Inventory Change Document - Nuclear Loss and Production

Facility: ……… MBA: ………………….

Material Description: ………... Material Code: Unit: gram

Line IC KMP Document Batch Number Element Element Isotope Isotope

No. Code Code Reference Identity of Items Code Weight Code Weight

Signature : ………………………. Date : …………….

KEPALA BADAN PENGAWAS TENAGA NUKLIR,

AS NATIO LASMAN

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