form is puskes
TRANSCRIPT
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8/15/2019 Form is Puskes
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FORMUL
PADA R
BULAN :
TAHUN :
RUANG :
PETUGAS :
NO Kegiatan1 2 3 4 5 6 7 8 9 10
PENGUKURAN LINGKUNGAN FIIK
a. Pencahayaan
b. Suhu
c. Kee!baban
PE!ANTAUAN KUALITA AIR
a. "H
b. S#$a %&'
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Men(e)ahu#*
Ke"aa Pu$+e$!a$ Wana$a'#
"#$ E#ni %e#"iani
NIP. ,-/,0,1 022/23 0 224
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Be+a$#*
Pe)u(a$ Ke
E$ &'(a
NIP. ,-51
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30 31
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(+un(an
* A!KL$
, , 22-
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FOR!ULIR PE!ERIKAAN
BULAN :
TAHUN :
RUANG :
PETUGAS :
NO Kegiatan1 2 3 4 5 6 7 8 9 10 11
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0.
1. 6en7ea $u7ah 7#be'$#h+an
3.
4.
/. Me8a $u7ah 7#a"
. Me!be'$#h+an 9a$)ae
Lan)a# $u7ah be'$#h;)#7a+#c#n
Te!"a) $a!"ah $u7ah7#+&$&n(+an
Pe'aa)an 7#'a"#+an+e)e!"a) $e!ua
Pene'an(an !a$#hbe'un($#
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5. Me'a"#+an )e!"a) )#7u'"a$#en
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,AN +ANGUNAN PUKE!A -ANAARI
Tanggal15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
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