Document Number :

DH/SR/0195

Store Requisition HSSE Workshop Merak

This Document has been circulated and approved through Elnusa eRoute application and
valid as legal document.

Approver

Donny Franckiln Manager Fabrikasi 02 March 2022 07:23 WIB

Reviewer

Eko Ari Winarto Manager Fabrikasi Merak 02 March 2022 07:19 WIB

Person In Charge
Ganggang Putra Arto HSE Workshop Merak 01 March 2022 14:16 WIB
STORE REQUISITION FORM

Department : HSSE No : DH/SR/0195

Date : 01/03/2022 13.52
Project Name : Workshop Merak
WBS / Job Order Number :
Business Unit OCR OCD FBC EPC EFK MTC

No. Material Number Description Item Qty UoM GL Account Cost Centre Remarks
1 120201001086 CABLE TIES; 150 MM; HITAM; VISALUX 2 PAC 7120800000 800-Q-EFK
2 120201015043 KARTU HOC 4 PAC 7120800000 800-Q-EFK
3 120203003094 MESIN LAMINATING 1 EA 7120800000 800-Q-EFK
4 120501015124 PLASTIK LAMINATING A3 1 PAC 7120800000 800-Q-EFK
5 120501015125 PLASTIK LAMINATING A4 1 PAC 7120800000 800-Q-EFK
6 120402066024 HAND SANITIZER, 5L 1 EA 7120800000 800-Q-EFK
7 120402066025 HAND SANITIZER, GEL; INSTANCE @4L 1 GAL 7120800000 800-Q-EFK
8 120402033039 MASKER SURGICAL / SENSI MASK 25 EA 7120800000 800-Q-EFK
9 110101001233 VITAMIN C; 500 MG; @100EA/PAC 8 PAC 7120800000 800-Q-EFK
10 110101001248 VITAMIN PROVE D3; 1000 IU 8 PAC 7120800000 800-Q-EFK
11 120501008244 PLAKBAN BENING 2IN 2 PC 7120800000 800-Q-EFK
12 120501009505 MICRODOT ELEVATED TRAY (PAPER TRAY) 1 PC 7120800000 800-Q-EFK
13 120501009546 BANTEX ORDNER;A4;1391-07 (WHITE) 4 EA 7120800000 800-Q-EFK
14 120501009551 TAPE;BARRICADE;YELLOW-BLACK 2 RLL 7120800000 800-Q-EFK
15 120501009549 TAPE;BARRICADE;RED-WHITE 1 RLL 7120800000 800-Q-EFK
16 120501009555 TALI ID CARD 30 EA 7120800000 800-Q-EFK
17 120501011361 GUNTING BESAR 1 EA 7120800000 800-Q-EFK
18 120501015108 SIKA MAP PLASTIK BUSINESS FILE 12 PC 7120800000 800-Q-EFK
19 120501015109 MAP PLASTIK CLEAR HOLDER 9002 (DAICHI) 12 PC 7120800000 800-Q-EFK
20 120501022061 MARK AND NOTES STICKY NOTES MERK PRONTO 2 PC 7120800000 800-Q-EFK
21 120501022033 NOTES;POST-IT;3X4IN;3M;657 2 PC 7120800000 800-Q-EFK
22 120501006164 KENKO DOUBLE TAPE 2" 2 PC 7120800000 800-Q-EFK
23 120501006181 DOUBLE TAPE 1"; JOYKO 2 RLL 7120800000 800-Q-EFK
24 060901013021 BATTERY ALKALINE AA+ 2 EA 7120800000 800-Q-EFK
25 060901013022 BATTERY ALKALINE AAA 2 EA 7120800000 800-Q-EFK
26 120501019185 PULPEN SNOWMAN TYPE V7; HITAM 1 PAC 7120800000 800-Q-EFK
27 120501019183 PULPEN SNOWMAN TYPE V7; BIRU 1 PAC 7120800000 800-Q-EFK
28 120402066028 INSEKTISIDA,NYAMUK;1L;CYNOF;50EC 1 EA 7120800000 800-Q-EFK
29 120202008030 FOGGING,MACHINE,PORTABLE;2L;KRISBOW 1 EA 7120800000 800-Q-EFK
30 060906001063 SPEAKER,PORTABLE,WIRELESS;AIWA;WAS-110LVE 1 EA 7120800000 800-Q-EFK
31 100536009024 THERMOMETER GUN;FOR BODY;YUWELL 2 EA 7120800000 800-Q-EFK
32 110101003043 OXYMETER; PULSE OXIMETER; LK87 2 EA 7120800000 800-Q-EFK
33 120402066029 OBAT,NYAMUK,CAIR;700ML;VAPE 4 EA 7120800000 800-Q-EFK
34 120201000078 TRASH BAG / TEMPAT SAMPAH (PLASTIK) 4 PAC 7120800000 800-Q-EFK
35 120403053620 GAS,CATRIDGE;23OG;HI-COOK 4 EA 7120800000 800-Q-EFK

Prepared by, Checked by, Approved by,

Name : Ganggang Putra Arto Name : Eko Winarto Name : Donny Francklin
Position : HSSE Workshop Merak Position : Manager Fabrikasi Workshop Merak Position : Manager Fabrikasi