DOC NO.

INQ INQ-001
REV. 1
PURCHASE REQUEST (PR) 26-Jan-22
DATE

PAGE 01 of 01

PURCHASE REQUEST (PR)

Material for Equipment/Raw Material CIE JOB No. : XXX Delivery Point: Ex-Works Factory
Type Fabrication/Mechanical/Instrument/Valve, Pipe and Fitting Priority : Standar [ √ ] Urgent [ ] Top Priority [ ] By Sea Freight [ ]
Fabrication Drawing No. : N/A Required Date : As soon as possible By Air Freight [√]
Suggested Supplier/Vendor : Term of Payment : By Land Freight [ ]
Full 100% - 30 Days After Material Delivered
Item No. Qty Description/Specification/Part No. REMARKS
Fittings Documentation Required :
Manufacture : Summit 1. Certificate of Compliance
Consist of 2. Material Certificate 3.1 EN 10204
Description
2 SKU : FF38F-08N
TYPE : Flat Face Hydraulic Quick Connect
SIZE : 3/8″ Female Coupler, Port 1/2″ NPT Thread

2 SKU : FF38M-08N
TYPE : Flat Face Hydraulic Quick Connect
SIZE : 3/8″ Male Coupler, Port 1/2″ NPT Thread

1 x 6 Meter FLEXIBLE HOSE C59ALFAGOMMA

1/2" 5050G, Acid & Chemical SD WP.16 Bar x 3 Mtr, Male Connector 1/2" NPT

Prepared By Checked By Approved By Approved By

Engineering Project Engineering Manager Operation Director

Notes :