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F'ORMULIR h{OL.

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Sansaf MATHRIAT ORT}ERLHST
TitLe / used For ilftype unit ,.f.fr. >taO JD
Date Request Code No, OT o70 - oo3
tstLrnatecl Cost Dept , ....f!'ft.:!T........:,..... .. .. ...

PART NI.'MBER DSSCRtpTl0r,t

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l>St3 - Oaoo I

Prtority Ctass

Please Select {hlote : Critical [s for critical onty)

fV criricatt4@hrea krJowntDirect lssued

HighlBacktog/Stock Fast Moving


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[j Medium/stock Consumable Vendor :

Low
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Diketairui Oteh Dicek Oteh Disetu.iui Oteh

Narfle $u porvisor,/Su per lmtendent ItVarohouse Dept

Note : Approval samp]i level functlon/Projeet Manager untuk request tanpa Wcrk Order (W0)
Note K3L lnfornnatiun (harap diisi apabila memerlukan informasi tentang K3L, misal MSDS untuk bahan 83)

White : Frscurstnent Pink :VUarehoutre Green : Request/User

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