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8/16/2019 Nota Dinas Dekon
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POLRI DAERAH JAWA TIMUR
BIDANG KEDOKTERAN DAN KESEHATAN
RS. BHAY. WAHYU TUTUKO BOJONEGORO
NOTA DINAS
Nomor : B /ND- /IV/20!/Y"#m$%%o&'o(
K$'"%" : Y)*. K"r+m&,)
D"r, : K"+,% Y"#m$%%o&'o(
P$r,*"( : R$#"#" K$+)+*"# %"# P$m"#+#"# R+"#D$&o#)"m,#",.
. R+1+&"# : ". P$r,#)"* L,"# K"r+m&,) B*""#&"r" W"*+ T+)+&o Bo1o#$oro P"%" R"'")
Kom,)$ A&r$%,)", T"#"( 3 A'r,( 20! )$#)"# A44 '$m$(,"# "(&$ $+",
)"#%"r "&r$%,)",5. S)"#%"r A&r$%,)", R+m"* S"&,) 6$r, 202.
2. S$*++#"# %$#"# r+1+&"# )$r$+) %,")"7 %,"1+&"# &$'"%" K" R$#"#"
K$+)+*"# %"# P$m"#+#"# R+"# D$&o#)"m,#", 8D")" T$r("m',r9.
. D$m,&,"# +#)+& m$#1"%, m"&(+m.
Bo1o#$oro7 A'r,( 20!KASUBBID YANMEDDOKPOL
Dr. BUDI PRASETYO7 S'.A#PENATA TK.I NIP
RENCANA KEBUTUHAN RUANG DEKONTAMINASI
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NO. NAMA
BARANG
JUMLAH
UNIT
SPESIFIKASI HARGA
(Rp)
TOTAL
HARGA
(Rp)1. PINTU+DAUN
PINTU
2 KAMPER 1.800.00
0
3.600.00
0
2. HARD BOARD 9 - 70.000 630.0003. DEKONTAMIN
ASI SET
1 1. 3 SINK 2. 3 KRAN3. 4 KAYU
JATI/SEJENI
SNYA4. AUMINIU
M!. SEAN"
PEMBUAN
"AN
7.000.00
0
7.000.00
0
3. RAK PENYIMPANAN
AAT
1 - 1.400.000
1.400.000
4. #EANROOM
PASS BO$
1
EXTERNAL :
W 70 X D 70 X
H 110 CM
MATERIAL :
GALVANIS
STEEL 1, 2
MM DIEPOXYPOWDER
COATING
OVEN WHITE
INTERNAL :
W 60 X D 60 X
H 60 CM
MATERIAL :
SS 304
HAIRLINE 1, 2
MM FILTER :HEPA FILTER
0, 3 MICRON
WITH 4
NOZZLE SS
DOOR : 2
FRONT !
8.400.00
0
8.400.00
0
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"AC# $ WITH
DOOR INTER
LOC# : DOOR
WITH GLASS
TEMPERED %
MM CLEAR
INDICATOR :
RED LAMP
DON& T OPEN
DOOR :
GREEN LAMP
CAN OPEN
DOOR
PENAWARAN NO: 20'2(
SAA( PNW( VI(
201% : GREEN
LAMP CAN
OPEN DOOR
ACCESSORIE
S : LAMP TL
NEON 10 W
AND TL )V 1%
W
!. PINTU+
#EANROOM
PASS BO$
1 IDEM 10.000.0
00
10.000.0
00
6. INDIKATOR
KEAS 4
1BO$ - 349.300 349.300
7. INDIKATOR
KEAS !
1BO$ - 6!0.000 6!0.000
8. BO%IE DI#K
TES
1BO$ - 600.000 600.000
9. #AIRAN
EN&IMATIK
1'S - 3!7.000 3!7.000
10. #AIRAN KIMIA
DDT
1'S - 208.2!! 208.2!!
11. INDIKATOR
BIOO"IS
1 BO$ - 600.000 600.000
TOTAL HARGA 33.794.
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555
Bo1o#$oro7 A'r,( 20!KASUBBID YANMEDDOKPOL
Dr. BUDI PRASETYO7 S'.A#PENATA TK.I NIP
