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Form Inspeksi Tabung Acetylene

No. Bagian Oke Not Oke Keterangan


1. Safety Disc
2. Valve
3. Cylinder Pressure Gauge
4. Working Pressure Gauge
5. Regulator
6. Regulator Adjusting Screw
7. Acetylen Hose
8. Acetylen Cylinder
9. Flashback Arrestor

Inspected by : Approved by :
Name : Name :
Position : Position :
Date : Date :
Signature : Signature :

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