POLITEKNIK CALTEX RIAU
BAGIAN PENGELOLAAN LABORATORIUM
Jl. Umban Sari No. 1 Rumbai, Pekanbaru - Riau 28265 | Telp: (0761) 53939
FORMULIR PEMINJAMAN
No: #3912
SURAT PERMOHONAN PEMINJAMAN LABORATORIUM
Level 1 (Reguler / Praktikum Mandiri)
| Tanggal Pengajuan | : | 04 January 2021 |
| Laboratorium & Ruangan | : | Jaringan Telekomunikasi 1 (Ruang 236) |
| Tanggal Pelaksanaan | : | 07 January 2021 s/d 14 January 2021 |
| Waktu / Jam Pelaksanaan | : | Pukul 07.00 s/d 16.00 WIB |
| Keperluan / Nama Kegiatan | : | Pembuatan Tugas Akhir |
| Ketua Kegiatan | : | Tiva Aresta |
| No. Kontak / HP | : | Hidden |
| Daftar Anggota / Peserta | : | 1. Tiva Aresta (Ketua) 2. M. Aldiansyah (anggota) 3. Yospet Pradika (anggota) 4. Wahyudi Nasrianza (Anggota) 5. Wiga Vicky Irawan (anggota) WAHYU: Function Generator = JTI/EQP/FG/2003/06 Funtion generator 2= JTI/EQP/FG/2003/05 Oscilloscope= JTI/EQP/DSO/2013/08 Power supply= MTR/EQP/PS2/2003/03 Powersupply2= MTR/EQP/PS2/2003/04 multi digital =JTI/EQP/MD-K/2011-01 Multidigital = JTI/EQP/MD-K/2011/04 Power= 5 Bnc = 3 Buaya = 4 Kabel multi = 4 Fauzan: Spectrum Analyzer = JT1/EQP/SA/2017/07-1 Konektor PL to SMA power = 1 WIGA : Spectrum Analyzer = JT1/EQP/SA/2017/07-1 Konektor PL to SMA BOX 5 = jt1/EQP/MA/2007/04-02 power = 1 TIVA Spectrum Analyzer : JTI/EQP/SA1/2012/01 4E Fuction Generator : JTI/EQP/FG/2003/01 LISN : JTI/EQP/LISN/2015/01 Socket lampu : 15.3.19. ACC Oscilloscope : JTI/EQP/DSO/2010/01 Multimeter : JTI/EQP/MD-K/2011/02 Kabel konector N to BNC 1 Kabel konector multimeter 1 pasang Kabel Power 3 Yospet Pradika Alat: Function Generator (JT1/EQP/FG/2003/01) Spectrum Analyzer (JT1/EQP/SA1/2012/01) Kabel Connector BNC male to N male 1 buah Connector BNC female to N male 1 buah Connector BNC Male to SMA male 1 buah Kabel power 3 buah -Muhammad Aldiansyah LISN Tekbox (JT1/EQP/LISN/2015/01) LISN Amitec (JT1/EQP/LISN/2013/01) Spectrum Analyzer (JT1/EQP/SA1/2012/01) Kabel Connector BNC male to N male 1 buah Probe Jepit 4 buah Kabel power 4 |
| Pekanbaru, 04 January 2021 | ||
| Ketua Kegiatan, | Laboran, | Kepala Laboratorium, |
| ( Tiva Aresta ) | ( Risky Amelia ) | ( _________________________ ) |