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DATE:

GATE PASS FORM TIME:

SITE ID: O21 REQUESTOR'S NAME: Miguel Francisco Gonzalez


SITE NAME: CTEP-Sto. Tomas, La Union COMPANY: Ericsson
SITE ADDRESS: Sto. Tomas La Union

NO. ITEM DESCRIPTION SERIAL NUMBER STATUS QTY UOM


1 Mini Link 6692 for pullout 1 set
2 Dismantled Install Kit for 6692 for pullout 1 set

CHECKED BY: APPROVED BY:


DATE AND TIME: DATE AND TIME:

DATE:

GATE PASS FORM TIME:

SITE ID: REQUESTOR'S NAME:


SITE NAME: COMPANY:
SITE ADDRESS:

NO. ITEM DESCRIPTION SERIAL NUMBER STATUS QTY UOM

CHECKED BY: APPROVED BY:


DATE AND TIME: DATE AND TIME:

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