P.T.

CAKRA BAHANA Section CB-079

Revisi. no
Engine Spare Part Requisition
Page l of

Vessel:FSO.Surya Putra Jaya. Port of: Oyong Terminal Santos Madura Requisition no.SPJ/S/FEB/E-02/2017 Date: 06/Feb/2017
Department: E n!!me
Last Sur1ply
No. Item Part No. ROB Rcc1uircd V/E/D Remarks (for office use only)
(and Description) Qty Date Q ty
Reverse osmosis fresh water ITEM
Generator HSR0-2537

01 Sea Water Booster Pump Model Nil 1 zet

CDLF 4-4 (1 zet) tanpa Elmot
02 Im2eller 49 Nil 8 Pcs utk spare part
03 Inducer 5a Nil 8 Pcs
04 Cylinder 55 Nil 2 Pcs
05 Shaft booster pump 51 Nil 1 pcs --
06 Fine Filter core 40" 3 00.10.10 .98 38 pcs 40 pcs
07 Fine Filter core 40" 10 00.10.10.97 30 pcs 40 pcs

V-Vital, E=Essential, D=Desirable
06-02-201F--#!:L. 06-02-2017 f 06-02-2017
I
Sjgn and Date:
Name: Agung Ristilffi0 SUR r'a Capt. Ihwan Asrnl ! '
Rank/Designation: Approved by Superintendent I Technical
UJtv
Prepared by: First Approved by Chief Approved by Master / Supply effected by
Engineer r . Engineer (with stamp) (with stamp) Manager Purchase Manager

Copy Dist6bution: Original - Onboard, Copy 1 - Purchase & Supply Dept

Note use separate fonns for stores requisitions and spares requisitions from different departments
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