Form Report

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FR/FI-PU-09/07/00

Customer Visit Report constructive solutions

Date TSR No.


Fosroc Team
Customer
Product
Project Name
Project Location

Attender

Objective

☐ Kubus 5x5 cm ☐ Silinder 20x10 cm


Jumlah : Jumlah :
Equipment ☐ Kubus 10x10 cm ☐ Silinder 20x20 cm
(Moulding) Jumlah : Jumlah :
☐ Kubus 15x15 cm ☐ Silinder 30x15 cm
Jumlah :20 Pcs Jumlah : 4 pcs

Result of Visit

Dibuat Oleh, Disaksikan Oleh,


PT. Fosroc Indonesia

(Herwin Hanafiah)
Technical

PT. Fosroc Indonesia


Jl. Akasia II Blok A8 No. 1 telephone: fax: email:
Delta Silicon Industrial Park’ ++ 62 21 8972103 ++ 62 21 8972107 indonesia@fosroc.com
Lippo Cikarang, Bekasi 17550

www.fosroc.com
Registered Office: Jl. Akasia II Blok A8 No. 1 Delta Silicon Industrial Park, Lippo Cikarang, Bekasi 17550

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