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    Form 14 Register Pendataan DAM

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    Ety Lung Lung
    1) This document is a registration form for 11 drinking water depots (DAMs) in the PIR Butong community health center area for the second semester of 2017. 2) It provides information on each DAM such as location, number of users, name, registration date, materials used, water treatment process, operator, and water source. 3) All 11 DAMs were made of stainless steel and used UV or ozone treatment, had operators, and obtained water from wells or the municipal water company, according to the form.

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    Form 14 Register Pendataan DAM

    Uploaded by

    Ety Lung Lung
    6 views2 pages
    1) This document is a registration form for 11 drinking water depots (DAMs) in the PIR Butong community health center area for the second semester of 2017. 2) It provides information on each DAM such as location, number of users, name, registration date, materials used, water treatment process, operator, and water source. 3) All 11 DAMs were made of stainless steel and used UV or ozone treatment, had operators, and obtained water from wells or the municipal water company, according to the form.

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    1) This document is a registration form for 11 drinking water depots (DAMs) in the PIR Butong community health center area for the second semester of 2017. 2) It provides information on each DAM such as location, number of users, name, registration date, materials used, water treatment process, operator, and water source. 3) All 11 DAMs were made of stainless steel and used UV or ozone treatment, had operators, and obtained water from wells or the municipal water company, according to the form.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    6 views2 pages

    Form 14 Register Pendataan DAM

    Uploaded by

    Ety Lung Lung
    1) This document is a registration form for 11 drinking water depots (DAMs) in the PIR Butong community health center area for the second semester of 2017. 2) It provides information on each DAM such as location, number of users, name, registration date, materials used, water treatment process, operator, and water source. 3) All 11 DAMs were made of stainless steel and used UV or ozone treatment, had operators, and obtained water from wells or the municipal water company, according to the form.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Download as xlsx, pdf, or txt
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    Form 14

    REGISTER PENDATAAN DEPOT AIR MINUM (DAM)

    PUSKESMAS : PIR BUTONG


    SEMESTER : II TAHUN 2017

    KEADAAN DAM SAAT REGISTRASI

    NO DESA / KELURAHAN JLH PEDDK NAMA DAM TGL REGISTRASI PERALATAN SEMUA KET
    SUMBER AIR
    TERBUAT DARI PROSES PENGOLAHAN OPERATOR BAKU
    STAINLESS STEEL
    YA TIDAK UV RO UV RO OZON ADA TIDAK SUMUR PDAM
    1 BUKIT SAWIT AS - SYFA Water 23/10/2012 √ - - √ √ - √ -
    2 BUKIT SAWIT ALGA Water 7/12/2012 √ - - √ √ - √ -
    3,380
    3 BUKIT SAWIT "3R" 23/10/2012 √ - - √ √ - √ -
    4 BUKIT SAWIT JUMARI 8/24/2015 √ - - √ √ - √ -
    5 TRAHEAN MANDA 7/12/2012 √ - - √ √ - -
    868
    6 TRAHEAN EVA 9/14/2017 √ - - √ √ - √ -
    7 BINTANG NINGGI 1 1,324 ELLA 7/12/2012 √ - - √ √ - √ -
    8 BINTANG NINGGI 2 949 GYHSIA 7/12/2012 √ - - √ √ - - √
    9 TRINSING 982 IMAM 21/8/2014 √ - - √ √ - - -
    10 TAWAN JAYA 1,213 ULIN 10/6/2017 √ - - √ √ - √ -
    11 PANDRAN PERMAI 466 RAHMA 10/4/2017 √ - - √ √ - √ -
    TOTAL 11 - - 11 11 - 10 1

    Mengetahui, PIR Butong, 11 Januari 2018


    Kepala UPT Puskesmas PIR Butong Petugas Sanitarian Puskesmas

    SUKIRJO, SKM., MPH DESNIETY, SKM


    NIP. 19730716 199503 1 002 NIP.19751217 200003 2 003

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