DIBUAT DIPERIKSA DISETUJUI

INCOMING INSPECTION ( MONTH : )

INSPECTION
RECEIVING No.Lot D / O NO. PART NAMEPART CODE SYSTEM DELIVERY INSPECTION DEFECT
SUPPLIER ORDER NO.
DATE Tgl.Produksi (No Surat Jalan) TOTAL SAMPLING NO QTY QTY QTY
CHEK CHEK CHEK
PT Laksana Tekhnik Makmur
RECEIVED
QTY
 Page 5 of11

INCOMING INSPECTION ( MONTH : )

ILHAM OVAN

INSPECTION
RECEIVING No.Lot D / O NO. PART NAME PART CODE SYSTEM DELIVERY INSPECTION DEFECT
SUPPLIER ORDER NO.
DATE Tgl.Produksi (No Surat Jalan) TOTAL SAMPLING NO QTY QTY QTY
CHEK CHEK CHEK

18/01/2022 PT. Lestari Elektrik Otomasi SO-LEO/HD/2201/0175 PT. 2200169 Weintek Ip series 10" MT81021 IP 1 1 1 0

19/01/2022 PT. Munanka Lintas Utama 1412/020 Ferrules Insulated 1mm red 5pck 5 pck 5 pck
19/01/2022 PT. Munanka Lintas Utama 1412/020 Ferrules Insulated 0.75 mm blue 5pck 5 pck 5 pck
19/01/2022 PT. Munanka Lintas Utama 1412/020 Rail MCB 2 fungsi standart alumunium 5 pcs 5 pcs 5 pcs
19/01/2022 PT. Munanka Lintas Utama 1412/020 Jumper Terminal Blok 3N 2.5mm 10 pcs 10 pcs 10 pcs
19/01/2022 PT. Munanka Lintas Utama 1412/020 Terminal Blok 10mm 100 pcs 100 pcs 10 pcs
20/01/2022 PT. JJ-Lapp Cable Indonesia 1421/012 Oflex cable clasic 1x200m 110 5G0.75 200m 200 m 200 m
20/01/2021 PT. JJ-Lapp Cable Indonesia 1421/012 Oflex cable 1x50 m 110 7G0.75 50 m 50 m 50 m
20/01/2022 PT. JJ-Lapp Cable Indonesia 1421/012 Oflex cable 1x50 m 110 10G0.75 50 m 50 m 50 m
24/01/2022 PT. Pratiwi Prima Jaya 1409/002A Plat 2b 4x8 ft x3mm PVc 2 sisi 304 1 1 1

24/01/2022 PT. Pratiwi Prima Jaya 1409/002A As Dia 8mm x 6m (316L) 316L 1 1 1

25/02/2022 PT. Stainless Steel primavalve 1416 Elliptical Main Hole 530 x 430mm (316L SS316L 1 1 1

QRJ-PQ1-010 PT. Panasonic Manufacturing Indonesia - Business Unit Air Conditioner

 Page 6 of11

INSPECTION
RECEIVING No.Lot D / O NO. PART NAME PART CODE SYSTEM DELIVERY INSPECTION DEFECT
SUPPLIER ORDER NO.
DATE Tgl.Produksi (No Surat Jalan) TOTAL SAMPLING NO QTY QTY QTY
CHEK CHEK CHEK

'file:///conversion/tmp/activity_task_scratch/610552797 PT Laksana Tekhik Makmur

QRJ-PQ1-010 PT. Panasonic Manufacturing Indonesia - Business Unit Air Conditioner

 Page 7 of11

PRATAMA

RECEIVED
QTY

5 pck
5 pck
5 pcs
10 pcs
100 pcs
200 m
50 m
50 m
1

QRJ-PQ1-010 PT. Panasonic Manufacturing Indonesia - Business Unit Air Conditioner

 Page 8 of11

RECEIVED
QTY

PT Laksana Tekhik Makmur

QRJ-PQ1-010 PT. Panasonic Manufacturing Indonesia - Business Unit Air Conditioner

 MATERIAL INCOMING DATA SHEET ( GIVAUDAN)
PT Remula Inti Rekayasa

NO TANGGAL SUPPLIER ORDER NO. Surat Jalan No PART NAME PART CODE

1 25/2/2022 PT. Indoserako Sejahtera 1418 S-000841/22 IFM Temperature Cable Sensor With Bolt on Sensor TS522A
2 7/3/2022 PT. Raskita Namura Indah 1430/007 202202R Cable NYFGBY 4x4 Supreme 200m NYFGBY
3 7/3/2022 PT. Indoserako Sejahtera 1418/006A S-000959/22 NF5030 IFM Inductive Sensor Proximity NF5030
4 7/3/2022 PT. Indoserako Sejahtera 1430/006A S-000960/22 NF5030 IFM Inductive Sensor Proximity NF5030
5 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030
Jacob DN150 Throttle Valve With Seal, 2mm wall
Thickness, Both side with lips , inner valve seal made
of sillicon rubber, shaft at both side sealed with O-
ring FKM and EPDM conuctuve include earting lugs SS304
with pneumatic rotary actuator make air torque 5/2
way selenoid valve control voltage 24V DC With
proximity 10-30 DC plate ex II 3D T35 grand CX

Jacob DN150 Welded pipe 2000mm in lenght 1mm

6 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 thick Stainless Steel SS304
Jacob DN200 Welded pipe 2000mm in lenght 1mm
7 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 thick Stainless Steel SS304
8 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN150 Pipe bend 45 SS304
Jacob DN150 Quick connect pull ring 2mm thick
9 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 without sealent for u-shaped seal SS304
10 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN150 U-Shaped Nbr seal SS304
Jacob DN200 Quict connect pull ring 2mm thick
11 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 without sealent for u-shaped seal SS304
12 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN200 U-shaped nbr seal SS304
13 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN150 Pipe bend 90 SS304
14 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN200 Pipe bend 90 SS304
15 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 Jacob DN150 branch T-Piece fork SS304
16 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 BFM Seeflex 040E connector Dia x200 mm Lenght SS304
17 9/3/2022 PT. Executive Parameter Solution 1418/023 EPS.09030 BFM Spoigot dia 150mm connecting SS304
18 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 Pipe 1" x 1.25 mm x 6m Sanitary Tube SS316L
19 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Clamp Union C/W EPDM Gasket (12.7mm) SS316L
20 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Equal Tee ,Weld end SS316L
21 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 1" Reducing Tee ,Weld end SS316L
22 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" 90DEG Elbow, Weld end SS316L
23 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" x 1" Ecc Reducer, Weld end SS316L
24 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 Pipe 1.5" x 1.25 mm x 6m Sanitary Tube SS316L
25 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Manual ball valve 3PC Clmap End SS316L
26 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" Equal Tee, Weld end SS316L
27 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" 90DEG Elbow,Weld end SS316L
28 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" Clamp Union C/W EPDM Gasket SS316L
29 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 0.5" Ecc Reducer , Weld end SS316L
30 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 0.5" Clamp Union C/W EPDM Gasket (12.7mm) SS316L
31 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" x 1" Reducing Tee, weld end SS316L
32 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 0.5" 90DEG Elbow, Weld end SS316L
33 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 1.25mm x 6m Sanitary Tube SS316L
34 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1.5" x 1" Reducing Tee, weld end SS316L
35 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 0.5" Reducing Tee, Weld end SS316L
36 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 0.5 Equal Tee ,Weld End SS316L
37 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" 90DEG Elbow, Weld end (R=1.5 D) SS316L
38 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 0.5" 90DEG Elbow, Weld end (R=1.5 D) SS316L
39 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" - 1.5'/DN25-DN40 Ferrule Blank SS316L
40 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 0.5" - 0.75" Ferrule Blank SS316L
41 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 1.25mm x 6m Sanitary Tube SS316L
42 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Equal Tee ,Weld end SS316L
43 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" 90DEG Elbow , weld end SS316L
44 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Clamp Union C/W EPDM Gasket (12.7mm) SS316L
45 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" Manual ball valve 3PC Clamp End SS316L
46 14/03/2022 PT. Minox Indonesia 1430/008 MDG-020-410 1" x 1.25mm x 6m Sanitary Tube SS304
47 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 1.5" Clamp Union C/W EPDM Gasket SS316L
48 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 2" Manual Ball Valve, Clamp End SS316L
49 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 2" x 1"Ecc Reducer, Weld end SS316L
50 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 2" Clamp Union C/W Gasket (12.7mm) SS316L
51 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 1" x 0.5" CON Reducer , Weld end SS316L
52 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 1" 90DEG Elbow , weld end (R=1.5 D) SS316L
53 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 0.5" 90DEG Elbow, Weld end (R=1.5 D) SS316L
54 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 2" Equal Tee , weld end SS316L
55 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 508 0.5 Clamp Union C/W Gasket (12.7mm) SS316L
56 14/03/2022 PT. Minox Indonesia 1430/014 MDO-020 560 1.5" Check Valve, Clamp End ,C/W EPDM Gasket SS316L
 BXK-HLBJ03-F Explosion Proof Control Box (Anti
57 1/5/2022 Helon Indonesia 1418/004A INV-HLN-2203090 Static) Spiral Cable 10m BXK-HLBJ03-F

58 2/5/2022 PT. Sumber Surya Mandiri 1430/015 SSM/SJ/2204-225 Straight Tray Wiremesh W 50 x H 50 x L 3000mm SS304

59 2/5/2022 PT. Sumber Surya Mandiri 1430/015 SSM/SJ/2204-225 Straight Tray Wiremesh W 200 x H 100 x L 3000mm SS304