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Material Gate Pass Returnable 123

This document is a gate pass issued by IOCL Refinery in Paradip, India to Bridge and Roof Co. (India) Ltd, allowing the contractor to transport various tools and equipment outside the refinery for painting purposes. It lists 104 items including tools, safety equipment, lifting gear, and includes details like quantities, locations and signatures of authorized representatives.

Uploaded by

vishal bailur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
7K views

Material Gate Pass Returnable 123

This document is a gate pass issued by IOCL Refinery in Paradip, India to Bridge and Roof Co. (India) Ltd, allowing the contractor to transport various tools and equipment outside the refinery for painting purposes. It lists 104 items including tools, safety equipment, lifting gear, and includes details like quantities, locations and signatures of authorized representatives.

Uploaded by

vishal bailur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
You are on page 1/ 26

BRIDGE AND ROOF CO.

(INDIA) LIMTED
(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

Tool container

1 nos

Lifting basket

01 nos

ALUMINIUM BUCKET

CROW BARS

TOOL BAG

Air HOSE 3/4

HACKSAW FRAME

HACKSAW BLADE

10

AIR MANIFOLD

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

10
6
5
20

10

WHIP CHECK

20

11

3/4" HEX NIPPLE

30

12

REDUCERS 1/2"X3/4"

13

REDUCERS 1"X3/4"

14

CHICAGO COUPLING MALE, FEMALE

15

6"CLAMP

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

10

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

16

4"CLAMP

10

17

6"INNER AND OUTER RUBBER

10

18

4"INNER AND OUTER RUBBER

10

19

6'' female fitting

20

6'' male fitting

21

6X4 Reducer

22

BAND IT TAPE-3/4" 1/2''

23

BAND IT TOOL

24

BAND IT BUCKLE-3/4"

25

C CLAMP 6"

26

C CLAMP 8"

27

LETTER & NUMBER PUNCH

28

NEEDLE FILE

29

SCREW DRIVER-FLAT

30

SCREW DRIVER-STAR

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

30

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

31

FLAT FILES

32

HALF ROUND FILES

33

ROUND FILES

34

PIPE WRENCHES

35

OIL CAN

36

GRIP PLIRES

37

SIM CUTTER

38

SHOVEL

39

SCRAPPER

40

TARPAULINS

41

SPIRIT LEVEL 1MTR& 3mtr

42

SCALE(BIG & SMALL)

43

VERNIER CALLIPER

44

ENTRY LOG BOARD

45

SAFETY BELT

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

20

10

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

46

CRICKET HELMET

47

Rigid ladder

48

Speed Rachet

49

1/2'' Impact

50

Fall arrestor

51

Rope ladder 18mtrX3Nos & 14 mtrX3 Nos

52

Strecture

53

Full face Mask

54

Dip tape (50 mtr.)

55

Adjustable (12")

56

Air winch- 1 Ton

57

Water cooler

58

Air Eductor

59

Table Fan

60

Safety Helmet

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

4
24

30

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

61

Safety Coverall Size:L, XL & M

30

62

LEATHER GLOVES

50

63

SAFETY GOGGLE

75

64

MOLYKOTE

65

DUCT TAPE

10

66

LIQUID HAND WASH

67

TYVEK SUIT

150

68

Sperail Dust Coverall

100

69

3M WHITE MASK(8710)

440

70

PINK FILTER(2091)

100

71

EAR PLUG

72

HAND GLOVES-COTTON DOTTED

73

BLACK TAPE

50

74

COTTON RAG

50

75

FIRE EXTINGUISHER CRAI-EE-01

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

100
1200

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said
agency / contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

76

SUNNY SOCK

100

77

WIRE BRUSH

30

78

RUSTOLINE

79

CABLE TIE

400

80

NYLON ROPE-1/2"

81

TEFLON TAPE

82

BARRICATION TAPE

83

MASKING TAPE

84

Cutter

85

1/2'' Socket Set(10-27MM)

86

PERMANENT MARKER

87

WHITE BOARD MARKER

88

PAINT MARKER

89

tea kettle

90

WD 40

(Dated signature of authorised representative of the


contractor taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

3
20

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

91

Broom with handle

92

Bag Lifting chain - 4 chain-02 Nos, 02 Chain-04 Nos

93

CHAIN BLOCKS

QUANTITY
WITH UNIT

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

12
6
19

LEVER BLOCK
94

1 TON

95

WEB SLINGS

65

96

D'Shackle

86

97

1 1/2" SQUARE DRIVE SOCKETS

98

1" SQUARE DRIVE SOCKETS

99

3/4" SQUARE DRIVE

14

100

HAMMERS -MS

101

MECHANICAL PULLY with lock

102

Gap JACK

103

FLANGE SPLITTER Pump

104

MS WEDGES

(Dated signature of authorised representative of the contractor


taking the materials outside)

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

105

HT SPANNERS RING

46

106

Ring Spanner

58

107

D E SPANNER

14

108

HT OPEN

11

109

Allen Key MM , INCHES

110

HAND LAMPS-24V

15

111

220V EXTENSION CABLE 3-Pin

10

112

24V BULBS

113

DISTRIBUTION BOARD MAIN Pannel-440V

114

Hand torch

115

Junction Box-240V

116

Junction Box-110V

117

110 V AG5 GRINDING MACHINE

118

220 V AG5 GRINDING machine

119

220 V AG7 GRINDING machine

(Dated signature of authorised representative of the contractor


taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

100

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

120

110 V AG7 GRINDING machine

121

Hand Drill Machine 220v

122

Video camera set

123

Grinding wheel BOTH

10

124

Cutting Wheel 1.6mm BOTH

20

125

110V TRANSFORMER CRAI-04/04 & 7

126

24 V TRANSFORMER CRAI-05-06,14

127

24 V EXTENSION CABLE

128

110 V EXTENSION CABLE

129

Extension cable 3 PIN 440

130

Extension cable 5 pin 440V

131

Multimeter

132

Soldering Set and its Accessories

133

Spike Cord

134

32Amp 440V Male and Female Socket

(Dated signature of authorised representative of the contractor


taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

PURPOSE

REMARKS

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

135

EARTHING CABLE

136

NAKED COPPER WIRE

137

63A Male & Female Socket

138

Welding cable

139

welding earth cable

140

welding helmet

141

5/8 Bolt

142

3/8 Air Hose

143

3 Mtr Measuring Tape

144

First Aid Box

145

6 " ELBOW 90 with flange

146

6" FLANGE WITH FEMALE FITTING

147

6" FLANGE WITH MALE FITTING

148

FLR

149

Chair

(Dated signature of authorised representative of the contractor


taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

50

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

150

D SHACKLE 1 TON

151

D SHACKLE 2 TON

152

MEASURING TAPE 3 MET

153

DIP TAPE 30 MTR

154

CUTTING PLIER

155

HACK SAW FRAME

156

MASKING TAPE 2"

157

HAND TORCHES

158

METALIC BUCKETS

159

ROPE LADDER 12 MTR

160

3M FULL FACE MASK-47,17,38,without number-01

161

3M PINK FILTER

162

SAFETY HARNESS WITH DOUBLE LANYARD (CNTR-H)

163

RECTRACTABLE RETRIVABLE FALL ARRESTOR 10 mtr

164

DRUM LINER

(Dated signature of authorised representative of the contractor


taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

30

25

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

165

COTTON RAGS

166

DOTTED COTTON GLOVES

167

SAFETY GOGGLES

168

LEATHER HAND GLOVES

169

3M DUST MASK

170

TYVEK

10

171

SPERIAN DUST COVERALL

20

172

EAR PLUG

20

173

PERMANENT MARKERS

174

LIQUID DETTOL HAND WASH

175

1/2"NYLON ROPE

176

TOOL BAGS

177

DUCT TAPE

178

WATER CAN 5 LTR

179

LIFTING BELT 2 TN 2 MTR

(Dated signature of authorised representative of the contractor


taking the materials outside)

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

200
17
7
100

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

BRIDGE AND ROOF CO.(INDIA) LIMTED


(Redfinery Division)
PARADIP REFINERY PROJECT
PARADIP, DIST.: JAGATSINGHPUR, ODISHA
CONTRACTOR'S MATERIAL GATE PASS (RETURNABLE / NONRETURNABLE) FOR PAINTING PURPOSE
GATE PASS NO.:

DATE :

Shri S.S. Mandal authorised representative of M/s. Birdge & Roof Co. (I) Ltd. Whose specimen signature is appended below is hereby allowed to materials belonging to the said agency /
contractor inside / outside IOCL Refinery, Paradip as mentioned below:
SL.
NO.

DESCRIPTION OF THE MATERIALS

QUANTITY
WITH UNIT

LOCATION FROM WHRE


THE MATERIALS ARE TO
SHIFTED

MODE OF TRANSPORT /
REGD NO. OF VEHICLE

MATERIALS INCOMING
CHALLAN NO / DATE IF
ANY

PURPOSE

REMARKS

180

LIFTING BELT 4 TN 6 MTR

181

WIRE BRUSH

182

SCRAPPER

183

HAND LAMPS (24 VOLTS)

184

HANSD LAMPS BULBS ( 24 VOLTS)

185

220V JUNCTION BOX

186

24V Transfromer

187

Tea Ketly

188

6" Y Pices

10

189
190
191
192
193
194

(Dated signature of authorised representative of the contractor


taking the materials outside)

(Dated signature with designation of


the authorised officer / signatory of
IOCL / PDRP, Paradip))

Verified & allowed the materiasl to


be taken outside IOCL / PDRP,
Paradip

Date :
Time (Out)
Rank :

Dated signature of the Duty


officer / Shift In-Charge, CISF

Name :
CISF UNIT, PDRP, Paradip

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