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Procedure F2511-P0007 -03

F2511-F0099-00

SERIAL NO.:
M /………………. CENTRAL LAB. DEPARTMENT
MONOMER & BD LABORATORY
NON - ROUTINE TEST
REQUEST & REPORT

REQUESTER
Name : Bangkit Dana Setiawan Approved by : Mulyanto -2170
Sign : Sign :
Section : PPE4/PPE Section : PPE5/PPE
Date : 25-Oct-19 Date : 25-Oct-19

Sample's Description (package, quantity, etc.) Analysis / Test Items


Sample phase : Gas
Sample base : Cycle Gas Full content on the cycle gas.
Sampling point condition: Majority content:
Temp: 85degC Pressure: 24ksc Ethylene, Nitrogen, Butene-1, iso-pentane,
Point: Hydrogen, C4 inerts, C6 inerts, n-C5
1. Cycle Gas Methane, Ethane, CO, CO2, C7+

(standard etc. explained if any) (methods etc. described if any)

Reason of Request NATURE


To check NPE cycle gas analyzer emergency
X urgent
Normal

Received by: Result :

Date : Sign.:

Accepted / Rejected/ Partially Rejected by:

Date : Sign.:

Analysed by:

Date : Sign.:
Time:

Reported by:

Date : Sign.: Note if rejected / partial reject :


Time:

Reviewed / Approved by: Comment / Conclusion :

Date : Sign.:

Distribution : File, Requestor.

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