CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc
Ha Bnh, ngy thng nm 2012
BIN BN NGHIM THU THIT B N HIN TRNG
Gi thu: Mua sm, lp t thit b.
Cng trnh: H thng x l cht thi y t cho 06 bnh vin, tnh Ha Bnh
Hng mc: H thng x l nc thi bnh vin a khoa huyn Lc Sn
a im lp t: Khun vin bnh vin a khoa huyn Lc Sn
1.Thit b/ Cm Thit b c nghim thu:
TT

Tn thit b/ k m hiu, nhn mc sn phm

H thng x l nc thi hp khi FRP quy m
150m3/ngy m
B FRP: (2.050 x L 10.700 x H 2.200)
: (2.050 x L 7.000 x H 2.200)

1.1 Bm nc thi u ra (nm trong tank)

1.2 B ng kh trng (nm trong tank)

s lng

2 chic
2 chic
1 b

Ming b 600 + khung ming b

5 b

Khung ca thm v tm np 600x1000

2 b

Khung ca thm v tm np 600x1200

4 b

ai no c Tng-

10 b

c vt cc loi

189 b

C-l hnh ch T

1 chic

T iu khin, gm cc ph kin:

My thi kh.
Model: BE50E

2 chic

10

My sc kh b iu ha (Bm trn). Model: BSR32A

1 chic

11

Bm x.
Model: 50PN2.4

2 chic

12

Bm cn bng p lc:
Model: 50PU2.75

2 chic

13

Cng tc phao ni (RF-5)

6 chic

14

Van in t.
Model: ADK21-40A

1 b

15

Cm thit b tho lp bm.

2 b

1 b

Ghi ch

Model: TOK-4P
16

Bng iu khin
Model: 32-0364

1 b

2. Thnh phn trc tip nghim thu:

a. i din ch u t: Ban qun l d n u t xy dng cng trnh h thng x
l cht thi lng y t cho cc bnh vin tnh Ha Bnh.
- ng/b : Trn Quang Khnh

Chc v : Gim c S Y t

- ng/b : ....................................

Chc v : .........................................

- ng/b : ....................................

Chc v : .........................................

b. i din nh thu cung cp hng ha: Cng ty C phn Tin b Quc t

- ng/b : Phm Th Minh Tm

Chc v : Tng gim c

- ng/b : ....................................

Chc v : .........................................

c. i din t vn gim st: Cng ty C phn T vn u t Y t Thng Long

- ng/b : Trnh Ming

Chc v : Tng gim c

- ng/b : Nguyn B Qun

Chc v : K thut vin

- ng/b : L Anh Tun

Chc v : K thut vin

d. i din n v s dng: Bnh vin a khoa huyn Lc Sn

- ng/b : ....................................

Chc v : .........................................

- ng/b : ....................................

Chc v : .........................................

- ng/b : ....................................

Chc v : .........................................

3. Thi gian nghim thu:

- Bt u:
gi
pht, ngy
thng nm 2012
- Kt thc:
gi
pht, ngy
thng nm 2012
- a im: Bnh vin a khoa huyn Lc Sn
4. Hi ng tin hnh nh gi:
a) Cn c nghim thu:
- Phiu yu cu nghim thu ca nh thu.
- Vn n vn chuyn hng ha.
- Phiu ng gi chi tit xc nh ni dung mi kin hng.
- Chng ch cht lng ca Nh sn xut.
- Chng ch xut x hng ha.
- Cc ti liu ch dn k thut km theo.
b) Cht lng thit b: Cht lng ng theo hp ng s10/2011 H-TB
ngy 29/12/2011 gia Ban qun l d n u t xy dng cng trnh h
thng x l cht thi lng y t cho cc bnh vin tnh Ha Bnh v Cng
ty C phn Tin b Quc t.

c) Khi lng/ s lng thit b: Theo ng hp ng s10/2011 H-TB

ngy 29/12/2011 gia Ban qun l d n u t xy dng cng trnh h
thng x l cht thi lng y t cho cc bnh vin tnh Ha Bnh v Cng
ty C phn Tin b Quc t.
d) Cc kin khc:
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
1. Kt lun

I DIN NH THU

I DIN CH U T

I DIN GIM ST

I DIN N V S DNG

H s nghim thu thit b n hin trng gm c:

-

Bin bn nghim thu thit b

Cc ti liu cn c nghim thu theo mc 4a).