Punchlist Clearance Certificate

Region

: East Java

Site Number: 132195

Site Name: Klompangan

Status

Plan Clear
Date

Open

Responsible
Group

Cosmetic

Minor

Total Punch List

Outstanding

Major

Description

Document
Number

Item No

Severity

Actual Clear
Date

Close

TI Subcon

Nokia MS FLM

Nokia MS Cluster

H3I

Name

Name

Name

Name

Date

Date

Date

Date

Revision: Number: 00
Date of Issue: January 23, 2007
Reference: M14. Conditional Acceptance

1
of
2

Supervisor

Document Title: CAC Punch List

Document No: 0012
Released Status: Released

Signature

Revision: Number: 00
Date of Issue: January 23, 2007
Reference: M14. Conditional Acceptance

Signature

Signature

2
of
2

Signature

Document Title: CAC Punch List

Document No: 0012
Released Status: Released