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    PENYEHATAN RUANG DAN FASILITASKESEHATAN LINGKUNGAN

    DISAMPAIKANDALAM RANGKA PELATIHAN SANITASIKESEHATAN LINGKUNGAN RUMAH SAKIT

    OLEH: SUKOSO, S.ST., M.Sc

    SAITARIAN MUDA

    BALAI BESAR TEKNIK KESEHATAN LINGKUNGANDAN PENGENDALIAN PENYAKIT

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    RIWAYAT PENDIDIKAN

    1. SD KAB KEBUMEN2. SMP KAB KEBUMEN

    3. SMA KAB KEBUMEN

    4. APK DEPKES YOGYAKARTA

    5. ITS SURABAYA !TSP"TEKNIK LINGKUNGAN#

    6. UGM PAS$ASAR%ANA"KESEHATAN LINGKUNGA#

    RIWAYAT PEKER%AAN

    &. RS %IWA PUSAT AMBON MALUKU S'()*'+)'(#

    . KANWIL DEPKES PRO-. MALUKU S'()*'+)'(#

    . SPPH AMBON S*' 0(''+#

    1. KANWIL DEPKES PRO-. %ATENG *+'()) +778'( M'977#

    11. AKL DEPKES PURWOKERTO S*' P(''+#

    12. BBTKLPP YOGYAKARTA S'()*'+)'(#

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    1. MATA PELAJARAN:

    PENYEHATAN RUANGAN DAN BANGUNAN, DAN FASILITAS KESEHATAN

    LINGKUNGAN

    2. POKOK BAHASAN :

    . PERSYARATAN KESEHATAN BANGUNAN/RUANGAN (KONSTRUKSI) DAN FASILITAS HIGIENE

    DAN SANITASI

    . TERLAKSANANYA PENYEHATAN LINGKUNGAN BANGUNAN/RUANGAN, DAN FASILITAS

    HIGIENE DAN SANITASI

    . DEKONTAMINASI, DESINFEKSI DAN STERILISASI.

    3. ACUAN

    .KEPMENKES RI NOMOR: 12!/MENKES/SK/"/2! T#$%&$' PERSYARATAN KESEHATAN

    LINGKUNGANRUMAH SAKIT.KEPMENKES RI NOMOR: 1/MENKES/SK/*III/21 T#$%&$' STANDART KESEHATAN DAN

    KESELAMATAN KERJA RUMAH SAKIT. LITERATUR LAINNYA

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    PERSYARATAN

    1. L+$'-$'&$ B&$'-$&$ R-& S&+%

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    PERSYARATAN KESEHATAN BANGUNAN/RUANGAN (KONSTRUKSI) DAN FASILITAS HIGIENE DAN SANITASI

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    2. K9$%5-+ B&$'-$&$ R-& S&+%

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    . D+$6+$'

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    ;. A%&0

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    8. J&5+$'&$ I$%&4&+

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    3. R-&$' B&$'-$&$

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    . 9$& 6'$ R++9 S#6&$' : 5-&$' 5&8&% +$&0 -&$ 0#$&+% #$-4&5, 5&8&% 7&4&$, 5-&$' '&$%+ 0&&+&$,

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    6+&+4&$ 65 0#5&4&%&$ ' 6+0&&$' 6+ 5-&$'&$ %#5#-%, %#9 0#&%& &$%&5& 5-&$' S+$&5 " 6'$

    &&5 '#4&0 6+4#$'&0+ 6'$ transfer cassette.

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    ;. '(, +?'+(' *+'(.

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    Air) S@*># *; +877('( 9'(7( ; 7;'+' 97'+, ;)7'* +7'( '(*'+'.

    # H77('( ; +7'( c+770 7* >9)8'* ;9> +7'( =0+') 0+97 ;)0''( (;9''c' >'*), 877('( +7'( *+)9 ;+ ')'( c9'()( c770 ; 9=* @ ;0* ;)7' ;(;)*7*70.

    1# P>''('( ' >;)' c (*+'9 ;)7'8''( >9'97) '?'8 9'(*') '* ;) '*' 9'()*"9'()*.

    11# D)9('0) ; '+'(' 0(7>079'( 9)>'8 >;).11/6/15 11

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    NO JML TT JML TOILET JML K. MANDI

    1 SD/1 1 1

    2 SD/2 2 23 SD/3 3 3

    4 SD/4 4 4

    FASILITAS HIGIENE DAN SANITASI

    SETIAP PENAMBAHAN 1 PASIEN DITAMBAH 1 TOILET DAN 1 KAM

    I(; P+'(;)('( %>9 T>0'* T);7+, T=)9*, ;'( %>9 K'>'+ M'(;)

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    C49#%, -5+$9&5 6+0&&$' 06 6+$6+$', 8&%&;#4 6' %+-#. T#5#6+& &+5

    &$' #$'&4+5 --0.

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    7&5+$'&$ 4+%5+ (+5- -% &+5 #5+, #5& -% 0#&6& #&&5&$)

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    %7>9'8 T>0'* T);7+

    P+'(;)('( >9 TT ; 97' 9'(*') 7* '>'+ 0+'?'*'( ;'( '>'+)=9') :

    '. R7'( '@) :

    1# R7'( 0+'?'*'( >)( 2 >2/TT

    2# R7'( )=9') >)( 3,5 >2/TT

    . R7'( ;?'' :

    1# R7'( 0+'?'*'( >)( 4,5 >2/TT

    2# R7'( )=9') >)( 6 >2/TT

    L'(*') ;'( ;'( D)(;)(

    L'(*'), ;)(;)( 8+ +)8, ; ** +)8'( :

    " R7'( O0+') : " 5 $!U/c>2 ;( ' 0'*=( ;( ' '(+(

    " R7'( 0+'?'*'( : 5 1 $!U/c>2

    " R7'( )=9') : 5 $!U/c>2

    " R7'( UGD : 5 1 $!U/c>2

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    K3RS

    PEMBINAAN DAN PENGAWASAN KES. DAN KESELAMATAN SARANA,

    PRASARANA RS1. LOKASI: MEMENUHI KETENTUAN KESLING DAN SESUAI

    PERUNTUKANNYA.

    2. TEKNIS BANG. SESUAI !UNGSI, KENYAMANAN AKSES, KEMUDAHANKESELAMATAN BAGI SEMUA ORANG $'c'*, =+ *7', ;99#

    3. PRASARANA, MEMENUHI STANDART K3RS

    4. OPERASONAL PERALATAN DILAKUKAN OLEH AHLINYA YG TERLATIH DGSERTI!IKASI.

    5. DIBUAT PROGRAM: OPERASIONAL, PEMELIHARAAN DAN PERBAIKANPERALATAN SE$ RUTIN

    6. PERALATAN MEDIS, NON MEDIS HRS MEMENUHI STANDARTOPERASIONAL DAN K3RS

    &. DIBUAT PROGRAM PENGU%IAN PERALATAN/KALIBRASI PD INST YGBERWENANG

    . PERALATAN DG PENGION DIAWASI OLEH PIHAK YG BERWENANG

    . LENGKAPI PERI%INAN DAN SERTI!IKASI.

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    1. P>9. R7'( B'(7('(

    '. 0>+)8'( +7'( >)( 0') ;( =+ 8'+).. P>+)8'( 9'(*') +7'( 0+'?'*'( 0' ;)9'7'( *9

    0>('8'(/>+'0)'( *>0'* TT 0')(, '> >''(, '>7(. ;=*+, 7(. 97'+', ;'( ?'*7"?'*7 )9'>'(';)0+97'(.

    c. $'+'"c'+' 0>+)8'( @ ;0* >('+'( ;7 8'+7;)8)(;'+).

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    . S*)'0 0+c)'( 97;'8, ;'+'8 '*'7 7;'* 97' 0; ;)(;)(+' ;)+)8'( ; '(*)0*).

    TERLAKSANANYA PENYEHATAN LINGKUNGAN BANGUNAN/RUANGAN, DAN FASILITAS HIGIENE DAN SANITASI

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    2. P(c'8'@''(

    L)( RS ;9> >'707( 97'+ +7'('(>(;'0'* c'8'@' ; )(*()*' c770.

    S>7' +7'( *'(0' c7'9) +)'(

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    >'7, )*'+ )(;));7 ;)*>0'*'( 0; *)*)@ >7;'8 ;)'('7 ;( *; >()>79'(+)).

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    P#$'&8&&$ (*#$%+4&+) 6&$ P#$'&%-5&$ U6&5&

    '. P(8'?''( '*'7 (*)9') RS 8'+7 ;)0+8'*)'( )*>0(;)()(#, ;)0+8'*)'( cooling tower"(@' ''+ *);' >(';)0+)(;7'( '*+) 9)=(99' ;( 7* AHU Air Handling Unit#9**+ ;)+)8'( ;+ ;7, '*+), '>7+.

    . S709') 7;'+' ;'( exhaust ++' c'+' >'(), ;'(exhaustfan8(;'(@' ;)9*''( 0; 77( )*> (*)9').

    c. R7'('( 1 >3 7+'("7+'((@' 1 '*7# C'( ; ;)'>*+

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    . T)() )(*' >)( , > ;+ '*'0.C. ;)7'* )>'('( *'('(.

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    c> ;+ 9'(*').11/6/15 1&

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    8. S709') 7;'+' ;) '*' 9'(*').

    ). S709') 7;'+' =+);=+/7'('( exhaust fan ;+ *)'0 +7'( *;;)7(''( 709') 7;'+' c 7* 709') 7;'+' W$, *=)9*,7;'(.

    . -(*)9') +7'("+7'( ()*)C ;)9(9('0) ; '+)('( 2 ;.S'+)('( ;)0''( ;) ')'( 0(+)>''( 7;'+' ;'+) 97'+ ;('()() 3 F ;( '+)('( II 9*+ '*+)# ;)0''( F.

    . P(8'?''( '9'>)'8, 97'( ; )*> )9'( cross ventilation#;'( ;)'' ''+ '9)+'( 7;'+' *);' *+8'9'(.

    9. +7'( =0+') 8'+7 9)8 *)() ;)'(;)('( +7'("+7'( 9')(;'( c'+'( >'() air conditioner#

    >. exhaust fan/')+ c=(;)*)=(+ ;)0''( 0; *)()'( >)( 2, >'*'7 >)( ,2 > ;'+) 9'()*"9'()*.

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    9)=9#, '*'7 ;)'+)( ; 9*+=( 0+)0)*'*=+ '*'7 >(7(''(0(@)('+'( 79*+' )=9*.

    =. P>'(*'7'( 7'9)*' 7;'+' +7'( >)( 2 '9) /*8 ;)9'7'(0('>)9'( '>09 ;'( 0>+)''( 0'+'>*+ 7'9)*' 7;'+'7>'(, ;7, ;'( '#.

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    KEBISINGAN

    '. P('*7+'(, *'*' 9*' +7'('( ''+ '>'+ ;'(+7'('( 0+97 *('( *+8)(;'+ ;+ ))('(.

    .S7>+"7>+ ))( ''+ ;)(;'9)'(;('( c'+' :

    1# 7>+ ))( ;9> RS: 0+;'>'(. P(@'*'(,0>)(;'8'(, 0>9)8'+''( >)(">)(.

    2# 7>+ ))( 97'+ RS: 0(@'*'(/0(@+'0'())( ;('( 0('('>'( 0=8=( freen belt#,>()()'( *>=, ;'( >()()'( *'('87)* 7'*'(#

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    !ASILITAS SANITASI

    '. !')9)*' P(@;)''( AM;'( AB

    1# *+;)' AM 7') ; 7*78'(.

    2# T+;)' AB >)( 5 9*/*>0'* *);7+/8'+)

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    4# D)*+)7) AM ;( AB *)'0 +7'('(/'>'+

    8+ >(7(''( '+ 0+0)0''( @>('9)+ ; *'('( 0=)*)C.

    5# AB/AM >>(78) 0+@'+'*'(.

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    !')9)*' T=)9* ;'( K'>'+ M'(;)

    1# *+;)' ;'( *+09)8'+' ;'( +)8.

    2# 9'(*') *+7'* ;+ '8'( @ 7'*, ;'0 ')+, *);' 9)c)(, +?'+('

    *+'(, ;'( >7;'8 ;)+)8'(.3# *)'0 7()* +7'('( 8+ *+;)' *=)9* '>'(, 0*7+''( ;(

    *>0'* c7c) *'('(# *+(;)+). K877(@' 7* 7()* +'?'* )('0 ;('>'+ '+@'?'( *+;)' KM.

    4# P>7'('( ')+ 9)>'8 ;+ *=)9* ;( KM ;)9('0) ; 0('8'(

    '7 water seal#.5# L*' *=)9* ;( KM *);' +87 9'(7( ; ;'07+, '>'+

    =0+'), ;( +7'( 877 9')((@'.

    6# L7'( 0(8'?''( 8+ +87 9'(7( ; 7;'+' 97'+.

    T=)9* ;( KM 8+ *+0)'8 0+)' ;( ?'()*', 7()* +'?'* )('0 ;'('+@'?'(, '+@'?'( ;'( *=)9* 0(7(7(.

    # T=)9* 0(7(7( 0';' >7;'8 ;)'('7 ;( ';' 0*7(7 '+'8,;( *=)9* 7* 0(7(7( ; 0+'(;)('( 1 '*7# *=)9* 7* 1 20(7(7( ?'()*', 1 '*7# *=)9* 7* 1 3 0(7(7( 0+)'.

    # ;)9('0) ; 9='( '*'7 0+)('*'( 7* >>9)8'+' +)8'(.

    1# T);' *+*;0 *>0'* 0('>07('( '* ('('( ')+.

    11/6/15 21

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    !')9)*' 0>7'('( '>0'8

    P+@'+'*'( 0>7'('( '>0'8 0';'*>;) ;'( ;=>*)#, 9)>'8 c')+ ;'( '.

    D)'8' *+(;)+)

    11/6/15 22

    SEKIANMATUR NUWUN

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    D()) '9'* 8'*'(

    RC+() : M;)c'9 D)c D)+c*) MDD #

    =C*8 E7+=0'( $=>>7()*@

    M;)c'9 D)c MD #, '9'* >;) / '9'*8'*'( ';'9'8 >7' '9'* *+)9 @'(

    ;)7(''( 0';' >'(7)', ;'0'*;)'*'=+)'( '') '9'* 8'*'( .

    11/6/15 23

    DEKONTAMINASI PERALATANKESEHATAN HABIS PAKE

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    PENDAHULUAN

    P')( ;'( (' +))= >(;'0'*'()(C) )' *);' >9''(''( *)(;''(0(c'8'( )(C)

    I(C) (===>)'9 ;'0'* ;)c'8/;)(;'9)'( ;('( +'0' *+'*)0(c'8'( )(C)

    S'9'8 '*7 *+'*) 0(c'8'( )(C)

    ';'9'8 ;=(*'>)('), 0>+)8'(,;))(C) ;'( *+)9)')

    11/6/15 24

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    Tujuan pem!"e"an a#a$ %an& aman

    M>7*7 >'*' +'(*') 0(79'+'( )(C) ;'+)0+'9'*'( >;) 0';' 0')(, 0*7'8'*'(, 0(7(7( ;'( 9)(7('( +7>'8')*

    P(+*)'( De'!n$am(na"()

    S7'*7 0+= 7T >(8)9'('( />>7('8'( >)+==+'()> ;( =*=+'( @>9'* 0; 0+'9'*'( >;)/=, 8)(''>'( 7* 0(7(''( 9'(7*(@'.

    11/6/15 25

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    Pem*e"(+an)

    S7'*7 0+= 7* >(8)9'('( =*=+'( @ *+9)8'*'* *; *+9)8'* 0; 0+'9'*'( >;)/= *9'8;)9'7'( ;=(*'>)(') ;('( >(7(''( ')+>('9)+, )'* ;*+( 8 =*=+'(/'8'( =+'()

    8)9'( ;+ 0+>7''(

    De"(n,e'"()

    S7'*7 0+= 7* >(8)9'('(/>>7('8'(>)+==+'()> )+7, '*+), 0'+')*, C7() ;(7>9'8 0=+' 0; 0+'9'*'( >;)/= ;>(7(''( c')+'( ;))(C*'(

    11/6/15 26

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    S$e(#("a"()

    S7'*7 0+= >(8)9'('(/>>7('8'(>7' (*7 >)+==+'()> 0; 0+'9'*'(>;)/= *+>'7 (;=0=+' @ ;0*;)9'7'( >9'97) 0+= *8+>'9, )' ;()>)'?) ;( >(7(''( '9'* *+)9)'*=+

    11/6/15 2&

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    K9')') '9'*"'9'* >;) >(7+7*

    D+.E'+9 S0'79;)(

    P+'9'*'( +)*)

    P+'9'*'( >) +)*)

    P+'9'*'( (=( +)*)

    P+'9'*'( +)*)

    P+'9'*'( >;) @ >(>7 79)* ;( >>+'(>7=' >'7 ;'9'> '+)('( *778 *+)9 '*'7

    )*> 0>7978 ;'+'8. P(9=9''( 0+'9'*' ; c'+'*+)9)')

    $=(*=8: )(*+7>( ;'8, '**+ )(*+'(', '**+'(*7(, ;99

    11/6/15 2

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    P+'9'*'( S>) K+)*)

    P+'9'*'( @ =(*' *);' 0(*+')# ;( >>+'( >7='*778. P(9=9''( 0+'9'*'( >;) ; ;))(C) *)('**)().

    $=(*=8: )9 (;=c=0 , (;=*+'c8'9 *7, (;=c=0),('='*+)c *7

    P+'9'*'( N=( K+)*)

    P+'9'*'( >;) @ =(*' ;( 0+>7''( 79)* @ 7*78.

    P(9=9''( 0+'9'*'( >;) ;( c'+' ;))(C) *)('*)(*+>;)'*/*)('* +(;'8

    $=(*=8: T()>*+, **=c=0, ;0'(, 7+)('9, 9)((, '0+=(.

    11/6/15 2

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    P>+='( '9'* >;) 8') 0''

    Pre Cleaning. P>+)8'( D))(C)

    S*+)9)')

    11/6/15 3

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    Pe -#ean(n&

    Pem*e"(+an

    -u/( *"(+0 $(("'an0 'e(n&'an1

    11/6/15 31

    A#u Pem!"e"an A#a$ Me2(" Be'a" Pa'a(

    S$e(#("a"(

    pea#a$an '($("1

    Ma"u' 2a#ampem*u#u+2aa+ja(n&an

    $u*u+

    In"$umen *e2a+

    D("(n,e'"( $(n&'a$T(n&&(

    pea#a$an "em('($('a#1

    Ma"u' 2a#ammu/!"aTu*u+

    En2!$a/+ea# $u*e0NGT

    D("(n,e'"( $(n&'a$Ren2a+

    pea#a$an n!n '($('a#1

    Han%a pa2apemu'aan $u*u+ %an&

    U$u+

    Ten"( me$e0

    $em!me$e

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    I(;)') D=(*'>)(')

    A9'* >;) 8') 0'')

    P+>7''( >'/0+>7''( 9')( @

    *+c>'+ /*7>0'8'( ;'+'8 '*'7 c')+'(*778 0')(

    L)(( ' 0'') @ *+c>'+;'+'8/c')+'( *778 0')(

    11/6/15 32

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    P+=;7+ ;=(*'>)(')

    $7c) *'('( P'') '+7( *'('( ;( '9'* 09)(;7( ;)+)

    '0+=(, >'+, 'c' >'*'# '9'7 0+97

    R(;'> '9'* >;) +' *9'8 ;)0'');'9'> 9'+7*'( 9=+)( .5 F 9'>' 1 >()*. S97+78 '9'* >;) 8'+7 *+(;'> ;9>

    9'+7*'( 9=+)(.

    B7' '+7( *'('( $7c) *'('(

    11/6/15 33

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    P!"e2u 2e'!n$am(na"( pemu'aan %&$e/ema 2aa+ a$au /a(an $u*u+ pa"(en

    $7c) *'('( P'') APD: '+7( *'('(, '0+=(, >'+, 'c'

    >'*' S+'0 ;'+'8/c')+'( *778 '(@'"'(@'(@'

    ;('( +*'/*)7 B7'( +*'/*)7 0(@+'0 ;'9'> '(*=(

    '>0'8 >;) B+)8'( ;'+'8 ' *7>0'8'( ;('(

    9'+7*'( 9=+)( .5 F B7' '+7( *'('( $7c) *'('(

    11/6/15 34

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    PEMBERSIHAN

    -aa pem*e"(+an

    M'(7'9 M)(

    P!"e2u Pem*e"(+an -aa Manua#$7c) *'('( P'') APD : '+7( *'('(, '0+=(, >'+, 'c' >'*' B)9' '9'* >;) @ *9'8 ;);=(*'>)(') ; ')+ >('9)+ L0''(/7' '9'* >;) @'( ;'0'* ;)90' S)'* 0+9'8'("9'8'( '9'* >;) ;'+) *)'0 0+>7''( *+>'7

    +)) ;( 97'(B)9' '>0') +)8 ;'9'> ')+ 8'('*

    B+)8'( )'* ;( ' 0(c7c)K+)('( '9'* >;) ;('( ')( '*'7 ;) 7;'+' B7' '+7( *'('( ;'( '9'* 09)(;7( 9')( $7c) *'('(

    11/6/15 35

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    D("(n,e'"( T(n&'a$ T(n&&( DTT1

    DTT >+70''( 0+9'7'( >)()>7( @

    ;)+=>(;')'(DTT ;0* >>7(78 >7'

    >)+==+'()>, 'e/ua#( en2!"p!a.

    -aa) R7 ;'9'> ')+ >(;);)8 9'>' 2 >()* R(;'> ;9> 9'+7*'( )>)'?):

    G97*'+'9;8@;, H@;+=( P+=);'

    11/6/15 36

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    P>+)8'( *; ';7'*K=((*+') 9'+7*'( ;))(C*'( *; *0'*P(@)>0'('( *; ('+

    P(@)>0'('( ''8 *9'8 *+)9)')

    11/6/15 3&

    Ke"a#a+an4'e"a#a+anpen&e#!#aan a#a$4a#a$ me2("

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    Terimakasih