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FORM CHECK LIST

MESIN IPAL RSUD Dr. H. SLAMET MARTODIRDJO PAMEKASAN

TANGGAL : Desember 20
KONDISI
NO JENIS MESIN LOKASI KETERANGAN
Baik Trouble Rusak

1 Pump Station dan Lift Station A Lift Station


Pump Station dan Lift Station B

2 Rake Screen Buffer Basin

3 Mixer Buffer Basin A Buffer Basin


Mixer Buffer Basin B
Mixer Sludge Bak Sludge

4 Pump Buffer Basin A Ruang Pompa


Pump Buffer Basin B

5 Blower A Ruang Pompa


Blower A

6 Pompa Return Sludge A Ruang Pompa


Pompa Return Sludge B

7 Pompa Waste Sludge A Ruang Pompa


Pompa Waste Sludge B

8 Up Flow Filter 1 Ruang Up Flow Filter


Up Flow Filter 2

9 Dewatering Ruang Dewatering

10 Pompa Dosing TCCA A Ruang Dewatering


Pompa Dosing TCCA B

11 Pompa Rotary TCCA A Ruang TCCA


Pompa Rotary TCCA B

12 Pompa Dosing FECl3 A Ruang Dewatering


Pompa Dosing FECl3 B

13 Flow Meter Flow meter

14 Booster unit Pump 1 Ruang Pompa


Booster unit Pump 2

15 Pump Sanpit A Sanpit


Pump Sanpit B

16 Rotary settling sludge Settling sludge

17 Pump treated water A Ruang Pompa


Pump treated water B
Pump Treated Water C

18 Pump Back Wash A Ruang Pompa


Pump Back Wash B

19 Pump Sludge Dewatering A Ruang Pompa


Pump Sludge Dewatering B

20 Pump. Summersible R.IPAL A


Pump. Summersible R.IPAL B

Pamekasan, ………………………………………….
Mengetahui Petugas/ Staf IPL-RS
Ka. IPL-RS

Ika Nur Widya Widyarti,S.Si.M.Mkes Nanang Hariyanto,AMKL


NIP. 198221062006042014

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