8/19/2019 Receive Material

1/1

Form No : MRR-AEC-01

Revision No : 0

Report No :

Page No : of  

INSPECTION REPORT

MATERIAL RECEIE! " INSPECTION REPORT

C#stomer !ate Re$eive% &O No

-

Pro%#$t Re$eiving !etai's Comment ( Remar)s

Pro%#$t Name ( Co%e: -

Man#fa$t#rer: -

PT* +,I P#rsase Or%er No: -

!e'iver. !ate: -

!e'iver. Or%er No: -

/#antit. Or%er Re$eive%: -

 T.pe of Pa$)aging: -

Pa$)aging Con%ition: oo% !amage -

Certi$ation Re$eive%: 2es No -

Or%er Comp'ete%: 2es No -

PT* +,I Testing Re3#ire%: 2es No !ate Samp'e !e'iver. to La4orator.: -

PT* +,I Test Report Re$eive%: 2es No !ate Test Report Re$eive%: -

Pro%#$t 5at$ N#m4ers Certi$ate N#m4er !ate of Man#fa$t#re E6pire !ate

-

Comment / Remarks:

PT. KHI Pipe Industries COOEC HCML

Prepare% 4. Revie7e% 4. Revie7e% 4. Revie7e% 4.

/C Inspe$tor /C S#pervisor