MATERIAL REQUISITION FORM

HAI LECK ENGINEERING PTE LTD HAI LECK INTEGRATED SERVICES PTE LTD

HAI LECK ENGINEERING & CONSTRUCTION PTE LTD HAI LECK SERVICES PTE LTD

HAI LECK INDUSTRIAL SERVICES PTE LTD

If there are any amendment's or alternation made to quantity & description in the MR, it must be Initial & dated by the respective Managers. Form No: STO-QR-03
T: 6862 2211
Please Tick Accordingly : F: 6862 1202
Winky Metal & Steel Material (Mechanical), Gases, Walkie Talkie New, Insulation, Refractory, Freight Forwarding Reference No:
PPE, Heavy Machinery & Equipment(Purchase only), Blasting Painting, Vehicle & Equipment Spare parts
Date: Monday, July 19, 2021
Miko Bolt/Nut & Gasket, Heavy Machinery & Equipment (Rental only), Diesel, Eletrical
Category : Please tick one of the below in bold
Jesslyn IT, Furniture, Hardware & Consumable, Office supplies Scaffold
Painting
Prakash Calibration & Recertification / Servicing Refractory
Insulation
Venkat Logistics, Scaffold Material , Walkie Talkie(Repair), Vehicle repair & servicing Mechanical
Miscellaneous

For Rental of equipment, please indicate the duration required

From: ______________ To: ________________

For Procurement Use Only

S.No. Description Stock Code Size Qty
PO / WO No Supplier Unit Rate Date Received

1 Gland Feedwheel Shaft N123 3 pcs

2 Gasket Cone Valve Upper N123 5 pcs

3 Gasket Cone Valve N123 10 pcs

4 Gasket Base N23 5 pcs

5 Gauge 0-000PSI D00" *** Air (AST20456) 10 pcs

6 Packing 1/4" Composite Braided Kit 10 pcs

7 Packing 3/8" Composite Braided Kit 10 pcs

8 Liner Rubber Exhaust Valve N123 20 pcs

9 Ball Guide Exhaust Valve N123 3 pcs

10 Ball Exhaust Valve N123 25 pcs

11 Pin Dowel 3/8" x 2.25" PLN 3 pcs

Remark: To be back-charged to Client Yes No Approval by Procurement Department

To be completed by site Purchased By
Requested By: Saw Wen Shen, Ayyappa Approved By Don Cheng
Site / Dept: HLIS Store Job Code: 300 Single Source Supply
Approved By: Yvonne Lim Client Specified Product
End User Specified
NOTE : Please separate all request by category.
: All request must be submitted 7 working days in advance. Revised copy : 21
Item Description N-2 Qty
921 Feedwheel Shaft Packing Gland 20421 3 pcs
937 Upper Chamber Gasket 20437 5 pcs
951 Cone Valve Gasket 20451 10 pcs
952 Base Gasket 20452 5 pcs
956 Air Pressure Gage 20456 10 pcs
977 Packing, Cone Valve Shaft 20583 10 pcs
978 Packing, Feedwheel Shaft 20584 10 pcs
101 Liner 20484 20 pcs
102 Check 20485 3 pcs
103 Ball 20486 25 pcs
104 Pin 20487 3 pcs