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energ * Founder ry Development Of Large Scale Solar Photovolt (LSSPV) Plant at Part of Lot 4 and Lot 132, Ladang Bukit Hijau, Mukim Sungai Petani, Daerah Kuala Muda, Kedah Darul Aman Contractor Date Mob In Roro Bin Size and Estimate Weight Of Roro Bin SUMMARY OF WASTE MANAGEMENT :IDAMAN DESA RESOURCES :$/12/2023-21/1/2024 16 (L) X 8°(W)X 6" (H) (5 TONNE) Roro Bin Movement Type Of Waste Estimated Weight of Waste (Tonne) DATE OF COMMARCE _|IN DATE OF REPLACE | OUT 5/12/2023 1 9/12/2023 1 Food Waste and Packaging Structure 3 9/12/2023 1 11/12/2023 1 Food Waste and Packaging Structure 5 11/12/2023 1 17/12/2023 1 Food Waste and Packaging Structure 5 17/12/2023 2 18/12/2023 2 Food Waste and Packaging Structure 10 18/12/2023 2 23/12/2023 2 Food Waste and Packaging PV Module waste and Pallet | 10 23/12/2023, 2 27/12/2023 2 Food Waste and Packaging PV Module waste and Pallet [10 27/2/2023 2 30/12/2023 2 Food Waste and Packaging PV Module waste and Pallet | 10 30/12/2023 2 2/1/2024 2 Food Waste and Packaging PV Module waste and Pallet_| 10 2/1/2024 3 8/1/2024 3 Food Waste and Packaging PV Module waste and Pallet. | 15 8/1/2024 3 10/1/2024 3 Food Waste and Packaging PV Module waste and Pallet. | 15 10/1/2024 3 13/1/2024 3 Food Waste and Packaging PV Module waste and Pallet_| 15 13/1/2024 3 16/1/2024 3 Food Waste and Packaging PV Module waste and Pallet | 15 16/1/2024 3 18/1/2024 3 Food Waste and Packaging PV Module waste and Pallet | 15 18/1/2024 3 21/1/2024 3 Food Waste and Packaging PV Module waste and Pallet | 15 21/1/2024 3 24/1/2024 3 Food Waste and Packaging PV Module waste and Pallet | 15 TOTAL TRIP 34 TOTAL TRIP 34 | Total Weight of Waste 170 SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) Effective Date: 01/07/2023 Rev 00 SAM-HSE-F-009-08 ‘MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/O09/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM sli Date: Driver's Name: Vehicle Registration No: . hereby declare these materials to bring in/out from the site as follows: ‘No. ‘Description No. Serial Brand Qty Please tick (/) IN| OUT \ [tse Wary bin od sm 4 [7 | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): “it Name: Moppmed Muazam Position’sss Position: Company: FESB Tolophone: 0139210698 Approved By (SECURITY): SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-11) Effective Date: 01/07/2023 Rev. 00 ‘SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No pate: M21 2.922, Vehicle Registration N SAMIXX/XX/HSE/FORMIDEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No... Project: Company: ...FESB.. hereby declare these materials to bring in/out from the site as follows: LSS4 UKM.. No Description No. Serial Brand | Please tick () IN [OUT Qty \ Mob ovr toro bin Qv\ Com I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): . fp aly Nome: Mohaiied favozam Name: (er Name: Position: 488 Position: SS Position: Company: FESB Company: GND Company: Telephone: 0139210698 Telephone: (2.42453 Telephone: "SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) ‘SAM-HSE-F-009-08 MATERIAL DECLARATION Rev 00 INCOMING/OUTCOMING FORM “Effective Date: 01/07/2023 Reference No.: SAMIXX/XX/HSE/FORM/DEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM oe io eae Reference No.:...\). (ec LS84 UKM.. al\e| Driver's Name: Project: FESB, Vehicle Registration No: ‘Company: I hereby declare these materials to bring in/out from the site as follows: No. Serial ne No | Brand Qty CSM \ Description Yoro vin \: | Mop iw. I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE ‘Requested By (CONTRACTOR): Approved By. ame: wpharmed vara ‘Approved By (SECURITY): Name: Wbrd Vu Tevortebnam Postion: SSS Position: SR, Position: Company: FESB Company: $4) Company: Telephone: 0139210698 Telephone: Telephone: SAMHSE-F009-08 SAMAIDEN aorsowieis 0468261) | waremarneciaRanon fective Date: 01/07/2023 Revi00 INCOMING/OUTCOMING FORM | Reference No.: SAM/XX/XX/HSE/FORMIDEC/MATERIAL/009/08 Vehicle Registration No: ‘Company: ...FESB... hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty | Please tick () IN. ouT \ | aoe gir Coro A Ql cs l 7 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested i he Approved By (SECURITY): ‘Namo: Moyfamed Muszam ‘Name: (thre Win esate 4 Posi Position: SSS Position? ition: ‘Company: FESB Company: yy ‘Company: Telephone: 0139210698 Telephone: Telephone: SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) Effective Date: 01/07/2023 Rev 00 SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAMIXX/XX/HSE/FORM/DEC/MATERIAL/009/08 2 Lot: Date: Driver's Name: ....... Vehicle Registration No: I hereby declare these materials to bring in/out from the site as follows’ |ATERIAL DECLARATION INCOMING/OUTCOMING FORM No Description No. Serial Brand Qty | Please tick ) IN OUT LL bab an Pato din own | Ca L|e | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): ‘Nam 4 Nome: ( Werk De Weng ts Name: Position: SSS Position: SS Position: Company: FESB Company: wv Company: Telephone: 0139210698 Telephone: Telephone: SAMAIDEN samaipeN spn pup |__SaNSEFOOS-8 | I Effective Date: 01/07/2023 Revs 00 INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/009/08 \ 7\ MATERIAL DECLARATION INCOMING/OUTCOMING FORM pate: te nnn RM DZ. Reference No.: Driver's Name: Vehicle Registration No: Company: ... hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty | Please tick (/) IN OUT \ | mow Que Yor bin Qo Con \ | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested | or Approved By(SAM): Approved By (SECURITY): Name: piGhamed Muazam im Vonaptas Name Position: SSS Position: Company: FESB Company: Telephone: 0139210698 Telephone: Telephone: SAMAIDEN SAMAIDEN SDN BHD | 201301016493 (1046326-H) MATERIAL DECLARATION Effective Date: 01/07/2023 Rev: 00 INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/O03/08 pate: ALA 23, Vehicle Registration No: | hereby declare these materials to bring in/out from the site as follows: Project: Company: ...FESB.. MATERIAL DECLARATION INCOMING/OUTCOMING FORM No Description No. Serial. | Brand Qty | Please tick () IN. OUT EL moe in torr Bin dl Cm | 2/7 git Cs | | Cin | 4 | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE ‘Requested By (CONTRACTOR): Approved By (SAM): Lf. wanes pheodlbncacan Position: SSS Company: FESB Telephone: 0139210698 ‘Name: Woke [rw Nerapplet Postion: 9% Company: Telephone: wy Approved By (SECURITY): SAMAIDEN suanieeeancaae ee 201301016493 (1046326-H) MATURIAL DECLARATION ‘ecive Date 01/07/2028 Revs00 INCOMING /OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Rafrence oz... Project: ...LSS4 UKM. Vehicle Registration No | hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty | Please tick ) IN OUT \ Moe Wr Tory vA Q0\ Com \ x i WL Cm U K | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): metic ame: (Thuylad Pr \Woepn Positior ew Position: Company: FESB Company: Ywoy) Company: Tetphone: 01821008 Telephone Teton: SAMAIDEN SDN BHD 201301016493 (1046326-H) Rev 00 SAMAIDEN MATERIAL DECLARATION INCOMING/OUTCOMING FORM Effective Date: 01/07/2023 SAMXXUXX/HSE/FORMIDEC/MATERIAL/O09/08 Reference No. Project: ...LSS4 UKM. Reference Ni MATERIAL DECLARATION INCOMING/OUTCOMING FORM Company: ...FESB... hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty | Please tick () __[IN OUT | [Mey \n toro vin o\ CS \ c _ ye CS ‘ 7 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): ope ‘Approved By (SECURITY): aoe Name Wid (Ra bpm: Position: SSS Position: 6 Position: Company: FESB Company: Zyal? Company: Telephone: Telephone: Telephone: 0139210698 SA iD SAMAIDEN SDN BHD SAM-HSE-F-009-08 VAIDEN 201301016493 (1046326-H) MATERIAL DECLARATION INCOMING/OUTCOMING FORM. fective Date: 01/07/2023 Rev 00 Reference No.: SAM/XX/XX/HSE/FORMIDEC/MATERIAL/O09/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM pate, 23th 23) : Reference Nou: ou. (. Zl) 1384 UKM Project: Vehicle Registration No: Company: ...FESB... hereby declare these materials to bring in/out from the site as follows: ‘No. Description No. S Brand Qty Le Mob fee oro bit WW Csm \ | yor Be i | | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE ‘Requested By (CONTRACTOR): Approvad By (SAM): Approved By (SECURITY): 7. 1 rome ieed nam “name: Wie! T* Pesala Poation?3ss Postion: a Company: FESB Company: SMV) ‘Company Telephone: 0138210088 Telephone: reno ‘SAM-HSE-F-009-08 SAMAIDEN aorsnto165(1086526") | jaranuaz pecaanation { Effective Date: 01/07/2023 Rev. 00 )MING/OUTCOMING FORM Reference No: SAMIXXMX/HSE/FORW/DECMATERIAL/O0S08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM ate: ZAME.D2 onsnnninnnnnnn ——— RofORENEENO. nf) 2A Driver's Name: Project: Vehicle Registration No: ‘Company: ... hereby declare these materials to bring in/out from the site as follows: ‘No Description No. Serial ‘Brand Qty Please tick () IN OUT A [Mob WW ofa bin AAU (Sta 4 [7 QoL CS 4 [7 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): he Ar a iat ‘Name: Moydmed Muazam ame: Yule Prt Wewaprin Name: Position’sss Postion: 9 Position Company: Peas company: S™D Counters Telephone: 0139210698 Telephone: Telephone: SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) Effective Date: 01/07/2023 Rev00 SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference Ni LS. Vehicle Registration No: MATERIAL DECLARATION INCt |AMIXXIXX/HSE/FORM/DEC/MATERIAL/009/08 JUTCOMING F Reference No.: . M 22... Project: LSS4 UKM.. Company: ...FES! I hereby declare these materials to bring in/out from the site as follows: No Description No. Seri Brand Qty Please tick (/) IN. ouT Lil moh Wwe toto bin 0 (oe 4 Z gon (Su 4 4 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): — han name: Teahel Pin Pena Nam Position: SSS Position: 9S Position: Company: FESB Company: SMD ‘Company: Telephone: 0139210698 Telephone: Tolephone: SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) Effective Date: 01/07/2023 Rev 00 ‘SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/O09/08 Vehicle Registration No: Reference No.: Project: ‘Company: ...FES! I hereby declare these materials to bring in/out from the site as follows: LSS4 UKM..... MATERIAL DECLARATION INCOMING/OUTCOMING FORM 23. No Description No. Serial Brand Qty | Please tick (/) IN. ouT {Mob im Varo loin Oot C615 { |4 oz CS LZ | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): ‘Approved By (SECURITY): tome nofamidinnzm name: Veoh Win [nape Positios: SSS Position: SS Position: ‘Company: FESE Company: Sway) Company: Telephone: 01392106: Telephone: Telephone: SAMAIDEN SAMAIDEN SDN BHD See eee 201301016493 (1046326-H) MATERIAL DECLARATION INCOMING/OUTCOMING FORM [Effective Date: 01/07/2023 Revs 00 Reference No.: SAM/XX/XX/HSE/FORMIDEC/MATERIALOO9/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM aglialcs cennanne— RRMONEE NO nll At Date: LSS4 UKM. Driver's Name: Project: Vehicle Registration No: ‘Company; ...FES! hereby declare these materials to bring in/out from the site as follows: ‘No Description No. Serial Brand Qty Please tick (/) LL IN OouT LL Mob Que for bia ul CS | OOL Cot \ Zz | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): 4 Le Name: Mobi am rom ale Dos Wop om tion: Position/S8s Company: FESB Company: &yy) ‘Company: Tolophone: 0139210698 Telephone: Telephone: SAMAIDEN SAM-HSE-F-009-08 SAMAIDEN SDN BHD 201301016493 (1046326-H) Pr arta INCOMING/OUTCOMING FORM [ffective Date: 01/07/2028 Rev 00 Date: Driver's Name: A 2b, Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/008/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: N02... Project: ...LSS4 UKM.. ESE Vehicle Registration No: Company: ...F! hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty | Please tick () IN OUT WT gb Wore vin ot CSu tis or Co | lt l7 1 HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): ‘Name: p6nanfet Muazam Name: (Moles Paw apts Name: ss Postion” Postion: ‘Company: FESB Company: Smp Company: Telephone: 0139210608 Telephone: Telephone: ‘SAM-HSE-F-009-08 SAMAIDEN | _stabenspyzun 201301016493 (1046326-H) MATERIAL DECLARATION fective Date: 01/07/2023 pao INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/FORMIDEC/MATERIAL/O09/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM O20. Vehicle Registration No: I hereby declare these materials to bring i Reference No.: Project Company: ...FESI jout from the site as follows: LSS4 UKM. No Description No. Serial Brand Qty | Please tick () _ IN [our | \L] mob uk POCO Vin Ool Cy \ x | 7 002 CSmy \ x | 7 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE ee Approved by (SECURIT: rane wopiorom “ames Wah Vv aetna PoatorS8S poston: 9% Poston: Company: FESB Company: Sup Company Taanone: Tolopnone: Telephone: 0139210698 S A\MAIDEN SAMAIDEN SDN BHD | SAM-HSE-4 009-08 201301016493 (1046326-H) Effective Date: 01/07/2023 Rev 00 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAM/XX/X/HSE/FORMIDEC/MATERIAL/O09/08 | MATERIAL DECLARATION INC‘ Vehicle Registration No: I hereby declare these materials to brin —— Reference NO. oun. Jout from the site as follows: ‘No Description No. Serial Brand ‘Qty Please tick (/) _ IN [OUT Le] mob wn POP b ol Cu ] 4 [v2 (St \ Z 3 CS \ 1 HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): ay fab Position: $$ Company: FESB Company: Jy Telephone: 0139210698 Telephone: Approved By (SECURITY): ‘Name: Position: Company: Telephone: SAMAIDEN MATERIAL DECLARATION INCOMING/OUTCOMING FORM SAMAIDEN SDN BHD 201301016493 (1046326-1) fective Date: 01/07/2023 Rev: 00 Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FO! ality, Date: .. Driver's Name: . Vehicle Registration No: hereby declare these materials to bring i Reference No.: Project: ...LSS4 UKM.. Company: ...FESI fout from the site as follows: No Description No. Serial Brand Qty | Please tick () _ | fin Jour (| Mab Quik Poty bin grt CS \ Z We “ \ Z| and ® 7 | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM) ‘Approved By (SECURITY): ame phew acon ronwon go Company: res raphone:ofezese 4, name: Mold [Rw Pomepto Nom Position: 36 Position: Company: Tuy ‘Company: Telephone: Telephone: ‘SAM-HSE. SAMAIDEN eae a Effective Date: 01/07/2023 Rev: 00 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAM/XX/XX/HSE/F ORM/DEC/MATERIAL/O09/08 MATERIAL DECLARATION INCOMING/IOUTCOMING FORM Reference No.!.. 4 Project: ...LSS4 UKM.. Company: ...FESB.. | hereby declare these materials to bring in/out from the site as follows: No Description No. Serial Brand Qty \./ Mab iW Yorg bin {0} CS l zZ M2 Ci U|s 3 (Se t | | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): A ‘Name: Mohanfed Muazam Name: Wa Renopran Na Position: SSS Position: 9% Position: ‘Company: FESB Company: SIMD Company: Telephone: 0139210698 Telephone: Telephone: SAMAIDEN fective Date: 01/07/2023 SAMAIDEN SDN BHD 201301016493 (1046326-H) Reva 0 ‘SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Vehicle Registration No: hereby declare these materials to bring in/out from the site as follows: Reference No.: SAM/XX/XX/HSE/FORM/DEC/MATERIAL/O09/08 L MATERIAL DECLARATION INCOMING/OUTCOMING FORM No Description No. Serial Brand Qty | Please tick IN. ouT Le[ my que voto bin al Com Z WL (Sm Z w (fu I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By {SAM Approved By (SECURITY): Name: Molle Pron anaprer Name: Postion: 38 Position ‘Company: FESB Company: Svan Company: Telephone: 0139210698 Telephone: Telephone: SAM-HSE-F-009-08 SAMAIDEN | _2tiaisoxnan,[__sovorora— INCOMING/OUTCOMING FORM fective Date: 01/07/2023 Revs 00 Reference No.: SAM/XX/XX/HSE/FORMIDEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference Ni 02! Project: ...LSS4 UKM....... ‘Company: ...FESB.. Vehicle Registration No: .... | hereby declare these materials to bring in/out from the site as follows: No. Description Brand Qty Please tick (/) IN OUT ld Mob M_Cord bin vi (Su | \ vr Con \ \ ie) Com f l | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE ‘Approved By (SECURITY): Requested By (CONTRACTOR): Approved By ( Ye coe pe /Muazam ‘Name: sss Postion: Company: FESB Company: Telephone: Telephone: 0139210698 ‘MATERIAL DECLARATION | INCOMING/OUTCOMING FORM SAMAIDEN anrsooiei99 1046261) Bifecive Date: 01/07/2023 Rev 00 Refaronce No.: SAMIXXXXHSE/FORMIDEGIMATERIAL008/08 , MATERIAL DECLARATION INCOMING/OUTCOMING FORM ate: BML 24 Reference No.i Driver's Nam 32... Project: ...LSS4 UKM. Vehicle Registration No: Company: ...FESI [hereby declare these materials to bring in/out from the site as follows: ‘No Description No. Serial Brand Qty Please tick (/) IN ouT Le] mow Yuh Com in al com Wo CSm l 4 03 CS 7 | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE menmr soa toa Aver b ECU: me aA ee wine Position: Ss, Compuny FESB Company: vay) Company: Telephone: 0139210698 Telephone: Telephone: SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) SAM-HSE-F-009-08 Effective Date: 01/07/2023 Revs 00 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Roferon Vehicle Registration No: ‘Company: ...FESE | hereby declare these materials to bring in/out from the site as follows: jo SAMIXXIKXIHSE/FORM/DECIMATERIAL/009/08 MATERIAL DECLARATION NCOMNGIOUTCOMING FORM 4M. Reference No.: .. (7. Project: ...LSS4 UKM. ‘No Description No. Serial Brand Qty IN OUT A mab Mr wa (yoy osm 7 YW i vp ow : l LZ | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Name: fuezom s Position: SS Position: Company: FESB Company: Ky) Company: Telephone: 0139210698 Telephone: Telephone: Approved By (SECURITY): ‘SAM-HSE-F-009-08 S AMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) MATERIAL DECLARATION INCOMING/OUTCOMING FORM Rev: 00 eae be TROD Reference No. SAM/XXMX/SEIFORMIDEGIMATERIAL/O08108 ( \ MATERIAL DECLARATION INCOMING/OUTCOMING F< pate: oll! 4. . Reference No. Project L884 UKM senso Driver's Nam snFES! ‘Company Vehicle Registration No: .... I hereby declare these materials to bring in/out from the site as follows: ‘No Description No. Serial Brand Qty {| mob Wr Con vin gal (Su | | QL Cu | 4 v3 Ce ( | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM): Approved By (SECURITY): ‘Company: FESB Telephone: 0139210698 SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) “Effective Date: 01/07/2023 Rev: 00 SAM-HSE-F-009-08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference No.: SAM/XX/X/HSE/FORMIDEC/MATERIALIO03/08 Driver's Nam Vehicle Registration No: hereby declare these materials to bring in/out from the site as follows: MATERIAL DECLARATION INCOMING/OUTCOMING FORM 4 a Roference No. ..().2%. No Description No. Serial Brand Qty | Please tick () IN. ouT \v | moh sn Ynty vl wat Cy \ L Qt CS \ L qd Ca 14 | HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By (SAM) Approved By (SECURITY): Musca Yama: Veet Yin V Postion: OS Company: FESB Company: wip Tolophone: 0199210698 Telephone: ‘Nes ay Positior Company: Telephone: SAMAIDEN satatiee Genet) | —yeemereeee Effective Date: 01/07/2023 Revs 00 Reference No.: SAMIXX/XX/HSE/FORMIDEC/MATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM . 2 DB, ate: \ZItL Driver's Nam Vehicle Registration No: | hereby declare these materials to bring in/out from the site as follows: [No Description No. Serial ‘Brand Qty | Please tick () IN [our Le] ob in Porto Wain Qo Cu Lt] ¢% | Yt o \ wd ® [7 I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): Approved By ( Approved By (SECURITY): wome;sobormdtoaran Rane: Wald Va Yonoprs Names paathisese poston: % Te ation Company: FESB Company: Sumy Company: Totohone: 159210098 Tanponn Totopnone ‘SAM-HSE-F-009-08 SAMAIDEN SAMAIDEN SDN BHD 201301016493 (1046326-H) Revs 00 MATERIAL DECLARATION INCOMING /OUTCOMING FORM Effective Date: 01/07/2023 Driver's Nam Vehicle Registration No: .. LSS4 UKM, Project: Company: ...FESB. hereby deciare these materials to bring in/out from the site as follows: Reference No.: SAM/XX/XX/HSE/FORMIDECIMATERIAL/009/08 MATERIAL DECLARATION INCOMING/OUTCOMING FORM Reference Now... ‘No Description No. Serial Brand Qty | Please tick (). IN OUT \e | Mah gue Yorovin M0 Bre \ Zz wh, y \ c vs « \ Sf I HEREBY DECLARE THAT THESE MATERIALS ARE (ALLOW/NOT ALLOWED) BRING (IN/OUT) FROM THE SITE Requested By (CONTRACTOR): ‘Name: Mohamed Muazem Position: SSS Company: FESS Telephone: 0139210698 ‘Approved By (SAM): Approved By (SECURITY):

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