POLITEKNIK CALTEX RIAU
BAGIAN PENGELOLAAN LABORATORIUM
Jl. Umban Sari No. 1 Rumbai, Pekanbaru - Riau 28265 | Telp: (0761) 53939
FORMULIR PEMINJAMAN
No: #4480
SURAT PERMOHONAN PEMINJAMAN LABORATORIUM
Level 1 (Reguler / Praktikum Mandiri)
| Tanggal Pengajuan | : | 05 January 2024 |
| Laboratorium & Ruangan | : | Jaringan Telekomunikasi 1 (Ruang 236) |
| Tanggal Pelaksanaan | : | 08 January 2024 s/d 07 February 2024 |
| Waktu / Jam Pelaksanaan | : | Pukul 07.00 s/d 16.00 WIB |
| Keperluan / Nama Kegiatan | : | data TA |
| Ketua Kegiatan | : | Nashra Lizani Azmi |
| No. Kontak / HP | : | Hidden |
| Daftar Anggota / Peserta | : | Nashra Lizani Azmi (2020301040) Nasrullah ( 2020301041) Spectrum Analyzer RIGOL (1 pcs) : JT1/EQP/SA/2017/07-1 (lizan & arul) LISN (1 pcs) : JT1/EQP/LISN/2015/01 (lizan ) Kabel Power (3 pcs) Konektor BNC to N (1 pcs) Osiloskop digital : SN JT1/EQP/DSO/2010/02 (arul) Probe Osiloskop; : 2 pcs Osiloskop digital : JTI/INS/DSO/2010/04 ( lizan ) Probe Osiloskop; : 2 pcs function generator : JT1/EQP/FG/2003/04 |
| Pekanbaru, 05 January 2024 | ||
| Ketua Kegiatan, | Laboran, | Kepala Laboratorium, |
| ( Nashra Lizani Azmi ) | ( Risky Amelia ) | ( _________________________ ) |