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LAMPIRAN PEMERIKSAAN

PEKERJAAN : INSTALASI GAS MEDIS & FIRE ALARM TANGGAL :


LOKASI : IGD RSUD DR.SLAMET

NO PEKERJAAN VOL SAT OK NOK KET

F.3 PEKERJAAN SMOKE DETECTOR


Lantai 1
1 Instalasi Smoke Detector 32.00 ttk
2 Smoke Detector Type Foto Electric 32.00 ttk

Lantai 2
1 Instalasi Smoke Detector 13.00 ttk
2 Smoke Detector Type Foto Electric 13.00 ttk

F.4 PEKERJAAN FIRE ALARM


Lantai 1
1 Pek. Master Control Fire Alarm 5 Zone Lengkap Back U 1.00 unit
2 Instalasi Fire Alarm 10.00 ttk
3 Heat Detector Fixed Type 4.00 ttk
4 Alarm Bell 2.00 ttk
5 Manual Push Button 2.00 ttk
6 Indikator Lamp 2.00 ttk

Lantai 2
1 Instalasi Fire Alarm 10.00 ttk
2 Heat Detector Fixed Type 4.00 ttk
3 Alarm Bell 2.00 ttk
4 Manual Push Button 2.00 ttk
5 Indikator Lamp 2.00 ttk

Pemeriksa, Diketahui Oleh, Di Buat oleh,

(……………………………) (……………………………) (……………………………)

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