HASE SERVICE REPORT Date of Service Report [20670272028 SRAUI2024-00055 Date Job Start 20/02/2024 Start bate, 19/02/2024] Date Job Finish 20/02/2024 [Stop Date 20/02/2024 Customer Information Equipment Information Customer Name. TB, Bandung Brand PAC [Customer Address Bandung Type [Optifuel [Customer Contact Pak Iwan [Module Number [Customer PO/Contract No. Serial Number | Customer Inquiry/Request Membawa optifuel ke kantor hase Purpose of Visit Clinstall [CJ Repair [LJ PM/Calibration [fet Assessment/Others Tob Performed [Membawa optifuel kekantor hase [Unit, kabel power, selang. Status After Visit Erinish Cipending Pending Matters ‘Spare Part Recommendation No] Part Number Description ty Pram dia Agung Mufianda H Customer's Sign ature PT HASE UTAMA INDONESIA Engineer's Signature Address Ilan Cideng Timur No. 29.8 ~ OKI Jakarta, Indonesia 10130 Telp (021) 6327386 | Fax (021) 6327387 | Mail: info@haseutama.comHASE SERVICE REPORT Date of Service Report [206702/2024 SR-HUI-2024-00054 Date Job Start 20/02/2024] [start Date 19/02/2024] [Date Job Finish 20/02/2024) [stop Date 20/02/2024] Customer information Equipment Information (Customer Name ITB, Bandung Brand PAC [Customer Address Bandung Type [sc sIMDIS [Customer Contact Pak Iwan Module Number [634408 [Customer PO/Contract No. [Serial Number [ona7253474 Customer Inquiry/Request Repair Autoinjector Purpose of Visit [install a Repair [LPM (Calibration [i Assessment/Others Job Performed [Cek autoinjector [Seal pada gear dalam autoinjectro sudah rusak IMelepas seal pada autoinjector [Autoinjector sudah dapat digunakan keball (Status After Visit Finish CiPending Pending Matters ‘Spare Part Recommendation No. Part Number Description Qty yo Panda Agung Mufianda H Customer's Signature Engineer's Signature PT HASE UTAMA INDONESIA Address : alan Cideng Timur No. 29.8 ~ DRI Jakarta, Indonesia 10130 Telp : (021) 6327386 | Fax: (021) 6327387 | Mail: info@haseutama com