Form Check List Test-Com RO 300 CMD

7/26/2019 Form Check List Test-Com RO 300 CMD

1/31

OWNER PROJECT NAME MAIN CONTRACTOR NSC

PT. PURI ZUQNI PADMA RESORT UBUD PT. ADHIKARYA, Tbk PT. GAPURA LIQUA MANDIRI

REVERSE OSMOSIS WATER TREATMENT PLANTLoc!"o# $ %%%%%%%%%%%%%%%L&'&( $ %%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : Filter Pump 1

Location :

Technical Specification Pump Name Plate

Model : Type / Manufacture CR 2!" / #rundfo$ / #rundfo$

Capacity 23 m%/h ..m%/h

&ead 35 m ..m

Motor 5,5 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,

Motor Current I= _______A, Imax = _______A I= _______A, Imax = _______A

1 Mechanical

Flow m3/h

Accepted Not Accepted

Head m


rpm rpm


Rotation loc!wi"e / Anticloc!wi"e


2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump

*n"ati"+actor -oor 'ati"cator ood #er ood

" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :

PT. Gapura Liqua Mandiri

Approved by :

PT. Puri Zuqni

Witnessed by :


2/31

PT. Puri Zuqni PT. Adi!arya" Tb!


3/31




T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : Filter Pump 2

Location :


Model : Type / Manufacture CR 2!" / #rundfo$ / #rundfo$


&ead 35 m ..m

Motor 5,5 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


4/31



5/31

#$e%tri%a$ Lift &nspe%tion - Testin' and Co((issionin' )o%u(ent - T*& Pro+e%t Mana'e(ent ,



REVERSE OSMOSIS WATER TREATMENT PLANTLoc!"o# $ %%%%%%%%%%%%%%%%%%%

L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : Sand Filter ith Manual peration

Location :

Model : Type / Manufacture Pre$$ure Tan' / Pentair

0imen$ion 01 x 2

peration *ale 4)tter+l #ale

1 Phy$ical

(an! ondition 01 x 2


2 peration *ale

#ale ondition 4)tter+l #ale


#ale onnection


% Condition of Tan' *ale*n"ati"+actor -oor 'ati"cator ood #er ood

" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



6/31

#$e%tri%a$ Lift &nspe%tion - Testin' and Co((issionin' )o%u(ent - T*& Pro+e%t Mana'e(ent




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : Car3on Filter ith Manual peration

Location :

Model : Type / ManufacturePre$$ure Tan' / Pentair

0imen$ion 01 x 2

peration *ale 4)tter+l #ale

1 Phy$ical

(an! ondition 01 x 2


2 peration *ale

#ale ondition 4)tter+l #ale


#ale onnection


% Condition of Tan' *ale*n"ati"+actor -oor 'ati"cator ood #er ood

" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



7/31

#$e%tri%a$ Lift &nspe%tion - Testin' and Co((issionin' )o%u(ent - T*& Pro+e%t Mana'e(ent



REVERSE OSMOSIS WATER TREATMENT PLANTLoc!"o# $ %%%%%%%%%%%%%%%

L&'&( $ %%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : 0o$in4 Pump 1

Location :


Model : Type / Manufacture P5 ! 6 / Tacmina / Tacmina

Capacity 67 ml/min ..ml/min

Pre$$ure 7, Mpa ..Mpa

Motor 7,782 '( / 1 Ph / 22 */ + &, ..'( / 1 Ph / 22 */ + &,


1 Mechanical

Flow ml/mi


-re"")re 9pa


rpm rpm


2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


8/31



9/31

#$e%tri%a$ Lift &nspe%tion - Testin' and Co((issionin' )o%u(ent - T*& Pro+e%t Mana'e(ent 0



REVERSE OSMOSIS WATER TREATMENT PLANTLoc!"o# $ %%%%%%%%%%%%%%%

L&'&( $ %%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : 0o$in4 Pump 2

Location :


Model : Type / Manufacture P5 ! 6 / Tacmina / Tacmina

Capacity 67 ml/min ..ml/min

Pre$$ure 7, Mpa ..Mpa

Motor 7,782 '( / 1 Ph / 22 */ + &, ..'( / 1 Ph / 22 */ + &,


1 Mechanical

Flow ml/mi


-re"")re 9pa


rpm rpm


2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


10/31



11/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : 74itator 1

Location :

Technical Specification

Model : Type / Manufacture74itator for 2 L Tan'

Motor 7.25 !: / 3 -h / 317 #/ 57 H;

Motor Current I= _______A, Imax = _______A

1 Mechanical

rpm rpm


2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Motor


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



12/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : 74itator 1

Location :

Technical Specification

Model : Type / Manufacture74itator for 2 L Tan'

Motor 7.25 !: / 3 -h / 317 #/ 57 H;

Motor Current I= _______A, Imax = _______A

1 Mechanical

rpm rpm


2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Motor


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



13/31




T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : Feed Pump 1

Location :


Model : Type / Manufacture CR 2!% / #rundfo$ / #rundfo$


&ead 25 m ..m

Motor 0 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


14/31



15/31




T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : Feed Pump 2

Location :


Model : Type / Manufacture CR 2!% / #rundfo$ / #rundfo$


&ead 25 m ..m

Motor 0 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


16/31



17/31



REVERSE OSMOSIS WATER TREATMENT PLANTLoc!"o# $ %%%%%%%%%%%%%%%%%%%L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : Pre!filter Cartrid4e 1

Location :

Model : Type / Manufacture 8FC" +/9 / #race

Cartrid4e Filter ': in"talled cartrid$e/ho)"in$


% Condition of &ou$in4 Cartrid4e


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



18/31




T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : Pre!filter Cartrid4e 2

Location :






" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



19/31




T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : &i4h Pre$$ure Pump 1

Location :


Model : Type / Manufacture CR 2!12 / #rundfo$ / #rundfo$


Pre$$ure 82 ar ..ar

Motor 85 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


20/31



21/31




T&)! D!& $ %%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%

Pump No. : &i4h Pre$$ure Pump 2

Location :


Model : Type / Manufacture CR 2!12 / #rundfo$ / #rundfo$


Pre$$ure 82 ar ..ar

Motor 85 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


22/31



23/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : &ou$in4 R

Location :

Model : Type / Manufacture R)"%S / RP*

0imen$ion ?iameter 280mm x 0512mm

0e$i4n Pre$$ure 377 -"i/ 28 4ar

Ma;. Pre$$ure

Port Connection ?ia. 8,5 inch

1 Phy$ical

-re"")re #e""el R17074377'


ondition o+ -ort onnection


2 Condition of Pre$$ure *e$$el


% #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


857

F/ 66


24/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : R Mem3ran

Location :

Model : Type / Manufacture TM 92!" / TR7P Pump

Location :


Model : Type / Manufacture CRN 2!% / #rundfo$ / #rundfo$


&ead 25 m ..m

Motor 0 '( / % Ph / %) */ + &, ..'( / % Ph / %) */ + &,


1 Mechanical

Flow m3/h


Head m


rpm rpm




2 -lectrical

#olta$e ..%R&%'&.%(&


)rrent ..%R&%'&.%(&


% Condition of Pump


" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


26/31



27/31




T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : C>P Cartrid4e

Location :






" #eneral Comment$

Te$t Re$ult :

Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



28/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : >ntermediate Tan'

Location :

Model : Type / Manufacture Stora4e Tan' T% / Pen4uin


Li?uid :ater

1 Phy$ical

(an! ondition (4377


2 Condition of Tan'


% #eneral Comment$

Te$t Re$ult : Approved

Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



29/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : 7nti!$calant 0o$in4 Tan'

Location :

Model : Type / Manufacture Stora4e Tan' T%2 / Pen4uin

0imen$ion ?iameter 6@7mm x 17mm

Li?uid hemical"

1 Phy$ical

(an! ondition (432


2 Condition of Tan'


% #eneral Comment$


Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



30/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : p& 7d=u$tmen 0o$in4 Tan'

Location :

Model : Type / Manufacture Stora4e Tan' T%2 / Pen4uin

0imen$ion ?iameter 6@7mm x 17mm

Li?uid hemical"

1 Phy$ical

(an! ondition (432


2 Condition of Tan'


% #eneral Comment$


Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :



31/31




L&'&( $ %%%%%%%%%%%%%%%%%%%

T&)! D!& $ %%%%%%%%%%%%%%%%%%%

D*+"# R&- $ %%%%%%%%%%%%%%%%%%%

Pump No. : C>P Tan'

Location :

Model : Type / Manufacture Stora4e Tan' T2 / Pen4uin


Li?uid hemical"

1 Phy$ical

(an! ondition (4277


2 Condition of Tan'


% #eneral Comment$


Not Approved

Re - Test

CERTIICATION

Certified by :


Approved by :

PT. Puri Zuqni

Witnessed by :


Documents

Form Check List Test-Com RO 300 CMD