No. Dok
Tgl
Berlaku
PLTU
Hal
: 1/1
TANGGAL : ...........................................................................
DESCRIPTION : ...........................................................................
RANGE : ...........................................................................
MERK : ...........................................................................
TYPE : ...........................................................................
MANUFACTURE : ...........................................................................
STANDAR
DATA PENGUJIAN
KALIBRASI
ERROR
KETERANGAN
INPUT
OUTPUT
OUTPUT
INPUT
OUTPUT
OUTPUT
%
%
oC
mV
oC
oC
mV
oC
Catatan :
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MENGETAHUI
DIPERIKSA
PELAKSANA
(
)
( .........................
)
(
)
...................................
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