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  • Uptd Puskesmas Sidotopo Wetan: Pemerintah Kota Surabaya Dinas Kesehatan

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    AliefiyahNAzizah
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    This document is a monitoring form for facility maintenance at the Sidotopo Wetan Community Health Center in Surabaya for January 2018. It contains a table with 9 items being monitored, including the transfer pump, chlorinator, air suction ejector, bioreactor unit, air supply pump, air scrubber in the transfer pump, and manhole covers. For each item, it records the current condition, reason if not optimal, and signature of the person conducting the monitoring. The form is signed by the head of the UPTD and medical staff.

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    Form monitoring

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    Form monitoring

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    This document is a monitoring form for facility maintenance at the Sidotopo Wetan Community Health Center in Surabaya for January 2018. It contains a table with 9 items being monitored, including the transfer pump, chlorinator, air suction ejector, bioreactor unit, air supply pump, air scrubber in the transfer pump, and manhole covers. For each item, it records the current condition, reason if not optimal, and signature of the person conducting the monitoring. The form is signed by the head of the UPTD and medical staff.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views3 pages

    Uptd Puskesmas Sidotopo Wetan: Pemerintah Kota Surabaya Dinas Kesehatan

    Uploaded by

    AliefiyahNAzizah
    This document is a monitoring form for facility maintenance at the Sidotopo Wetan Community Health Center in Surabaya for January 2018. It contains a table with 9 items being monitored, including the transfer pump, chlorinator, air suction ejector, bioreactor unit, air supply pump, air scrubber in the transfer pump, and manhole covers. For each item, it records the current condition, reason if not optimal, and signature of the person conducting the monitoring. The form is signed by the head of the UPTD and medical staff.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    PEMERINTAH KOTA

    SURABAYA DINAS
    KESEHATAN
    UPTD PUSKESMAS SIDOTOPO WETAN
    Jl. Randu No. 102 Surabaya Kod Po! "#012$%
    Tl&. "0'1% '(#(('(

    )ORM MONITORIN* PEME+IHARAAN IPA+


    PUSKESMAS SIDOTOPO ,ETAN TAHUN
    201( BU+AN JANUARI

    Ha!l Mon-orn
    Ha!l Mon-orn )un!
    P/laraan
     No Prala-an Ha!l P/laraan Rnana Tnda3 +an4u- Bu3- Tnda3 +an4u-
    Br5un!
    Tda3
    Ba3Ru!a3 Br5un!
    1 Tran!5r Pu/&

    2 6lorna-on

    ' Ar !u&&lr 7 J- E4-or 

    8 Un- Bo5l-r 

    9 S-o& Kran Ar Su&&lr 

    # S-o& Kran Sr3ula! Pada


    Tran!5r Pu/&

    ( ,a-r +;l Kon-rol7 O-o/a-!


    Po/&a

    $ Mn-au
    Saluran Ar +/ba Surabaya ....... Januar 201(
    K&ala UPTD. Pu!3!/a! Sdo-o&o ,-an Pnuru! Baran UPTD
    dr. Ba!lu! Aun Suryono Muayana
     NIP. 1<(#0#18 200901 1 00$  NIP. 1<#90908 1<$<0' 2 01'

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