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SIMPER Mine Permit Overview

This document is a mining permit for Samsul that allows him to operate various heavy equipment. The permit lists 7 pieces of equipment he is authorized to operate and their expiration dates of January 16, 2023. It also provides his personal details like name, ID number, blood type, hire date and position. The permit reminds that the owner must obey company traffic regulations.

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Azis Rois
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100% found this document useful (3 votes)
2K views1 page

SIMPER Mine Permit Overview

This document is a mining permit for Samsul that allows him to operate various heavy equipment. The permit lists 7 pieces of equipment he is authorized to operate and their expiration dates of January 16, 2023. It also provides his personal details like name, ID number, blood type, hire date and position. The permit reminds that the owner must obey company traffic regulations.

Uploaded by

Azis Rois
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Berwenang untuk Mengoperasikan

REG : MMM-176/KPP/SIMPER/I/2023
No. Equipment Type Expire Date
MINE PERMIT/SIMPER 1 HINO 260 JD/TI 16-Jan-2023
REG : MMM-176/KPP/SIMPER/I/2023 2 MERCY AXOR 16-Jan-2023
3 MERCY AROCS 16-Jan-2023
Name : SAMSUL 4 SCANIA P460 16-Jan-2023
NIK :- 5
6
7

Legends F R P
Date Of Issue :
ACCIDENTS SIM Type : B II UMUM
Expired Date : 26-Des-27
Blood Of Type : O
Date Of Hire : 20-Oct-20 Approved by,

Position : OPERATOR
Department : OPERATION BOBY RIANTO
KTT PT. Indexim Coalindo
PELANGGARAN 1 2 3 Emergency Calls Only : Radio Chanel:
" Pemilik SIMPER wajib mematuhi peraturan lalu lintas 0821 4886 4886 EMERGENCY
perusahaan "

Berwenang untuk Mengoperasikan


REG : MMM-176/KPP/SIMPER/I/2023
No. Equipment Type Expire Date
MINE PERMIT/SIMPER 1 HINO 260 JD/TI 16-Jan-2023
REG : MMM-176/KPP/SIMPER/I/2023 2 MERCY AXOR 16-Jan-2023
3 MERCY AROCS 16-Jan-2023
Name : SAMSUL 4 SCANIA P460 16-Jan-2023
NIK :- 5 ACTROSS 5045 [Link] 16-Jan-2023
6 SC R620 [Link] 16-Jan-2023
7
Legends F R P
Date Of Issue :
ACCIDENTS SIM Type : B II UMUM
Expired Date : 26-Des-27
Blood Of Type : O
Date Of Hire : 20-Oct-20 Approved by,

Position : OPERATOR
Department : OPERATION BOBY RIANTO
KTT PT. Indexim Coalindo
PELANGGARAN 1 2 3 Emergency Calls Only : Radio Chanel:
" Pemilik SIMPER wajib mematuhi peraturan lalu lintas 0821 4886 4886 EMERGENCY
perusahaan "

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