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PT. WADUK TIRTA ASIH

NO. : O4OIDELVIWTA-GRBIASAM ASAM/1X202{
Penerima : Pengirim
PT. PLN { Persero } PLTU ASAM ASAM PT- IffAt}UK TIRTA A$IH
Asri Mulia, Jorong, Tanah Laut Regency ..11. Pemancingan No" 20, Kanci
South Kalimantan 70881 Kec. Asianajapura - Cirebon

Up. Bpk. Heri Siswanto Jawa Barat 45181

Tanggal : 07 September 2A21

Dasar Penqiriman : Disetujui Prepare llVarehouse Admin Baq.Keamanan

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Dengan Hormat ,
Bersama ini kami kirimkan tersebut di bawah ini
No. Nama Barang Jumlah Keterangan / Catatan

1 HBR3-3 HOR_BRACE L-9OX9OX7 I Good ML-SEQ.-O2

2 ST-10 STRINGER C.150X75X6.5X10 t Good ML-SEQ.-02
3 VBRI.2 VER_BRACE H.2OOX2OOX8X12 2 Good ML-SEQ.-02
i ii'.,; l: ii:t,!-i;li:litl.,, r:i ' llli;'::
,:ttlirr i :1,+i:::,.t1: j't:rii,:.1,,1',1t"::
::rr,i: : i:,:: ::+.i::: : :::t l:::rl' :ii: r;i rr,::i::

4 HR-7 HANDRAIL PIPE O48.3X3.6S 3 Good ML-SEQ.{I

5 HR-13 HANDRAIL PIPE 948.3X3.68 ,!
Good ML-SEQ.-01
6 HR-14 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ.-O1
7 HR-15 HANDRAIL PIPE 948.3X3.68 2 Good [IL-SEQ.-O1
8 HR.54 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ -01
o HR.55 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ.-01
10 HR-56 HANDRAIL PIPE 948.3X3.68 ? Good ML-SEQ.-O1
11 HR-58 HANDRAIL PIPE O48.3X3-68 2 Good ML-SEQ.-O1
12 HR.61 HANDRAIL PIPE 948.3X3,68 1 Good ML-SEQ.-01
13 HR-62 HANDRAIL PIPE 948,3X3,68 3 Good ML-SEQ.-01
14 HR.64 HANDRAIL PIPE O48.3X3,68 3 Good ML-SEQ.-O1
15 HR.66 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ.-01
16 HR.67 HANDRAIL PIPE O48,3X3.68 1 Good ML-SEQ,-01
17 r-lR-68 HANDRAIL PIPE O48,3X3.68 1 Good ML-SEQ.-O1
18 HR-69 HANDRAIL PIPE O48.3X3.68 1 Good ML-SEQ.-01
19 HR.7O HANDRAIL PIPE 648 3X3.68 4 Good ML-SEQ.-O1
2A HR.72 HANDRAIL PIPE O48.3X3.68 1 Good ML-SEQ.-01
21 HR-76 HANDRAIL PIPE O48.3X3.68 7 Good ML-SEQ.-O1
22 HR-79 HANDRAIL PIPE O48 3X3.68 1 Good ML-SEQ.-01
23 HR.8O HANDRAIL PIPE O48.3X3.68 1 Good ML-SEQ -01
24 HR-82 HANDRAIL PIPE 948.3X3.68 1 GoOd ML-SEQ -01
25 HR-134 HANDRAIL PIPE 948.3X3.68 1 Good ML-SEQ -01
26 HR-151 HANDRAIL PIPE 648.3X3.68 2 Good ML.SEQ -01
27 HR-152 HANDRAIL PIPE 948.3X3.68 J Good ML.SEQ -01
28 HR-172 HAN DRAiL PIPE O48.3X3.68 { Good ML-SEQ .01
29 HR-174 HAN DRAIL PIPE 948.3X3.68 2 Good ML-SEQ -01
30 HR-176 HANDRAI|- PIPE O48.3X3.68 2 Good ML-SEQ -01
31 HR-182 HANDRAiL PIPE fr48 3X3.68 1 Good ML-SEQ.-01
32 HR-192 HANDRAIL PIPE O48.3X3,68 2 Gocd ML-SEQ.-OI
33 HR-194 HANDRAIL PIPE O48.3X3 68 2 Gccc ML-SEQ.-01
34 HR-195 HANDRAIL PIPE A48,3X3 68 1 Gccd ML-SEQ,-01
35 HR-196 HANDRAIL PIPE O48.3X3 68 2 Gcod ML-SEQ.-01
36 HR-198 HANDRAIL PIPE O48.3X3 68 I Good ML-SEQ.-01
37 HR-199 HANDRAIL PIPE A48.3X3 68 1 Good ML-SEQ.-01
primr flla
Pembawa LASIRAN Nama
No. Polisi Kendaraan BH 8769 AV Bagian
No. HP 082313700449 Tanggal

Pukul

TTD

' Ttd & Cap

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,l
PT. I'UASUK TIRTA ASIH
NO. : O4OTDELVIWTA-CRB/ASAM ASAMIIXI?IO}I
Penerima : Pengirim:
PT. PLN { Persero } PLTU ASA[,] ASAIi I FT" UIfADUK TIRTA ASIH
Asri Mulia, Jorong, Tanah Laut Regency
.ll. Fernancingan Na, 20, Kanci
South Kalimantan 70881 Kec. Astanajapura - Cirebon

Up. Bpk. Heri Siswanto Jawa Barat 45181

Tanggal : 07 September 2A21

Dasar Penqiriman : Disetujui

r*/6,
Presare Warehouse
--F.o{,tq
::""'' l'2
Admin Baq.Keamanan

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Dengan Hormat ,
ini kami kirimkan
No. Nama Barang Jumlah Keterangan I Catatan

38 HR-200 HANDRAIL PIPE O48.3X3.68 2 Good ML.SEQ.-01

eo HR-201 HANDRAIL PtPE O48.3X3.68 2 Good ML-SEQ..O1
40 HR-203 HANDRAIL PIPE 948.3X3.68 2 Good ML.SEQ.-01
41 HR-204 HANDRAIL PIPE O48.3X3.68 2 Good [{L-SEQ.-01
42 HR-209 HANDRAIL PIPE 948.3X3.68 1 Good ML-SEQ..O1
43 HR-210 HANDRAIL P|PE 948.3X3.68 2 Good ML-SEQ.-01
44 HR-212 HANDRAIL P|PE O48.3X3.68 2 Good ML.SEQ.-01
45 HR-216 HANDRAIL P|PE g,48.3X3.68 3 Good ML.SEQ.-01
46 HR-233 HANDRAIL PIPE O48.3X3.68 x Good ML-SEQ.-01
47 HR-238 HANDRAIL PIPE 948.3X3.68 2 Good ML-SEQ,-01
48 HR-245 HANDRAIL PIPE 948.3X3.68 1 Good ML.SEQ.-01
49 HR-246 ,, HANDRAIL PIPE 948"3X3.68 1 Good ML-SEQ.-01
50 HR-248 HANDRAII. P|PE 448.3X3.68 2 Good ML.SEQ,-01
51 HR-249 HANDRAIL PIPE O48.3X3.68 b Good ML-SEQ.-01
52 HR-2s0 HANDRAIL PIPE O48.3X3.68 2 Good ML.SEQ..O1
53 HR-258 HANDRAIL PtPE A48.3X3.68 1 Good ML.SEQ.-01
54 HR-260 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ.-01
55 HR-262 HANDRAIL PIPE O48.3X3.68 2 Good ML-SEQ..O1
56 ST1.2 JOIST c-250x90x9x13 1 Good ML-SEQ.-01
57 ST1-4 JOIST c-250x90x9x13 I Good ML-SEQ.-01
58 ST1.9 STAIR c-250x90x9x13 t Good ML.SEQ.-01
EO sT1-14 STAIR c-250x90x9x13 ,!
Good ML-SEQ.-01
60 sT1-20 STAIR c-250x90x9x13 1 Good ML-SEQ..O1
61 sT1-24 STAIR c-250x90x9x13 1 Good ML-SEQ..O1
62 sT1-50 STAIR c-250x90x9x13 1 Good ML.SEQ.-01
63 sT1-52 STAIR c-250x90x9x13 1 Good ML-SEQ.-01

Diterima Oleh.
Pembawa : LASIRAN Nama
No. Polisi Kendaraan : BH 8769 AV Bagian
No. HP 08231 3700449 Tanggal

Pukul

TTD

Ttd & Cap

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