POLITEKNIK CALTEX RIAU
BAGIAN PENGELOLAAN LABORATORIUM
Jl. Umban Sari No. 1 Rumbai, Pekanbaru - Riau 28265 | Telp: (0761) 53939
FORMULIR PEMINJAMAN
No: #3957
SURAT PERMOHONAN PEMINJAMAN LABORATORIUM
Level 1 (Reguler / Praktikum Mandiri)
| Tanggal Pengajuan | : | 13 August 2021 |
| Laboratorium & Ruangan | : | Jaringan Telekomunikasi 1 (Ruang 236) |
| Tanggal Pelaksanaan | : | 16 August 2021 s/d 18 August 2021 |
| Waktu / Jam Pelaksanaan | : | Pukul 07.00 s/d 16.00 WIB |
| Keperluan / Nama Kegiatan | : | Tugas Akhir |
| Ketua Kegiatan | : | Ruth Yolanda Gultom |
| No. Kontak / HP | : | Hidden |
| Daftar Anggota / Peserta | : | Ruth Yolanda Gultom Pelaratan LAB 236 - SMPS : JT1/EQP/SMPS/2007/06-08 - SMPS : JT1/EQP/SMPS/2007/05-08 - Spectrum Analyzer : JT1/EQP/SA1/2012/01 - Magnetic Probe M1 : JT1/EQP/M1/2007/06-01 - Magnetic Probe M2 : JT1/EQP/M2/2007/06-02 - Magnetic Probe M3: JT1/EQP/M3/2007/06-03 - EM Demo Board : JT1/EQP/EDB/2007/06-09 - Emission Reference Source : JT1/EQP/ER/2007/05- 07 - Emission Reference Source : JT1/EQP/ER/2007/06- 07 - Kabel Power : (1) - Kabel connector SMA to SMA : (1) |
| Pekanbaru, 13 August 2021 | ||
| Ketua Kegiatan, | Laboran, | Kepala Laboratorium, |
| ( Ruth Yolanda Gultom ) | ( Risky Amelia ) | ( _________________________ ) |