5550585_WO

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WORK ORDER FORM

Technical Operation Department


Customer Technical Support Maintenance
PT. Eka Mas Republik
Graha FIM, Jl. Teuku Cik Ditiro No. 37
Menteng, Jakarta Pusat 10310

Work Order Information Customer Information

No. WO 5550585 Customer ID C1316223


BAST Number Name Asih Tursih
WO Date 09 Desember 2024 SA Date 04 Mei 2019
Appt. Date 10 Desember 2024 Service Status Active
Service Aging PIC Asih Tursih
2047
Maintenance
Address DKI JAKARTA JAKARTA BARAT (11610)
Appt. Type Maintenance TAMAN KOTA JLN. PERUMAHAN
TAMAN KOTA Number 43 RW 04 / RT
General Retail [HPFA]
Project Name 01 Kode Pos : 11610
[JKT.100.1101/PTK-1.008/C07]
Class Type Customer Regular
Installation Type AERIAL
Basic TV Special - ONT PI-20 -
Ticket Number 9524401 Package/Plan
Value30 (2024.C) -
Ticket Date 09 Desember 2024
Billing Cycle Date 4
COMPLAIN - All Service Down (Loss
Initiate Ticket Category Value Account state 333000.00
Merah)
Mobile 08988893255
Phone
Email [email protected]

Device Information
No Item ID Descriptions Serial Number Mac Address
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) 48575443165DE669 94db.da16.5de8
2 STB Basic HDE Box 1 2007L3H201655 542AA2B62DA9
3

Main Material Information


Device
No Item ID Descriptions Serial Number Mac Address Remark Status
Model
1 ONTHW.001 HUAWEI OPTICAL NETWORK TERMINAL (ONT) ONT
2 STB Basic HDE Box 1 STB #1
3

Accessories Material Information


Material Material
No. Material Name Unit QTY No. Material Name Unit QTY
Code Code
1 200000083 Cable A/V 3m pcs 10 200000242 Terminal Box + adapter SC-APC pcs
2 11 Cable pathcord single mode 20 m (SC-
200000101 Cable duct/protector TC2 pcs 200000243 pcs
APC to SC-APC)
3 12 Cable pathcord single mode 50 m (SC-

200000102 Pipa PVC/Conduit 20 mm pcs 200000244 APC to SC-APC) pcs


4 200000105 Clamp pipa conduit 20 mm pcs 13 200000245 Flexible 20mm (1m) meter
5 200000111 Sock pipa conduit 20 mm pcs 14 200000247 Adapter SC-APC to SC-APC pcs
6 200000117 Cable drop FO G657 dual core ( non mess ) meter 15 200000516 Splice-on Connector APC pcs
7 Cable drop FO G657 dual core With 16
200000118 meter 200000517 Splice-on Connector UPC pcs
Messenger
8 200000142 Pig Tail SC APC (2m) pcs 17 300000209 Fast Connector SC/APC pcs
9 Cable pathcord single mode 30 m (SC-APC 18
200000240 pcs 300000210 Fast Connector SC/UPC pcs
to SC-APC)

Remark to Contractor
Category Problem/Root Cause Analysis
All Service Down (Loss Merah)

Comments by Contractor

Technician Information Solution & Finishing


Area Jakarta Installer Arrival Time
Contractor Citra Telinti Mulia PT (B) Work Completed TIme
Installer Name Suriyadi Appt. Status/Work Order Successful
Installer Contact No. 088973777192 St Unsuccessful
Slot Time 1pm to 3pm

Dengan menandatangani lembar kerja ini saya menyetujui semua hasil kerja dan perbaikan yang sudah dilakukan dengan hasil baik
Jakarta, ...................................................

Cust. Technical Support Signature Customer Signature & Name

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