SANITARY LANTAI BASEMENT

Basin: handwash
Item Floor Room Number Room Name Keran 2 Keran TMB
Type B

LW240CJ/LW240H
TX122LESK2 TX109LRS
FJ

Basement B-045 Kanteen 2 2

Basement B-017 Lobby Lift 1 1

Basement B-019 Lobby Lift 1 1

4 0 4
 SANITARY LANTAI 1
Toilet suite:
Toilet suite: Toilet suite: Basin: handwash Basin: handwash Type D (Meja Tapware: mixer, elbow Flushing Rim Sink + SS Sink Cabinet Mount
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Urinal + partition Keran 2 Keran TMB Rail Rail Sink: Cleaner Mirror Fixed Paper Holder Floor Drain
standard (+bidet) standard (+bidet) Type B Wastafel/Vanity Counter) leevers, long sink set (Kitchen Sink)
washer excl.)

SK322E +
LW240CJ/LW240H FRANKE DOX 610 + FRANKE LNX611 +
TX471SRSN CW660NJ/SW660J TX403SBW C704L UW58JM+AW115 TX122LESK2 TX109LRS LW540J+TX109LRS T113BL9+T113B6 TX3A2 TX603MEB T30ARQ13N + AW84J TX720ACRB FRANKE DOX 610 TX1DB
FJ TX603KCS TX603KCS
T30SE

1st Floor 1-021 Corridor 1 1

1st Floor 1-040 Corridor 2 2

1st Floor 1-070 Consult - Examination 1 1

1st Floor 1-071 Consult - Examination 1 1

1st Floor 1-072 Consult - Examination 1 1

1st Floor 1-073 Consult - Examination 1 1

1st Floor 1-074 Disposal Room 1 1

1st Floor 1-075 Cleaners Room 1

1st Floor 1-076 Consult - Examination 1 1

1st Floor 1-077 Consult - Examination 1 1

1st Floor 1-078 Consult - Examination 1 1

1st Floor 1-079 Consult - Examination 1 1

1st Floor 1-086 Clean Utilty 1 1 1 1

1st Floor 1-087 Staff WC Female 1 1 1 1 1 1

1st Floor 1-088 Staff WC Male 1 1 1 1 1 1

1st Floor 1-089 Consult - Examination 1 1

1st Floor 1-090 Doctors Room

1st Floor 1-091 Dirty Utilty 1 1 1 1 1

1st Floor 1-092 Clean-up Room 1 1 1

1st Floor 1-093 Doctors Room

1st Floor 1-096 WC Male 1 1 2 1 1 1 1

1st Floor 1-097 WC Female 2 2 1 1 2 1

1st Floor 1-098 WC Disable 1 1 1 1 1 1 1

1st Floor 1-099 Consult - Examination 1 1

1st Floor 1-100 Consult - Examination 1 1

1st Floor 1-101 Consult - Examination 1 1

1st Floor 1-102 Consult - Examination 1 1

1st Floor 1-103 Consult - Examination 1 1

1st Floor 1-104 Consult - Examination 1 1

1st Floor 1-105 Consult - Examination 1 1

1st Floor 1-106 Staff Room 1

1st Floor 1-107 Change Room Male 2 2 1 1 1 2 1

1st Floor 1-108 Change Room Female 2 2 1 1 1 2 1

128 1st Floor 1-108C Lobby Lift 2 2

1st Floor 1-110 A WC Difable 1 1 1 1 1 1 1

1st Floor 1-110 B WC Male 1 1 1 1 1 1

1st Floor 1-110 C WC Female 1 1 1 1 1 1

1st Floor 1-110 D Bay Handwashing 1 1

1st Floor 1-112 1 Bed Holding 1 1

1st Floor 1-114 Consult Room 1 1

1st Floor 1-117 Office

1st Floor 1-118 Clean Utilty 1 1 1

1st Floor 1-119 Dirty Utilty 1 1 1

1st Floor 1-120 WTP Room : Pompa, filter, tank 1

1st Floor 1-120 A Training / Treatment Room 1 1

1st Floor 1-120 C Bay Beverage 1

1st Floor 1-125 Toilet 1 1 1 1

1st Floor 1-126 Toilet 1 1 1 1

1st Floor 1-129 Consult Room 1 1

 SANITARY LANTAI 1
Toilet suite:
Toilet suite: Toilet suite: Basin: handwash Basin: handwash Type D (Meja Tapware: mixer, elbow Flushing Rim Sink + SS Sink Cabinet Mount
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Urinal + partition Keran 2 Keran TMB Rail Rail Sink: Cleaner Mirror Fixed Paper Holder Floor Drain
standard (+bidet) standard (+bidet) Type B Wastafel/Vanity Counter) leevers, long sink set (Kitchen Sink)
washer excl.)

1st Floor 1-130 Consult Room 1 1

1st Floor 1-135 Toilet 1 1 1 1 1 1

1st Floor 1-137 Toilet 1 1 1 1 1 1

1st Floor 1-139 Staff Room 1

1st Floor 1-140 WC Female 2 2 2 2 2

1st Floor 1-141 WC Male 2 2 1 2 2

1st Floor 1-142 A Corridor 1 1

Preparation: sink besar,

1st Floor 1-145
tapware sensor (2)

1st Floor 1-152 Toilet 1 1 1 1 1 1

Preparation: sink besar,

1st Floor 1-154
tapware sensor (2)

1st Floor 1-156 Toilet 1 1 1 1 1 1

1st Floor 1-158 Toilet 1 1 1 1 1 1

Preparation: sink besar,

1st Floor 1-160
tapware sensor (2)

1st Floor 1-161 Toilet 1 1 1 1 1 1

1st Floor 1-165 Consultation Room 1 1

1st Floor 1-166 Consultation Room 1 1

1st Floor 1-167 Toilet Male 2 2 2 1 2 3

1st Floor 1-168 Toilet Female 2 2 2 2 3

1st Floor 1-171 Staff Room 1

1st Floor 1-172 Doctors Room 1 1

1st Floor 1-173 Consultation Room 1 1

1st Floor 1-174 Consultation Room 1 1

1st Floor 1-175 Lobby Lift 1 1

1st Floor 1-177 Preparation 2

1st Floor 1-178 Staff Room 1

1st Floor 1-179 Product Adm Room

1st Floor 1-182 Change Room 1 1

1st Floor 1-184 Corridor 1 1

1st Floor 1-187 Mixture Room 1

1st Floor 1-190A Corridor 1 1

1st Floor 1-191 Shower Room 1 2 1 1

1st Floor 1-193 Clean Room 1 1 1

1st Floor 1-194 Administration + Pharmacy 5

1st Floor 1-198 Toilet Female 2 2 2 2 1 2 2 2

1st Floor 1-199 Laboratory 1

1st Floor 1-201 Toilet 1 1 1 1 1 1

1st Floor 1-205 Administration Room

1st Floor 1-209 Laboratory 1

1st Floor 1-211 Waiting Room 1 1

1st Floor 1-213 Dark Room : SS Deep sink 1

1st Floor 1-215 Toilet 1 1 1 1 1 1

1st Floor 1-220 Toilet 1 1 1 1 1 1

 SANITARY LANTAI 1
Toilet suite:
Toilet suite: Toilet suite: Basin: handwash Basin: handwash Type D (Meja Tapware: mixer, elbow Flushing Rim Sink + SS Sink Cabinet Mount
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Urinal + partition Keran 2 Keran TMB Rail Rail Sink: Cleaner Mirror Fixed Paper Holder Floor Drain
standard (+bidet) standard (+bidet) Type B Wastafel/Vanity Counter) leevers, long sink set (Kitchen Sink)
washer excl.)

1st Floor 1-221 Fluoroscopy 1

1st Floor 1-223 Toilet 1 1 1 1 1 1

1st Floor 1-225 Toilet 1 1 1 1 1 1

1st Floor 1-227 Toilet 1 1 1 1 1 1

1st Floor 1-228 Toilet 1 1 1 1 1 1

1st Floor 1-231 Waiting Area 1 1

1st Floor 1-232 A Staff Room 1

1st Floor 1-233 Toilet 2 2 2 2 1 2 2 2

1st Floor 1-234 Toilet 2 2 2 2 2 2 2 2

1st Floor 1-235 A Radio Graper Work Room

1st Floor 1-235 B Dirty Utilty (+ SS bench w wet edge) 1 1 2

1 40 42 2 4 76 33 43 10 2 8 0 1 3 42 13 13 1 45

84 Ruangan yg Belum
 SANITARY LANTAI 2
Toilet suite:
Toilet suite: standard Toilet suite: standard Basin: handwash Sink: single Flushing Rim Sink
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Urinal partition Keran 2 Keran TMB Rail Sink: through, scrub Mirror Fixed Paper Holder SS Sink & Counter Keran Dinding Floor Drain
(+bidet) (+bidet) Type B (450x350x2500) + SS sink set
washer excl.)

SK322E +
CW660NJ/SW660J LW240CJ/LW240 FRANKE DOX FRANKE DOX FRANKE LNX611
TX471SRSN TX403SBW C704L/SW784JP UW58JM AW115J TX122LESK2 TX109LRS LW540J+TX109LRS T113BL9+T113B6 TX603MEB T30ARQ13N + AW84J TX720ACRB T23BQ13N TX1DB
P HFJ 610 610 + TX603KCS + TX603KCS
T30SE

2nd Floor Lobby Lift 1 1

2nd Floor Lobby Lift 1 1

2nd Floor Gedung D 6 6

2nd Floor Gedung B,C 8 8

2nd Floor 2-003 Staff Change 1 2 2 1 1 1 2 2

2nd Floor 2-004 Staff Change 1 2 2 1 1 1 2 2

2nd Floor 2-008 Staff Room 1

2nd Floor 2-010 Janitor 1 1 0 1 1

2nd Floor 2-011 Trolley Wash 1 1 2 1

2nd Floor 2-012 Receiving Area Used Instrument 1 1 2 1

2nd Floor 2-013 Washer 1 1 3 1

2nd Floor 2-014 Packing 1 1

2nd Floor 2-023A Dirty Corridor 1 1

2nd Floor 2-038 Scrub

2nd Floor 2-041 Scrub

2nd Floor 2-043 Scrub

2nd Floor 2-045 Scrub

2nd Floor 2-048 Scrub

2nd Floor 2-050 Scrub

2nd Floor 2-053 Scrub

2nd Floor 2-060 Dirty Utility Room 1 1 2 1

2nd Floor 2-064 Dirty Utility Room 1 1 2 1

2nd Floor 2-071 Dirty Utility Room 1 1 2 1

2nd Floor 2-072 Dirty Utility Room 1 1 2 1

2nd Floor 2-074 Staff Room 1

2nd Floor 2-075 Waste 1

2nd Floor 2-089 A Shower 1 1 1

2nd Floor 2-089 B Shower 1 1 1

2nd Floor 2-089 C WC 1 1 1 1 1 1 1

2nd Floor 2-089 D WC 1 1 1 1 1 1 1

2nd Floor 2-089 E WC 1 1 1 1 1 1 1

2nd Floor 2-090 A Shower 1 1 1

2nd Floor 2-090 B Shower 1 1 1

2nd Floor 2-090 C WC 1 1 1 1 1 1 1

2nd Floor 2-090 D WC 1 1 1 1 1 1 1

2nd Floor 2-090 E WC 1 1 1 1 1 1 1

2nd Floor 2-107 Toilet 1 1 1 1 1 1

 SANITARY LANTAI 2
Toilet suite:
Toilet suite: standard Toilet suite: standard Basin: handwash Sink: single Flushing Rim Sink
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Urinal partition Keran 2 Keran TMB Rail Sink: through, scrub Mirror Fixed Paper Holder SS Sink & Counter Keran Dinding Floor Drain
(+bidet) (+bidet) Type B (450x350x2500) + SS sink set
washer excl.)

2nd Floor 2-108 Soiled 1 1 1

2nd Floor 2-111 Clean 1 1 1

2nd Floor 2-116 Clean 1 1 1

2nd Floor 2-118 Doctor's Office

2nd Floor 2-119 R.Ganti Staff 1 1 1 1

2nd Floor 2-120 Toilet 1 1 1 1 1 1

2nd Floor 2-121 Toilet 1 1 1 1 1 1

2nd Floor 2-122 Toilet 1 1 1 1 1 1

2nd Floor 2-123 R. Ganti Staff 1 1 1 1

2nd Floor 2-124 Soiled 1 1 1

2nd Floor 2-125 Toilet 1 1 1 1 1 1

2nd Floor 2-126 Toilet 1 1 1 1 1 1

2nd Floor 2-127 CCU 10 Beds 1 1

2nd Floor 2-131 Clean Room Menjadi Ruang Panel 1 1 1

2nd Floor 2-136 ICU 1 1

2nd Floor 2-141 Toilet 3 3 2 3 1

2nd Floor 2-142 Disable Toilet 1 1 1 1 1 1 1

2nd Floor 2-143 Toilet 3 3 4 3 2 1 3 1

2nd Floor 2-144 Wudhu 1 1

2nd Floor 2-145 Wudhu 2 1

2nd Floor 2-147 Wudhu 2 1

2nd Floor 2-152 Disposal Room 1 1 1

2nd Floor 2-156 C.U. 1 1 1 1

2nd Floor 2-157 D.U. 1 1 2 1

2nd Floor 2-167 WC 1 1 1 1 1 1

2nd Floor 2-169 Staff Station 1

2nd Floor 2-170 Janitor 1 1 1 1

2nd Floor 2-174 Formula Room 1

2nd Floor 2-175 Feedding Room 1

2nd Floor 2-177 WC 1 1 1 1 1 1

2nd Floor 2-178 WC 1 1 1 1 1 1

2nd Floor 2-179 C.U. 1 1 1 1

2nd Floor 2-180 Step Down: basin baby bath+keran (1) 1 1

2nd Floor 2-181 A NICU: basin baby bath+keran (1) 1 1

2nd Floor 2-182 WC 1 1 1 1 1 1

2nd Floor 2-183 WC 1 1 1 1 1 1

2nd Floor 2-184 Clean Utility Room 1 1 1 1

2nd Floor 2-185 Dirty Utility Room 1 1 2 1

2nd Floor 2-186 WC 1 1 1 1 1 1

2nd Floor 2-187 WC 1 1 1 1 1 1

2nd Floor 2-188 Clean Utility Room 1 1 1 1

2nd Floor 2-189 Dirty Utility Room 1 1 2 1

2nd Floor Selasar Balkon 2

6 29 30 1 4 3 68 20 48 4 1 0 2 0 15 30 30 3 5 57
 SANITARY LANTAI 3
Toilet suite: accessible (+jet Basin: handwash Type D Tapware: mixer, elbow Sink Cabinet Mount (Kitchen
Item Floor Room Number Room Name Shower (Panas Dingin Toilet suite: standard (+bidet) Toilet suite: standard (+bidet) Urinal + partition Basin: handwash Type B Keran 2 Keran TMB Rail Rail Mirror Fixed Paper Holder Floor Drain
washer excl.) (Meja Wastafel) leevers, long Sink)

FRANKE LNX611 +
TX471SRSN CW660NJ/SW660JP TX403SBW C704L/SW784JP UW58JM + AW115J LW240CJ/LW240HFJ TX122LESK2 TX109LRS LW540J+TX109LRS T113BL9V1+T113B6 TX3A2 TX603MEB AW84J TX720ACRB TX1DB
TX603KCS

3th Floor 3-001 Balcony 1 1 1

3th Floor 3-003 Toilet 1 1 1 1 1 1 1

3th Floor 3-004 Toilet 1 1 1 1 1 1 1

3th Floor 3-006 Balcony 2 2

3th Floor 3-008 Toilet 1 1 1 1 1 1 1

3th Floor 3-009 Toilet 1 1 1 1 1 1 1

3th Floor 3-011 Balcony 2 2

3th Floor 3-013 Toilet 1 1 1 1 1 1 1

3th Floor 3-014 Toilet 1 1 1 1 1 1 1

3th Floor 3-019 Prosedur Room 1 1

3th Floor 3-025 Toilet 1 1 1 1 1 1 1

3th Floor 3-026 Toilet 1 1 1 1 1 1 1

3th Floor 3-027 Soiled 1 1 1

3th Floor 3-030 Corridor 2 2

3th Floor 3-032 Balcony 1 1 1

3th Floor 3-033 Toilet 1 1 1 1 1 1 1

3th Floor 3-034 Toilet 1 1 1 1 1 1 1

3th Floor 3-036 Balcony 2 2

3th Floor 3-038 Toilet 1 1 1 1 1 1 1

3th Floor 3-039 Toilet 1 1 1 1 1 1 1

3th Floor 3-041 Balcony 2 2

3th Floor 3-043 Toilet 1 1 1 1 1 1 1

3th Floor 3-044 Toilet 1 1 1 1 1 1 1

3th Floor 3-046 Balcony 1 1 1

3th Floor 3-077 Corridor 2 2

3th Floor 3-103 Lobby Lift 2 2

3th Floor 3-110 WC Male 4 4 3 1 4 1

3th Floor 3-111 WC Female 4 4 3 1 4 1

3th Floor 3-117 Lobby 1 1

3th Floor 3-119 A Corridor 1 1

3th Floor 3-120 Lounge 1 1

3th Floor 3-121 Janitor 1 1 1

3th Floor 3-128 Hall 1 1

3th Floor 3-129 Toilet 2 2 2 2 2 1

3th Floor 3-130 Toilet 2 2 2 2 1

3th Floor 3-132 ICU 1 1

3th Floor 3-133 WARD 1 1

3th Floor 3-134 NICU Basin Baby bath 1 + keran

3th Floor 3-136 Conference 1

3th Floor 3-137 Disable Toilet 1 1 1 1 1 1 1

3th Floor 3-139 SHOWER 1 2 1 1

3th Floor 3-140 SHOWER 1 2 1 1

3th Floor 3-143 HYDROTHERAPY 4

3th Floor 3-144 Patient Change 1 1 1

3th Floor 3-145 SHOWER 1 1 1 1

3th Floor 3-146 TOILET 1 1 1 1 1

3th Floor 3-147 SHOWER 1 1 1 1

3th Floor 3-148 TOILET 1 1 1 1 1

3th Floor 3-149 Patient Change 1 1 1

3th Floor 3-152 Office

3th Floor 3-153 Staff Room 1

3th Floor 3-154 Gymnasium 1 1 1

16 28 29 1 2 32 6 26 10 3 20 0 23 29 3 31
 SANITARY LANTAI 4
Toilet suite: Flushing Rim
Toilet suite: Toilet suite: Sink: though Tapware: mixer, elbow Sink Cabinet
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Basin: handwash Type B Keran 2 Keran TMB Rail Rail Hand Rail Difable Mirror Fixed Paper Holder Sink + SS sink Floor Drain
standard (+bidet) standard (+bidet) scrub leevers, long Mount
washer excl.) set

SK322E + FRANKE DOX FRANKE

CW660NJ/SW660J
TX471SRSN TX403SBW C704L/SW784JP LW240CJ/LW240HFJ TX122LESK2 TX109LRS T113BL9V1+T113B6 TX3A2 T110BL2 T30ARQ13N + TX603MEB AW84J TX720ACRB 610 + LNX611 + TX1DB
P
T30SE TX603KCS TX603KCS

4th Floor 4-001 Balcony 1 1

4th Floor 4-003 Toilet 1 1 1 1 1 1 1
4th Floor 4-004 Toilet 1 1 1 1 1 1 1
4th Floor 4-006 Balcony 2 2
4th Floor 4-008 Toilet 1 1 1 1 1 1 1
4th Floor 4-009 Toilet 1 1 1 1 1 1 1
4th Floor 4-011 Balcony 2 2
4th Floor 4-013 Toilet 1 1 1 1 1 1 1
4th Floor 4-014 Toilet 1 1 1 1 1 1 1
4th Floor 4-015 Isolation 1 1
4th Floor 4-018 Doctor

4th Floor 4-019 Procedure Room 1 1

4th Floor 4-021 Nurse Station 2 2
4-022 Nurse Room

4th Floor 4-025 Toilet 1 1 1 1 1 1

4th Floor 4-026 Toilet 1 1 1 1 1 1
4th Floor 4-027 Soiled 1 1 1
4th Floor 4-030 Corridor 2 2
4th Floor 4-032 Balcony 1 1
4th Floor 4-033 Toilet 1 1 1 1 1 1 1
4th Floor 4-034 Toilet 1 1 1 1 1 1 1
4th Floor 4-036 Balcony 2 2
4th Floor 4-038 Toilet 1 1 1 1 1 1 1
4th Floor 4-039 Toilet 1 1 1 1 1 1 1
4th Floor 4-041 Balcony 2 2
4th Floor 4-043 Toilet 1 1 1 1 1 1 1
4th Floor 4-044 Toilet 1 1 1 1 1 1 1
4th Floor 4-046 Balcony 1 1
4th Floor 4-077 Corridor 2 2
4th Floor 4-094 Corridor 1 1
4th Floor 4-101 Lobby Lift 2 2
4th Floor 4-108 Gymnasium 1 1 1 1
4th Floor 4-109 Toilet 1 1 1 1 1 1
4th Floor 4-110 SHOWER 1 1 1 1
4th Floor 4-111 SHOWER 1 1 1 1
4th Floor 4-112 Change Room (F) 1 1
4th Floor 4-114 Change Room (M) 1 1
4th Floor 4-115 Toilet 1 1 1 1 1 1
4th Floor 4-116 SHOWER 1 1 1 1
4th Floor 4-116 A SHOWER 1 1 1 1
4th Floor 4-117 Gymnasium 2 1 1 1
4th Floor 4-118 Physiotherapist
4th Floor 4-119 Physiotherapist

4th Floor 4-120 Physiotherapist

4th Floor 4-121 Treatment bay 1 1

4th Floor 4-122 Toilet Staff (F) 1 1 1 1 1 1 2
4th Floor 4-123 Office Work Station

4th Floor 4-123 A Toilet Staff (M) 1 1 1 1 1 1 2

4th Floor 4-124 Staff Room 1
4th Floor 4-126 Office Director

4th Floor 4-127 COD

4th Floor 4-128 CP

 Toilet suite: Flushing Rim
Toilet suite: Toilet suite: Sink: though Tapware: mixer, elbow Sink Cabinet
Item Floor Room Number Room Name Shower (Panas Dingin accessible (+jet Basin: handwash Type B Keran 2 Keran TMB Rail Rail Hand Rail Difable Mirror Fixed Paper Holder Sink + SS sink Floor Drain
standard (+bidet) standard (+bidet) scrub leevers, long Mount
washer excl.) set

SK322E + FRANKE DOX FRANKE

CW660NJ/SW660J
TX471SRSN TX403SBW C704L/SW784JP LW240CJ/LW240HFJ TX122LESK2 TX109LRS T113BL9V1+T113B6 TX3A2 T110BL2 T30ARQ13N + TX603MEB AW84J TX720ACRB 610 + LNX611 + TX1DB
P
T30SE TX603KCS TX603KCS

4th Floor 4-130 WC 1 1 1 1 1 1 2

4th Floor 4-131 WC 1 1 1 1 1 1 2
4th Floor 4-132 Waiting Room 1 1
4th Floor 4-136 Consult Room Speech Pathology 1 1
4th Floor 4-137 Consult Room Clinical Psychology 1 1
4th Floor 4-139 Podiatry Treatment 1 1
4th Floor 4-140 Occupational Therapy Room Light - Adult 1 1
4th Floor 4-141 Occupational Therapy Room Light - Adult 1 1
4th Floor 4-142 Occupational Therapy Room Light - Paediatrics 1 1
4th Floor 4-144 Staff Room 1
4th Floor 4-147 ADL Laundry 1 1
4th Floor 4-148 ADL Kitchen 1 1

4th Floor 4-149 ADL Bath Room 2 1 1 1 1 2 2 2 1 2

4th Floor 4-151 Change Room 1 1 1 1 1 1 1

4th Floor 4-152 Change Room 1 1 1 1 1 1 1
4th Floor 4-153 Observation testing Room 1 1
4th Floor 4-154 Observation Speech Pathology 1 1
4th Floor 4-155 Office Dietetics

4th Floor 4-156 Office Social Worker

4th Floor 4-158 WC Accesible 1 1 1 1 1 1 1
4th Floor 4-161 Consult Room 1 1
4th Floor 4-162 Consult Room 1 1
4th Floor 4-165 Splint/Plaster Room 1 1 1
4th Floor 4-166 Clean Utility Room 1 1 1 1
4th Floor 4-167 Dirty Utility Room 1 1 1 1
4th Floor 4-169 Cleaners Room 1 1
4th Floor 4-170 Disposal Room 1 1 1

18 22 24 2 55 22 33 1 18 2 1 0 24 24 4 5 40
 SANITARY LANTAI 5
Basin: handwash
Item Floor Room Number Room Name Keran 2 Keran TMB
Type B

LW240CJ/LW240H
TX122LESK2 TX109LRS
FJ

Lt. 5 Handwash Basin 7 7

7 0 7
 SANITARY LANTAI 6
Basin: handwash
Item Floor Room Number Room Name Keran 2 Keran TMB
Type B

LW240CJ/LW240H
TX122LESK2 TX109LRS
FJ

Lt. 5 Handwash Basin 7 7

7 0 7
 REKAPITULASI
Toilet suite: Flushing Rim
Toilet suite: Toilet suite: Basin: handwash Type D (Meja Sink: though Tapware: mixer, elbow Sink: single Sink Cabinet
Item Room Name Shower (Panas Dingin accessible (+jet Basin: handwash Type B Urinal + partition Urinal partition Keran 2 Keran TMB Rail Rail Hand Rail Difable Mirror Fixed Paper Holder Sink + SS sink Keran Dinding Floor Drain
standard (+bidet) standard (+bidet) Wastafel/Vanity Counter) scrub leevers, long (450x350x2500) Mount
washer excl.) set

SK322E + FRANKE DOX FRANKE

CW660NJ/SW660J THX20NB#W dan
TX471SRSN
P THX 58
C704L/SW784JP LW240CJ/LW240HFJ UW58JM + AW115J UW58JM AW115J TX122LESK2 TX109LRS LW540J+TX109LRS T113BL9V1+T113B6 TX3A2 T110BL2 T30ARQ13N + TX603KCS AW84J TX720ACRB FRANKE DOX 610 610 + LNX611 + T23BQ13N TX1DB
T30SE TX603KCS TX603KCS

LANTAI BASEMENT 4 4

LANTAI 1 1 40 42 2 76 33 43 10 2 8 1 0 3 42 13 13 45
LANTAI 2 6 29 30 1 68 4 3 20 48 4 1 2 0 15 30 0 30 3 5 57
LANTAI 3 16 28 29 1 32 2 6 26 10 3 20 0 23 29 3 31
LANTAI 4 18 22 24 2 55 22 33 1 18 2 1 0 24 24 4 5 40
LANTAI 5 7 7
LANTAI 6 7 7

41 119 125 6 249 2 4 3 81 168 24 7 46 2 4 0 65 125 0 47 24 5 173

 BERITA ACARA PERHITUNGAN BERSAMA
PEKERJAAN SANITARY

VOLUME
NO ITEM PEKERJAAN BARU TIPE
sat TOTAL

SANITAIR
1 Hand Shower set TX471SRSN Unit 41
2 Toilet CW660NJ, SW660J, TC505S Unit 119
3 Toilet Difable C704L, SW784JP, TC365 Unit 6
4 Jet Washer THX20NB#W, THX58 Unit 125
5 Urinal UW58JM, T60P Unit 6
6 Urinal Partition AW115J Unit 5
7 Wastafel 1 + keran tipe 1 LW240CJ, LW240HFJ, TX122LESK2 Unit 81
8 Wastafel 1 + keran tipe 2 LW240CJ, LW240HFJ, TX109LRS Unit 168
9 Wastafel 2 + keran tipe 2 LW540J, TX109LRS Unit 24
10 Handrail T113BL9V1 + TX10B Unit 7
11 Handrail difable T113BP23V1* Unit 2
12 Grab bar TX3A2 Unit 46
13 Service sink SK322E, T30ARQ13N, T37SE Unit 4
14 Wall Shelf AW84J Unit 65
15 Paper holder TX720ACRB Unit 125
16 Floor drain TX1DB Unit 173
17 Keran dinding T23BQ13N Unit 5
18 Keran sink TX603KM, TX277S Unit 71
19 Sink tanpa pentirisan FRANKE DOX 610 C/W TRAP MT.T17-12 Unit 47
20 Sink dengan pentirisan FRANKE LNX 611 C/W TRAP MT.T17-12 Unit 24

Di Periksa Oleh : Dibuat Oleh Kontraktor :

m4healthGmbh PT. HUTAMA KARYA

................................... Shafrul Awaludin A