523 FOR SIDE 1654 1232 1233 1232 1233 1234 1235 1233 1233 1233 1235 1233 1235 14945 14944 14944 14944 13,697 13,697 13,697 13,697 13,697 13,697 13,697 13,697 13,697 13,697 13,697 13,697 Elevation Actual Design Elevation Differensive .+ ( M M ) .- ( M M ) REMARK

1 2 3 4 5 6 7 8 9 10 11 12

3 4 2 3 1 2 1 3 1 5 4 2

SKETCH ( SEE ATTACHED )

Prepared By

Checked By

Approved By

QC Rifansi

TF-FPM

PT. CPI

VATION ANCHOR BOLT

REMARK

Approved By

PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK COORDINATE ( POSITION ) : ELEVATION : PETANI -GS : 14 MAI 2009 : PUMP FOUNDATION NO 101 , 102 :BA -GS 01 - PTNI CC-0007 D
Differensive ACTUAL E 1 2 N E N 732,213,416 141,320,240 732,213,416 141,314,240 PUMP FDTN NO 102 .+ ( M M ) .- ( M M ) REMARK PUMP FDTN NO 101

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO DESIGN

COORDINATE

POINT NO BM TOP CONCRETE

ELEVATION DESIGN 19,300 19,378 19,378 19,243 ACTUAL

Differensive .+ ( M M ) .- ( M M )

REMARK

PUMP FDTN NO 101 PUMP FDTN NO 102 PUMP FDTN NO 101 PUMP FDTN NO 102 PUMP FDTN NO 101 PUMP FDTN NO 102 PUMP FDTN NO 101 PUMP FDTN NO 102

EXIST GRADE LEAN CONCRETE FINISH EXCAVATION 18,878 18,878 18,753 18,753

19,276

600 CM
E N
732,213,416 141,320,240

E N

732,213,416 141,314,240

550CM

NO 101

NO 102

183 CM

183 CM

Survey By

Checked By

Approved By

Syarifudin PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

SUMMARY PIPE PILING

Project W.O No Location Date : PETANI WATER FLOOD :15168 OK : PETANI -GS : 6- Juni 2009 INSPECTION TYPE

COORDINATE AND ELEVATION

NAME OF FOUNDATION / TAG NO

LIGHTING POLE AND POWER POLE

ELEVATION GROUND 19,200 TOP.P 20,564 TOC 19,500 DIFF 1,064 19,200 20,488 19,500 988 19,269 20,872 19,569 1,303 19,290 20,712 19,590 1,122 19,214 20,519 19,514 1,005 19,321 20,731 19,621 1,110 19,224 20,819 19,524 1,295 19,186 19,999 19,649 350 19,228 19,649 19,649 17,929 19,517 19,517 18,179 19,831 19,831 18,686 19,978 19,831 147 36 3 3 3 POLE 12 " DIA 40' -0" FOR GUY 36 3 3 3 36 2 2 2 POLE 8 " DIA 40' -0 " FOR GUY POLE 12 " DIA 40' -0" 36 2 2 2 POLE 8 " DIA 40' -0 " 36 2 2 2 POLE 8 " DIA 40' -0 " 35 1 1 1 POLE 6 " DIA 40'-0" 35 1 1 1 POLE 6 " DIA 40'-0" 35 1 1 1 POLE 6 " DIA 40'-0" 35 2 2 2 POLE 6 " DIA 40'-0" 35 1 1 1 POLE 6 " DIA 40'-0" 35 2 2 2 POLE 6 " DIA 40'-0" DEPT FEET 35 I 1 BLOWS II 1 III 1

DRAWING PLAN NO. BA.GS 01-PTNI-CI-0020-1 NO DATE PILING 5/6/09 E N 2 5/6/09 E N 3 4/6/09 E N 4 4/6/09 E N 5 4/6/09 E N 6 4/6/09 E N 7 4/6/09 E N 1 5/6/09 E N 2 6/6/09 E N 3 5/6/09 E N 1 6/6/09 E N 2 6/6/09 E N COORDINATE DESIGN ACTUAL E N E N E N E N E N E N E N E N E N E N E N E N 732,241,661 141,306,780 732,234,838 141,297,094 732,220,731 141,310,842 732,216,247 141,304,718 732,199,900 141,299,926 732,194,024 141,317,067 732,211,977 141,325,715 732,248,291 141,312,343 732,251,830 141,303,270 732,254,363 141,315,202 732,239,046 141,236,372 732,238,695 141,234,475 REMARK POLE 6 " DIA 40'-0"

NOTE : TOP OF ASPHALT ROAD ELL 19.200 TOC FOR POWER POLE 8" AND 12 " dia IS 3' - 0 " FROM TOP OF ASPHALT ROAD TOC FOR LIGHTING POLE 6 " dia IS 1' - 0 " FROM FINISH GRADE

Prepared by,

Checked by,

Approved by,

Megawanto PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

REMARK

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 6 " DIA 40'-0"

POLE 8 " DIA 40' -0 "

POLE 8 " DIA 40' -0 "

POLE 8 " DIA 40' -0 "

POLE 12 " DIA 40' -0"

POLE 12 " DIA 40' -0"

Approved by,

Nugroho PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK : ELEVATION,DIMENSION : PETANI -GS : : DRAINAGE SYSTEM : BA-GS 01 -PTNI - CI - 0004 - E
Differensive ACTUAL .+ ( M M ) .- ( M M ) REMARK

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO 1 2 DESIGN

COORDINATE

POINT NO BM TOP CONCRETE

ELEVATION DESIGN 19,300 19,328 ACTUAL

Differensive .+ ( M M ) .- ( M M ) D

REMARK

EXIST GRADE 18,300 18,778 18,990

19,278

BOTTOM OF DRAINAGE

A B C

EXISTING DROP BOX

PUMP FDTN D

60 CM

PLAN VIEW DRAINAGE SYSTEM

Survey By Checked By Approved By

Syarifudin PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK : ELEVATION / DIMENSION : PETANI -GS : : TRANSFORMER FOUNDATION : BA - GS 01 - PTNI - CI - 0017 - A
Differensive ACTUAL E N .+ ( M M ) .- ( M M ) REMARK

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO E 1 N DESIGN 732,247,100 141,306,770

COORDINATE

POINT NO BM TOP CONCRETE

ELEVATION DESIGN 19,300 19,378 ACTUAL

Differensive .+ ( M M ) .- ( M M )

REMARK

19,193 EXIST GRADE 19,172 19,254 19,276 LEAN CONCRETE

A B C D

19,078

POWER POLE 8 " dia 9,770

,0.785 8,200

,0.785 3,000

550
TOC
2,200

N E
B

E N

732,247,100 141,306,770

PLAN VIEW TRANSFORMER FOUNDATION

Survey By

Checked By

Approved By

Syarifudin PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK : ELEVATION / DIMENSION : PETANI -GS : : MCC SHELTER FOUNDATION : BA - GS 01 - PTNI - CI - 0019 - A :
Differensive ACTUAL E N .+ ( M M ) .- ( M M ) REMARK

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO E 1 N DESIGN 732,239,281 141,300,813

COORDINATE

POINT NO BM TOP CONCRETE

ELEVATION DESIGN 19,300 19,378 ACTUAL

Differensive .+ ( M M ) .- ( M M )

REMARK

18,976 EXIST GRADE 19,067 18,948 19,039 19,178 LEAN CONCRETE 18,878

A B C D E F

550 CM

A
E F
350 CM

TOC 19.370

EXISTING FENCE

150 CM

B
E N 732,239,281 141,300,813

PLAN VIEW MCC SHELTER FOUNDATION

Survey By Checked By Approved By

Syarifudin PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK : ELEVATION / POSITION OF ANCHOR BOLT : PETANI -GS : PUMP FOUNDATION :BA -GS 01 - PTNI CC-0007 D
Differensive ACTUAL E N ELEVATION DESIGN ACTUAL Differensive .+ ( M M ) .- ( M M ) REMARK .+ ( M M ) .- ( M M ) REMARK

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO 1 POINT NO 1 2 3 4 5 6 7 8 9 10 11 12 DESIGN

COORDINATE

N
7 1

9
550 CM

10

11

12

183 CM

Survey By

Checked By

Approved By

Syarifudin PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI

SURVEY REPORT
Project W.O No Report No. Location Date : PETANI WATER FLOOD STAGE -2 INSPECTION TYP :15168 OK : : PETANI -GS : 05 DES 2009 : DIKE /RETAINING WALL :
Differensive ACTUAL E 1 2 N E N .+ ( M M ) .- ( M M ) REMARK

ELEVATION

NAME OF FOUNDATION / TAG NO DRAWING PLAN NO

POINT NO DESIGN

COORDINATE

POINT NO BM A TOP CONCRETE B C D

ELEVATION DESIGN 19,300 18,928 18,828 18,828 18,828 ACTUAL

Differensive .+ ( M M ) .- ( M M )

REMARK

TOP FOUNDATION E F G H

18,128 17,528 17,528 17,528

SEE SKETCH ATTACHED

Survey By

Checked By

Approved By

Megawanto PT Rifansi

Edward .s TF-FPM

Nugroho PT. CPI