Form No.

LOG/09/F-009

WAREHOUSE RESERVATION
2796642
0

Document date : 19 Desember 2023 Created Date : 19-Dec-2023

Time : 20:59 Requirement Date : 19-Dec-2023
Req. Type : BEX Maintenance Order : 2200957696
District : SIS-ADMO KM35 Equipment No. : ST140-0101
Version : 1 Cost Center :
Requestor : Jim M Yusuf A WBS Number :
Delivery Location: Mining Operation, Hauling Road Related PR :
Tanjung 12430 Barcode Space
Act: v = Install
R = Return

Qty
Avl. on
SP. Req./ Qty to S.
No. Material No. Description Uom Batch Other Act
Type Avl. Acquit Loc
District
After

1 ADLEDRB-02 SIDE MARKER BESAR 1 EA MH06 NEW

2 BR-02 BRACKET SIDE MARKER BESAR 1 EA MH06 NEW
3 NYYHY7X15MM CABLE 7 CORE TYPE NYYHY 1.5MM 8 M MH06 NEW
4 4908 CONNECTOR FEMALE 2 EA MH06 NEW
5 2064244 RESIBLE LURUS 10 EA MH06 NEW
6 1J-04 ADAPTOR 5 EA MH06 NEW
7 770710A CENTER BOLT 2 EA MH06 NEW
8 M10X120 HEX BOLT_PITCH 1.75 MM 5 EA MH06 NEW
9 LOCKNUTM10X120 LOCKNUT 5 EA MH06 NEW
10

Comment or Special Instruction

IT- SIDE MARKER V1 RH NO 4 PECAH- BRAKET SIDE MARKER RH NO 4 PENYUK- KABEL 7 CORE ARM DOLLY
Issued by/Date Received by/Date Acquitted by/Date Install/Return by/Date
(Warehouse) (User) (Warehouse) (User)

Approved By (User)

UNIT HEAD
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