=
ane
Rom
Location KALUAPAT-4 el
10 Number 7150979
sent y- Name ecened by:Name
sen ier
Joste ‘March 29,2022 res
‘ay [one Desciption
‘L__| tor [MATERNAL OWING & EQUIPMENT
[AS PER UST ATTACHED
Check by
Materials Security Retwal Received
bate
Name
signature
Notes / References :
FABILA TEKNIK SEIAHTERA
Hol Packages 1 10T Ses
Ishioped fon date
[Deiver To DsVAWIOR
fatenion (COWAN ONDUTY,CE ranma ERMC SEITEN (CARGO MANIFEST
Ruke Selmis, JI. Asem Baris Raya Blok C No. 52G
GD tenis ean Tango: 29am
i No. Bukti ; TP.22030026
Pe Gudeos FTS WS Jatiasih dember YE
ject DSV Avior FORM 35 / REV 01/12-04/2021
Kode Barang
Tsataat |
Nama Barang
Diver #1 Umbilical (170 mtr) SIN SAL
183J6-4715.36
a
+
fe T5ATAZ2 ‘Diver #2 Umbilical (160 mtr) SIN SALT-1836-4/15-37 Roll A
fs }isttaad Diver #4 Umbilical (200 mtr) S/N SALT-2006-4/00-32 rol
4 | T5.11.A6.1 LARS System S/N LR50/085 af
151 TAG1T Hydraulic Power Pack (Main) UNIQUEHYDRA Tikw 150 LtrS/N | Unit [1
(T1577.46110 “| Octopus SCUBAPRO 0474 [unt | a
[151148111 | Console Pressure Gauge CRESS! AOD Bar a =
1541.46.12 _| Breathing Apparatus (LARS #1) INTERSPIRO S/N 1249180 Unit 4
[_[4.541.461.18 _ | BA AirStorage #1 (LARS #1) ciw Backpack INTERSPIRO 200 Bar| Set | 1]
1.5.4.1.461.14 | Panel Main Hydraulic Power Pack SIN U-MEB-11KW-031 ime | 4
Ke “7 _| Panel Emergency Hydraulic Power Pack SIN U-SEB-S SKW-031 | Unit 1]
("7451146116 _ | Panel Communication AIPHONE LE-A SIN HC52144R Unit | a7
[[T7541.4812 | Hydraulic Power Pack (Emergency) UNIQUEHYDRA 6 Skw 100 Lt_[ Unit i
1541A613 | Dving Basket SALT 600 Kg SIN LR50/065B Unit | 7
[15414644 | Man Riding Winch #1 UNIQUEHYDRA 1300 SIN 13708345 [unt] 7
(1541.48.15 Man Riding Winch #2 UNIQUEHYDRA 600 SIN 1308378 | Unit ref
(1511.06.16 Master Link 4 Legs 4.2 Mtr 6.22 Ton S/N LRSOIOGSA_ _[ Set Re | |
11.5 1.1.A61.7 | Emergency Air Storage 50 Lir SIN 85006168 Zs | Cylinder | is
| |454.1.461.8 | Bulinose SIN BL-OS zs Pes, ll
[AS00395 ing Relator BD SeREIst Unit tt
fe yas13e2 [Diver Standby Chait od iin i
[8 [454363 | Diver Dressup _ ee Se cl
7 )454978 | Power Supply Cable 4x16 25M [Rol | zi
js 154.9K4 | Container Twist Lock [unit 8Cea a ake Clo. S26
4>= tact Anema a
Stain Tatham
Tanggal : 29/03/2022
No. Bukti : TP.22030025
Dani Gudeng : FTS WS Jetiasih slember = 1/1
Project: DSV Avior FORM 35 / REV 01/12-04/2021
No. | Kode Barang | Nama Barang |setuen | oy
a
[2 1511Aatt4 1
3 [1514044 [Air Storage #9 (16 Cylinders) S/N FTS-ARB-004 [Unit 1
[4 [15.11.4451 | Air Storage #9 (16 Cylinders) SIN FTS-ARB-005. Unit | 1
(5 | 1511A471 | Oxygen Medic Storage #2 (16 Cylinders) SIN FTS-OXV-006 Unit | 1
[ie [181.1481 | Onygen Medio Storage #3 (16 Cylinders) SIN FTS-OXY-005 Unit | 1]
et |
x