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PENANG PORT SDN. BHD.

(283544D)
FACILITIES DEPARTMENT
TECHINICAL SERVICES DIVISION T 604 310 2505
Butterworth Wharves F 604 323 4653
12100 Butterworth, Penang, Malaysia

MAINTENANCE REQUEST FORM (PM01)

Security, Safety &


Requesting Dept Date 11/03/2024 Time 1130 HRS
Emergency Services

Location Balai Bomba Equip


Section Fire & Rescue DADB
Tel. Ext. 04-3737200/7201 No.

PUMP HOUSE NO 2 NBCT


1- Semua lampu didalam pump house tidak berfungsi/rosak

Description

Requested by Annuar bin Abdul Halim Position

Approved by Mohd Zulhasri bin Taib Position

II. FOR WORKSHOP USE

Form Received by Date / Time

Order type MO Crested

Remarks:

III. HANDOVER RECORD


Date Time
Dep. Rep Position
Technician File

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