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MATERIAL REQUIREMENT LIST

Equipment No : Date : 08/07/2022

Notification No : Work Order No : Reservation No :

Type of Inspection : Inspector v Field Tech. Preventive Maint. Other X

Symptom:
Desc. / Action Required : to identify New PRC Products

Priority : Urgent ( < 48 hours) High ( < 7 Days ) X Medium ( < 14 Days ) Low ( < 21 Days )

System Code : P
1000 Engine 4000 Drive Train 5050 Hydraulic System 7050 Mach. Frame, Structure

1350 Cooling System 4200 Wheel Tyres 5500 Air Pneumatic System 7400 Protection Device, Alarm & Indicator

1400 Electric System 4250 Braking System 7300 Operator Station

3000 Trans.& Drive Line 4300 Steering System 7500 Maint. Lubrication System

Estimate Repair Duration Estimate Total Labour

Parts Request

No Part Number Description Quantity

Information Plate / ID Plate


1 30
Aluminium

Tooling, Consumable and Support Equipment


Lift Truck Tire Equipment Others
Crane Liquid Nitrogen
Tele Handler Washing

Checked by : Approved by :
Requested by : Supervisor Superintendent /
Agustina Febriono Adi Manager Bahrum

Once printed this document becomes uncontrolled. Refer to Petrosea Intranet for controlled copy.
Form No: PTP-AMG-FO-G-0106 Rev 0 1 of 1

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