PT UNITED TRACTORS Tbk

QA : 1 SERVICE DIVISION
(QA - SECTION)
MODEL : WA 500 -3 QA - FORM 900/35/QA1/03(0)
S/N : CUSTOMER :

COMPONENT : LIFT CYLINDER JO .NO :

S/N : S / R . NO :
DATE :

DELIVERY INSPECTION SHEET INSPECTED BY :

GOOD CONDITION : V BAD CONDITION : X

CONTENTS INSPEC-
GAMBAR KERJA NO ITEM
CHECKED TION
1 HEAD
2 ROD

6 3 CYLINDER
4 PISTON
5 LOCK RING
6 BOLT
7 BUSHING
8

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