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PY Bukit Makmur Group Plant Department /Section Iwo NUMBER Nomor MO Ro 'Fo0o341G3 _ couronenr rane Pp weranty/ PR Warrants: ‘54/10 coMPoNeNT CLAIM WARRANTY REPORT. Reo cam ro: Vengoe S52 __| Coyer_ £0 221089 lr ween somortnsr EXEC 2G01 ED Bo] UFETWE COMPONENT: Uru Konponun lMACHine MODEL X 2500 - 5 ‘UNIT HOURS / Umar Unit Lest PONe PO ssbeumms > UOIOZS LAST DATE FIPTED COMPONENT Loe se REPORT DATE! Tap Ketan Ty [ox [2 [Attachment / Lampiran: Lt nttation Report Component 508 Report Mo vitor { buon ert} ata Down Load Uni (VMS, PLMKomias) Liat Meter Component Repo Mar Cony Previous PO [DMBD Dally Monitoring Breakdown (3 bulan tera |Last PPU ReporvLaporan Under Carriages ‘Oi Concussion Repor| Magnetic Plug Record & Filter Cut Records Last TAPM Clinic Report Picture Photo yang dl claim —, Information Required From Supplier Provide Failure Analysie[ 1] [recommendation fr improvement [sian dao Tale, nave he cae operating condor) [Anas (Uaian dala herusshan,enalia penyeto, hone! pergopersia) yuan ee cence A a nD [A 1D Cont Mer iZe 2 _ WeLDini GurPAC! Pe sas tetas 3 1 t= Press —trereioy? a ‘aan Taken Tpaatan yang San Ter paritcn —— Rem Beals — Dive Pee [Request Ds [Received Doc by Supplier ame put, Beton Name wi [Date WARRANTY DECISION: accerT C) REJECT oO POLICY | PRORATA © coop O Costio Operation = CosttoPlant/ievots = : [REASON | COMMENT SUPPLIER Tor Acceptance, Rejecion or Provaia / Paley [REASON / COMMENT BUMA for Acceptance [Rejection O |ACTUAL CLAIM VALUE s FINAL COST COMMITTED TOPAY § |APROVAL For Closing Claim: Supplier ‘Sec Head SITE/ Manager Site |[ BUMEX Plant Manager Operation’ HO Signature: Signature, Signature: Signature: Name: Name Name: Name

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