WORK ORDER FORM Requestor
Operation Division
Prepared by
Work Order Number : QS-WO- ...............-.......................
Approved by
Checked by
Signature Full Name Phone number
Date of Order:
Signature Tran Quang Bien
6
Nov
Thai Nguyen Quang Binh
2020
Sample Description (1)
Sample Type (2)
Naphtha
L3
1
Priorit y (3)
Sampling Date & time (4) 9:00
Thai Nguyen Quang Binh
Full Name Phone number
Section/Division:
1.1
Type of Work Order Other:….................................................................................................................. Work Detail
Sample Analysis
No
Approved by
Sampling Point Tank No. (5) (6)
o Ship Name / Temp ( C)/ Pressure Lot No. (at) (7)
Test Item (9)
Test Method (10)
Reason (11)
Requester email ID (12)
Distillation
ASTM D86
After making adjustment
PO1.1
(8)
010-SC-0023
Remark:
Approved by Lab & QA Section Signature: Full Name Time:
Form No.: NSRP-TE-QSQA-PD-0002-FO-01 Effective Date:23, June 2020
Rev. No.: 05
…..............
Date:
….............. ........
1