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DOCUMENT REQUEST FORM
Department: Maintenace Department – I&C Date: December 1, 2016
NEW DOCUMENT REVISION DELETION
Document Code Document Title Pages to be revised
IMS-FM-MIC-14-01 DCS START UP CHECKLIST All Pages
REASON FOR REQUEST
Document will be revised because the Form does not correspond to the document number of
its Work instruction.
BRIEF DESCRIPTION OF PROPOSED DOCUMENT/ REVISION
The revision is done by changing IMS-FM-MIC-14-01 to IMS-FM-MIC-35-01.
Rafael Carl Go DCS Specialist
_______________________ _____________________
Originator’s Name and Signature Designation
TO BE FILLED-UP BY REVIEWING FUNCTION:
No remarks.
Reviewed by
Jose Remus Dumlao I&C Superintendent
______________________ _____________________
Printed Name & Signature/ Date Designation
TO BE FILLED-UP BY APPROVING FUNCTION:
No remarks
Approved by
Alan A. Manza Maintenance Manager
______________________ _____________________
Printed Name and Signature Designation
IMS-FM-IMS-01-01 r0