PRIMA ENERGI BAWEAN

REQUISITION ` NO. 196-PRJ-PEB-X-2023

FOR : Request for Bid ( Tender )

v Purchase Order

Service Order

Other Administration

Existing Contract No Yes No.

Date Required : 16-Oct-2023

Required By : Pratama Soekma P.

For Action By : SCM

Project Description : Equipment untuk Fire & Gas Cable

Estimated Value : Rp

Charge To : Fin. / Admin. Ops/ Prod Exploration Inventory / Asset

Expense Type :
Group Code :
Item Code : Fire System

Remark / Recommended Supplier

Prepared By : Pratama S. P.
Date :

Approved : HSE
Name : Pratama Soekma P.
Date : 16-Oct-2023

Sign :

Distribution : 1. Action Department (Original) 2. Originator (Department Manager) 3. Finance Manager

 PAGE : 2
REQUISITION NO. 196-PRJ-PEB-X-2023
0

No. Qty Unit Description

1 17 Ea Gas Sensor General Purpose, Aluminum body, CSA, FM approved
2 17 Ea Sensor Housing, Explosion proof housing
3 3 Ea Single Channel Control Module
4 4 x Intrinsically Safe Module
5 5 x Dual Zone Module