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KLINIK MABARROT NAHDLATUL KLINIK MABARROT NAHDLATUL

ULAMA KARANGGENENG ULAMA KARANGGENENG


Jl. KH. Abdurrahman Wachid No. 09 Jl. KH. Abdurrahman Wachid No. 09
Kendalkemlagi, Kec. Karanggeneng, Kab. Kendalkemlagi, Kec. Karanggeneng, Kab.
Lamongan Lamongan

KARTU PEMERIKSAAN APAR KARTU PEMERIKSAAN APAR


NO APAR:........................................ TAHUN:............................................... NO APAR:........................................ TAHUN:...............................................
AREA:.............................................. JENIS:................................................... AREA:.............................................. JENIS:...................................................

Pengecekan Pengecekan
Tg Paraf Tg Paraf
Bln Pressure Pin Selang Kelm Handle Kondis KET Bln Pressure Pin Selang Kelm Handle Kondis KET
l petugas l petugas
gauge sege selan i fisik gauge sege selan i fisik
l g l g

KLINIK MABARROT NAHDLATUL KLINIK MABARROT NAHDLATUL


ULAMA KARANGGENENG ULAMA KARANGGENENG
Jl. KH. Abdurrahman Wachid No. 09 Jl. KH. Abdurrahman Wachid No. 09
Kendalkemlagi, Kec. Karanggeneng, Kab. Kendalkemlagi, Kec. Karanggeneng, Kab.
Lamongan Lamongan

KARTU PEMERIKSAAN APAR KARTU PEMERIKSAAN APAR


NO APAR:........................................ TAHUN:............................................... NO APAR:........................................ TAHUN:...............................................
AREA:.............................................. JENIS:................................................... AREA:.............................................. JENIS:...................................................

Pengecekan Pengecekan
Tg Paraf Tg Paraf
Bln Pressure Pin Selang Kelm Handle Kondis KET Bln Pressure Pin Selang Kelm Handle Kondis KET
l petugas l petugas
gauge sege selan i fisik gauge sege selan i fisik
l g l g

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