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PURCHASE REQUEST
Requestor Department : HSE Department PR No :
Purpose : Site Accomodation PR Date : 10 November 2023
Business justification : Site Accomodation Requirement date : 9 Desember 2023
Delivery to : Site
Approval Status :
No Item code Description Qty Ord Unit Latest PO Estimated unit price Estimated cost
2 Oil Absorbent Boom (3M Petroleum Sorbent Pad HP-156) 30 Item Rp 2,000,000 Rp 60,000,000
7 Uji Analisis Air Laut dan Air Limbah Domestik 2 Sample Rp 3,000,000 Rp 6,000,000
9 Thinner Jotun 5L/drum untuk pengencer cat epoxy 4 Drum Rp 300,000 Rp 1,200,000
Pompa Celup Air Kotor 400 Watt HCP F-05AF 1Phase 1/2HP (Automatic)
11 3 item Rp 5,000,000 Rp 15,000,000
Discharge 2 in
13 Duran Botol Sampel Vol. 1000 ml (1 Liter) / LAB BOTTLE KACA BENING 10 Botol Rp 120,000 Rp 1,200,000
Total Rp 776,850,000
Note :
1. exclude VAT 11 %
2. Include Delivery Cost To Site
3. Include Instalation Cost
Requested by / Date Approved by/ Date Approved by/ Date
Name: Belpas Hadiyanto Name: Herawan Name:
9. Thinner Jotun 5L/drum untuk pengencer cat epoxy 10. Kaporit Tablet Desinfektan
11. Pompa Celup Air Kotor 400 Watt HCP F-05AF 1Phase 1/2HP
12. Selang benang diameter 2 in, panjang 50 m
(Automatic) Discharge 2 in