IWK/ C/ PP_/_ 2 /. Sean Agensi Perakuan Pembetungan (Pulau Pinang) Indahy¥ater Noi, Tingkat 1, Jalan Todak 4, Pusat Bandar Seberang Jaya. 13700 Perai © 043978 101 B 04-3978 102 SUBMISSION FOR APPROVAL (SFA) PART A: To be filled by Submitter [Submission Type pct poca{__pocavas[__] swarsy swe] POCs| Poct| Poca Poce No of Submission 1 2nal 3a] ath seh] System stemvps[__] urrvurs nwe| nws[_] ssrsvsr| Asset Type Public Private| Connectto PublicSTP Yes! No[_]IFYES, AssetNo: *PEG/SPI Within Catchment Yes! No Developmentinfo Total Population Equivalent PE (based on PDC1) PE for this submission Saiaera NPE Location *Fieese refer fees table for confirmation For PDC 8 submission, tis column is mandatory Developmenttype _—Residential Processing Fees Yes No Commercial [Amount RM |Connection via Gravity Bankers Cheques No Forcemain| Date of Bankers Cheque ise, Pipe Size(mm) [aaa Validity (months) a é 12 Length (rn) | Material Sulritor [collector ISTP current PE PE design PE PE Area misq Signature & Date [Signature & Date Total Module [Current Name Name Process cal__|sarl Company Company pr} _| P| © © cas[_| Al ‘Remarks/ Notes, Others Location oN IST/ No of IST/SSTS ISSTS = Product Supplier Model SPAN Reg No. +For submission POCS, PDC7, POCE Date of PDC 1 poc2IWK/.C/ PP _-/ 2 / SAROICA-PEN/2017 PART B : Plan, Do and Check Description Action By Date Checked Received Submission 1. Check Document Level 1 completeness 2a, PDC 1, PE>150 » Refer to PSS PSs » Return by PSS PSS 2b. PDC7 /PDCB > Refer to OPS Level 2 » Inspection Level 2 > Sign Off forms (receivecOPS Ss > Lot Level 2 > Take over Level 2c. Others Submission Review Level 2 3. Documentation > Letter Level 1 tes 4. Validation & Signatory Level 3 = PART C: Take Over Monitoring “Upon completion of PDCB Descrintion Action by Description ‘Action by 1. Document Checking/ Sorting Level 2 8. Take over letter Level 2 » asbuilt > Generate > Purchaser list > For Signatory > BG DLPPUB) 9. Sorting » Sign off forms » Document 1 Level 1 » CoC form (PUB) > Lot Level 2 > Hydraulic Calculation > T/Overletter —_Level3 > CCTV Report 10. Submission > PE Breakdown > Online Level 1/2 » SCC proof of payment/ Receipt > Hatdeopy Level 1 2. Letter preparation Level 2 3. Validation via system Level 3 ‘SummarizationDate Level 1 4, Print & prepare Sign off Received ae > Letter Level 1 Take over (el » Document Level 1 Tracking No eal 5. Validation / signatory Level 3 ‘Submission via online TT 6. Take over date Level 2/3 Submission Hard copy aE 7. Take over memo BG DLP (if pub) ime > Tracking No Level 1