Spesifikasi Umum 2018

LAMPIRAN
SPESIFIKASI UMUM 2018

LAMPIRAN 1.4.A
DENAH LABORATORIUM
/V
LAMPIRAN SPESIFIKASI UMUM 2018
B
- 12000 - 2000 -4000
A
J
DENAH
L a m p i r a n 1 .4 .A - 1 fb s
LAMPIRAN 1.4.B
DAFTAR PERALATAN LABORATORIUM
UNTUK PEMERIKSAAN BETON, ASPAL,
DAN TANAH
/V
DAFTAR PERALATAN LABORATORIUM

UNTUK
PEMERIKSAAN BETON, ASPAL, DAN TANAH
D a fta r r in c ia n p e r a la ta n la b o r a to r iu m in i h a n y a la h m e r u p a k a n d a fta r p e r a la ta n la b o r a to r iu m
m in im u m y a n g h a r u s d ip e r s ia p k a n s e b e lu m p e la k s a n a a n la p a n g a n d im u la i. S e tia p k e k u r a n g a n
p e r a la ta n p e n g u jia n y a n g d ip e r lu k a n s e p e r ti y a n g te r c a n tu m d i d a la m d a fta r in i d e n g a n c a r a a p a p u n
tid a k a k a n m e m b e b a s k a n ta n g g u n g ja w a b P e n y e d ia J a s a u n tu k s e c a r a p e n u h m e la k s a n a k a n s e m u a
p e k e r ja a n p e n g u jia n s e s u a i s p e s ifik a s i a ta u s e s u a i p e r in ta h P e n g a w a s P e k e rja a n .
U R A IA N K u a n tita s
1. P E M E R IK S A A N T A N A H
P e m e rik s a a n K e p a d a ta n :
S ta n d a r d P r o c to r m o u ld 1
S ta n d a r d P r o c to r h a m m e r 1
M o d ifie d c o m p a c tio n m o u ld 1
M o d ifie d c o m p a c tio n h a m m e r 1
S tr a ig h t e d g e 1
S a m p le e je c to r 1
M ix in g sp o o n 1
M ix in g tr o w e l 1
S p a tu la 1
M ix in g P a n 1
A lu m in iu m p a n 25 c m d ia m e te r 1
W a s h b o ttle 1
M o is tu r e c a n s 36
C B R L a b o ra to riu m :
M e c h a n ic a l lo a d in g p r e s s 1
6 0 0 0 lb s c a p a c ity P r o v in g r in g 1
C B R m o u ld s 6
S p a c e r d is k 1
S w e ll p la te s u r c h a r g e p la te 3
T r ip o d a tta c h m e n t 3
S w e ll d ia l in d ic a to r 3
S u r c h a r g e w e ig h t 6
S lo tte d s u r c h a r g e w e ig h t 6
S te e l c u ttin g e d g e 1
Lampiran 1.4.B - 1
URAIAN Kuantitas
1.3 B e r a t J e n is :
P y c n o m e te r b o ttle s o f 100 c c c a p a c ity 3

P o r c e la in m o r ta r a n d p e s tle 1
H o t p la te , 1000 w a tts, 2 2 0 v o lts 5 0 c y c le 1
1.4 B a ta s -b a ta s A tte rb e rg :
S ta n d a r d liq u id lim it d e v ic e 1
A S T M g r o o v in g to o l 1
E v a p o r a tin g d is h 3
F le x ib le s p a tu la 2
100 c m g r a d u a te d c y lin d e r 2
C a s a g r a n d e g r o o v in g to o l 1
P la s tic lim it g la s s p la te 1
1.5 A n a lis a S a rin g a n :
H y d r o m e te r ja r s 3
M e c h a n ic a l stirre r, e le c tr ic p o w e r e d 2 2 0 V 5 0 c y c le 1
D is p e r s io n c u p s w ith b a ffle s 2
H y d r o m e te r , s c a le 0 - 6 0 g r 1
S e t b ra s s sie v e s, 8 in c h e s d ia m e te r, 75 m m , 5 0 , 3 8 , 2 5 , 19, 1 2 .5 , 9 .5 ,
N o . 4 , 10, 3 0 , 6 0 , 100 in c lu d in g c o v e r a n d p a n 2
N o . 2 0 0 b r a ss s ie v e s 4
W e t w a s h in g s ie v e 1
5 0 m l. G r a d u a te d c y lin d e r 1
S ie v e b r u s h e s f o r f i n e s ie v e 2
S ie v e b r u s h e s f o r c o a r s e s ie v e s 2
1.6 P e m e r i k s a a n K e p a d a t a n L a p a n g a n d e n g a n M e to d e K e r u c u t P a s i r ( S a n d C o n e ) :
S a n d cone 1
R e p la c e m e n t ju g 1
F ie ld d e n s ity p la te 1
Spoon 1
S te e l ch isel, 1 in c h 1
R u b b e r m a lle t 1
S a n d sco o p 1
1 g a llo n f i e l d c a n s 6
1 .7 K a d a r A ir :
S p e e d y , m o is tu r e tester, 2 6 g r a m s c a p a c ity 1
C a n s “S p e e d y ” r e a g e n t 6
Lampiran 1.4.B - 2 fb
URAIAN Kuantitas
2. P E M E R IK S A A N A S P A L
2.1 P e n g u j i a n M e to d e M a r s h a l l :
S ta b ility c o m p r e s s io n m a c h in e 2 2 0 v o lt 5 0 c y c le s c o m p le te w ith 6 0 0 0 lb s
p r o v in g r in g 1
S ta b ility c o m p a c tio n m o u ld 4 ” 4
S ta b ility c o m p a c tio n m o u ld 6 ” ( i f A C - B a s e to b e u se d ) 4
M e c h a n ic a l c o m p a c tio n h a m m e r f o r 4 ” m o u ld 1
M e c h a n ic a l c o m p a c tio n h a m m e r f o r 6 ” m o u ld ( i f A C - B a s e to b e u se d ) 1
M o u l d h o ld e r f o r 4 ” m o u ld 1
M o u l d h o ld e r f o r 6 ” m o u ld ( i f A C - B a s e to b e u se d ) 1
S ta b ility m o u ld 4 ” 1
S ta b ility m o u ld 6 ” ( i f A C - B a s e to b e u se d ) 1
D ia l f l o w in d ic a to r 1
P e d e s ta l 1
W a te r b a th 2 2 0 V 5 0 c y c le 1
S a m p le e x tr a c to r 1
S ta in le s s s te e l m ix in g b o w ls 2
2 .2 P e m e r i k s a a n E k s t r a k s i d e n g a n M e to d e S e n t r i f u g a l :
C e n tr ifu g e e x tra c tio n , 15 0 0 g r a m c a p a c ity , 2 2 0 V 5 0 c y c le 1

B o x e s f i l t e r p a p e r r in g s (1 0 0 - b o x ) 10
E x tr a c to r b o w l 1
B ow l cover 1
Bow l nut 1
2 .3 P e m e r i k s a a n E k s t r a k s i d e n g a n M e to d e R e f lu k s :
R e flu x e x tr a c to r set, 1000 g r a m c a p a c ity 1

B o x e s f i l t e r p a p e r (5 0 - b o x ) 1
2 .4 B e r a t J e n is A g re g a t K a s a r :
D e n s ity B a s k e t 1
S a m p le S p litte r 1 ” 1
S a m p le S p litte r lA ” 1
2 .5 B e r a t J e n is A g re g a t H a lu s :
C one 1
Tam per 1
P y c n o m e te r 1
T h e r m o m e te r (G la ss), 0 - 150 0 C 3
D e s ic c a to r 1
URAIAN Kuantitas
2 .6 K a d a r P o r i D a la m C a m p u r a n ( M e to d e A k u r a t ) :
2 0 0 c c C o n ic a l F la s k w ith n e c k la rg e e n o u g h to a d m it 25 m m a g g re g a te ,
w ith a ir tig h t g r o u n d g la s s s to p p e r s 2
V a c u u m p u m p ( + s p e c ia l o il) 1
R u b b e r tu b in g 1
W a rm a ir f a n 1
2 .7 P e n g e b o r a n B e n d a U ji I n t i :
C o re d r ill m a c h in e , 7 H P , 4 c y c le 1
9 ” e x te n s io n s h a ft 1
1 8 ” s tr a p w r e n c h 1
D ia m o n d b it 4 ” d ia m e te r (r e se tta b le ) 2
E x p a n d in g a d a p to r 1
2 .8 T e rm o m e te r L o g a m :
0 - 100 0 M e t a l T h e r m o m e te r 1
0 - 2 5 0 0 M e t a l T h e r m o m e te r 1
2 .9 P e rle n g k a p a n d a n P e ra la ta n :
H e a v y d u ty b a la n c e c o m p le te w ith s e t o f w e ig h ts, s c o o p a n d
c o u n te r w e ig h t 1
T rip le b e a m s c a le c o m p le te w ith s e t o f w e ig h ts 1
G e n e ra to r, 10 k V A 1
D o u b le w a ll o ven , 1600 W 2 4 0 v o lt 5 0 c y c le 2
P la s tic f u n n e ls 3
S o d iu m h e x a m e ta p h o s p h a te 1 lb.
P a ir s a s b e s to s g lo v e s 2
L a b o r a to r y to n g s 2
W a d a h u n tu k p e n g u jia n a g r e g a t k a s a r d a n h a lu s 4
2 .1 0 P e n e tro m e te r :
P e n e tr a tio n A p p a r a tu s 1
P e n e tr a tio n N e d le 2
S a m p le C o n ta in e r d ia m e tr e 55 m m , in te r n a l d e p th 35 m m 6
W a te r B a tc h m in. 10 litres, 25 ± 0 .1 ° C 1
T r a n s fe r D ish , m in. 3 5 0 m l 1
T im in g D e v ic e , a c c u r a te to w ith in 0.1 s f o r 6 0 s in te r v a l 1
T h e rm o m e te r, m a x im u m s c a le e r r o r o f 0.1 °C 1
URAIAN Kuantitas
2 .1 1 T itik L e m b e k :
R in g 2
P o u r in g P la te 1
B a ll 2
B a llC e n te r G u id e 2
B a th (a g la s s v e s s e l) 1
R in g H o ld e r a n d A s s e m b ly 1
2 .1 2 R e f u s a l D e n s ity C o m p a c t o r o f B S E N 1 2 6 9 7 -3 2 :2 0 0 3 1 set
3. P E N G U J I A N B E T O N ( u n t u k p e k e r j a a n j e m b a t a n d a n p e r k e r a s a n b e to n s e m e n )
S lu m p C o n e w ith o th e r s u p p o r tin g s e ts 31
B a s e P la te o f a S t i f f N o n - A b s o r b in g M a te r ia l m in. 7 0 0 m m 2 1
T row el 1
Scoop 1
R u le r 1
S to p W a tc h 1
C y lin d e r m o u ld s d ia m e te r 15 c m a n d h e ig h t 3 0 c m 30
C y lin d e r c r u s h in g m a c h in e (p r o v is io n a l) 1
T a m p in g b a r (4 0 c m lo n g , w e ig h in g 2 k g a n d ta m p in g s e c tio n h a v in g s ize 1
o f 25 m m x 25 mm)
p H m e te r 1
U ltr a s o n ic P u ls e V e lo c ity 1
4. L A IN -L A IN
G P S G e n g g a m d e n g a n k e te litia n d e s im e te r 4
K a lib ra s i s e m u a a la t p e n g u k u r h a ru s d iv a lid a s i te r le b ih d a h u lu o le h la b o ra to riu m in d e p e n d e n y a n g

d is e tu ju i o le h P e n g a w a s P e k e rja a n m in im u m 12 b u la n se b e lu m T a n g g a l M u la i K e r ja d a n P e n y e d ia J a s a
h a ru s m e m b e rik a n b u k ti in i a ta s p e rm in ta a n P e n g a w a s P e k e rja a n .
LAMPIRAN 1.8.A
MANAJEMEN DAN KESELAMATAN
LALU LINTAS
L A M P IR A N 1.8.A
CATATAN:
U N T U K M A R K A JA L A N B E R P E D O M A N
Z o n a P e k e rja a n J a la n
PA D A PERA TURA N M ENTERI
K o n d is i Z o n a P e k e r j a a n J a l a n 1 P E R H U B U N G A N N O . P M 67 T A H U N 2018
P e n g u ra n g a n L e b a r J a la n T e p i T e ta p M e m a d a i u n tu k
A ru s L a lu L in ta s 2 A ra h
A p a b ila s is a le b a r j a l a n k u r a n g d a r i 5 .5 m e te r,
G u n a k a n k o n se p z o n a p e k e rja a n ja la n 2
40
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P e n g u r a n g a n L e b a r J a l a n H in g g a H a n y a S a tu L a j u r D a p a t
D ig u n a k a n
G u n a k a n k o n s e p z o n a p e k e r j a a n j a l a n 3, ji k a :
- V o lu m e L a lu L in ta s le b i h d a r i 5 0 0 k e n d a r a a n /h a r i
- P a n ja n g a r e a k e r j a le b i h d a r i 1 0 0 m e te r
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UTAMAKAM KESELAMATAN
K o n d is i Z o n a P e k e r j a a n J a la n 4
P e n g u r a n g a n L a j u r K i r i p a d a J a l a n M u l t i l a j u r - T e r b a g i ( D iv i d e d ) a t a u T i d a k T e r b a g i ( U n d iv i d e d )
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CATATAN:
PA D A PERATURAN M ENTERI
P E R H U B U N G A N N O . P M 67 T A H U N 2018 Lampiran 1.8.A -2
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K o n d is i Z o n a P e k e r i a a n J a l a n 5
P e n g u ra n g a n L a ju r K a n a n p a d a J a la n M u ltila ju r - T e r b a g i a ta u T id a k T e rb a g i
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CATATAN:
PA DA PERA TURA N M ENTERI
PE R H U B U N G A N N O . P M 67 T A H U N 2018
L a m p i r a n 1 .8 .A -3
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K o n d is i Z o n a P e k e r i a a n J a l a n 7
B e b e ra p a A re a K e rja y a n g B e rd e k a ta n p a d a
L o k a si P e k e rja a n y a n g P a n ja n g
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KASAR
PER M UKAAN
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PEKESJAAN
JALAN
UTAMAKAM KESEUUfUTAN
P e n g a lih a n u n t u k L in ta s a n S a m p in g S a tu A r a h
CATATAN:
PA D A PERA TURA N M EN TERI
PE R H U B U N G A N N O . P M 67 T A H U N 2018
K K ip m n K K lfa d n »«rq d h } t u n I n
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Lampiran 1.8.A -4
/V
P e n g a lih a n u n tu k L in ta s a n S a m p in g D u a A ra h
CATATAN:
PA D A PERA TURA N M ENTERI
P E R H U B U N G A N N O . P M 67 T A H U N 2018
Lampiran 1.8.A -5
/V
T a b e l 1 .8 .B .1 L A M P I R A N D A F T A R K E T E N T U A N M I N I M U M P E R L E N G K A P A N J A L A N S E M E N T A R A
K uantitas M inim um
R am bu-ram bu K onstruksi dan K eterangan*
P engalihan K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi
Z ona 1 Z ona 2 Zona 3 Zona 4 Zona 5 Z ona 6 Z ona 7 Z ona 8 Z ona 9
R a m b u T e ta p
R am bu B atas K ecepatan 8 8 8 4 4 8 20 12 12
R am bu P erintah M engikuti L ajur 2 - - 2 2 1 4 1 1
R am bu P engarah T ikungan * * * * * * * * * Jum lah kebutuan

ram bu m inim um 3
R am bu L arangan B erjalan Terus - 1 - - - - - - -
(G iveaw ay)
R am bu L arangan M enyalip - 2 - - - 2 4 - -
K endaraan L ain
R am bu P eringatan Jalan L icin - - - - - 4 - - -
R am bu P engarah T ikungan - - - - - - - 2 -
G anda
R am bu A PILL - - 4 - - - - - -
R a m b u P e rin g a ta n S e m e n ta ra
R am bu P eringatan dengan K ata- 8 8 8 4 4 16 24 10 10

K ata
R am bu P eringatan P ekerjaan di 4 4 4 2 2 4 4 4 4
Jalan
R am bu P eringatan L alu Lintas - - - - - - - 2 4
D u a A rah
W ater B arrier * * * * * * * * *
Jum lah kebutuhan

disesuaikan dengan
Traffic Cone * * * * * * * * *
lokasi pekerjaan.
J a r a k a n ta r cone
m a k s im u m 5 m
Lampiran 1.8.A - 6
LAMPIRANSPESIFIKASI UMUM 2018
K uantitas M inim um
R am bu-ram bu K onstruksi dan K eterangan*
P en salih an K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi K ondisi
Z ona 1 Z ona 2 Zona 3 Zona 4 Zona 5 Z ona 6 Z ona 7 Z ona 8 Z ona 9
P olice Line * * * * * - - * - D isesuaikan dengan
luas zona kerja
D isesuaikan dengan
kebutuhan untuk
C oncrete B arrier * * * * * * * * * lokasi pekerjaan
dengan tepi luar
y ang curam atau
L alu-lintas cepat.
D isesuaikan dengan
L am pu Sem entara * * * * * * * * *
kebutuhan
pekerjaan.
A PILL Sem entara - - 2 - - - - - -
M arka Jalan Sem entara * * * * * * * * * D isesuaikan dengan

kondisi pekerjaan.
C a ta t a n : P e n g a w a s P e k e r j a a n d a p a t s e tia p s a a t s e la m a p e la k s a n a a n p e k e r j a a n m e m e r in ta h k a n P e n y e d ia J a s a u n t u k m e n a m b a h p e r a l a t a n y a n g d ia n g g a p p e r l u t a n p a
m e n y e b a b k a n p e r u b a h a n h a r g a l u m p s u m u n t u k M o b i li s a s i .
T a b e l 1 .8 .B .2
Z o n a K e r j a : A -1 / A - 2 / A -3 / A -4 / A - 5 / A -6 / A - 7 / A -8 / A -9
HARI JA M
M inggu sam pai K am is
Jum at
Sabtu
Pengoperasian yan g m em erlukan penutupan ja la n harus dilaksanakan dalam ja m -ja m y an g disebutkan di atas.P engoperasian ini term asuk pem asangan d an pem bongkaran ram bu
lalu lintas sem entara d an pengalihan. Penutupan ja la n diluar y an g disebutkan dalam kerangka w aktu y an g disebutkan di atas a k a n m enghasilkan p en utupan ja la n y an g tid ak sah
d an d apat terjadi pem otongan yan g disebutkan d alam P asal 1.8.2.8) dari Spesifikasi ini.
Lampiran 1.8.A - 7
1 .8 .1 .4 K o o r d i n a s i a n t a r a B e r b a g a i K o n t r a k P e k e r j a a n S ip il
T a b e l 1 .8 .B .3
KONTRAK TANGGAL K EN D A LA K HU SUS
1 .8 .1 .1 0 K e j a d i a n K h u s u s d a n H a r i L i b u r
T a b e l 1 .8 .B .4
K E JA D IA N TANGGAL K EN D A LA K HU SUS
“R am adhan ” sebagai contoh Tidak boleh ada pen u tu p a n setelah m atahari
terbenam
Lampiran 1.8.A - 8
LAMPIRAN 1.17
RENCANA KERJA PENGELOLAAN DAN

PEMANTAUAN LINGKUNGAN (RKPPL)
fb
LAMPIRAN 1.17 :
R E N C A N A K E R J A P E N G E L O L A A N D A N P E M A N T A U A N L IN G K U N G A N (R K P P L )
S is te m a tik a d o k u m e n R K P P L s e b a g a i b e r ik u t :
1) S a m p u l D e p a n b e ris i te n ta n g ju d u l R K P P L u n tu k p a k e t d a n lo k a s i p e k e rja a n
2) L e m b a r P e n g e s a h a n y a n g b e ris i te n ta n g p a r a p ih a k y a n g te r k a it d a la m p e n g e lo la a n
lin g k u n g a n k e g ia ta n in i y a n g m e lip u ti d ib u a t o le h P e n y e d ia , d ip e rik s a o le h P e n g a w a s
P e k e rja a n d a n d is e tu ju i o le h P P K s e la k u p e m r a k a r s a
3) B a b I P e n d a h u lu a n : tu ju a n R K P P L , lo k a s i p ro y e k , d a ta p ro y e k , d a ta te k n is k e g ia ta n , d a n
s tru k tu r o rg a n is a s i p e n y e d ia
4) B a b II R o n a L in g k u n g a n H id u p A w a l : b e ris i te n ta n g r o n a lin g k u n g a n h id u p p a d a lo k a si
k e g ia ta n y a n g d iu ra ik a n d a la m b e n tu k T a b e l p a d a s e tia p p e ru b a h a n se g m e n ja la n d a n
d ile n g k a p i d e n g a n p h o to k o n d is i e k s is tin g lo k a s i k e g ia ta n .
5) B a b III: R e n c a n a K e r ja P e n g e lo la a n L in g k u n g a n : b e r is i te n ta n g r e n c a n a p e n g e lo la a n
lin g k u n g a n d a ri s e tia p k e g ia ta n se g m e n j a la n te r m a s u k p o te n s i d a m p a k y a n g d itim b u lk a n .
6) B a b IV : R e n c a n a K e r ja P e m a n ta u a n L in g k u n g a n : b e ris i te n ta n g r e n c a n a p e m a n ta u a n
te rh a d a p p e n g e lo la a n lin g k u n g a n y a n g a k a n d ila k u k a n
7) L a m p ira n - L a m p ira n y a n g m e lip u ti:
a) Iz in L in g k u n g a n
b) P e ta lo k a s i B a s e C a m p d a n Q u a r r y
c) Iz in -iz in te r k a it q u a r r y , c o n c r e te b a tc h in g p la n t, A M P d a n /a ta u S to n e C ru sh e r.
B e n tu k la m p ira n d o k u m e n R K P P L m e lip u ti:

• Sam pul R K P P L
F o rm at C o ver R K P P L
/V
Lampiran 1.17 - 1
• L em b ar P engesahan R K P P L
F o rm a t L e m b a r P e n g e s a h a n
• D a ta P ro y e k
C o n to h D a t a P r o y e k :
1 N a m a P ro y e k ........ [S e b u tk a n n a m a p r o y e k / p e k e i j a a n ] .........
C o n to h : P e k e ija a n P a k e t 16. Ip u h - S e b e la t, W e ste rn
I n d o n e s ia N a tio n a l R o a d s I m p r o v e m e n t P r o je c t
(W IN R IP ) IB R D L o a n N o . 8 0 4 3 -ID
2 L o k a s i P ro y e k ........ [S e b u tk a n lo k a s i p ro y e k /p e k e rja a n ] .........
C o n to h : Ip u h - S e b e la t, K a b u p a te n B e n g k u lu U ta ra ,
P ro v in s i B e n g k u lu
3 P a n ja n g J a la n ........ [S e b u tk a n p a n ja n g ru a s ja la n n y a ] ..........
C o n to h : 3 4 ,5 k m
4 Sum ber D ana ........ [S e b u tk a n s u m b e r d a n a p ro y e k /p e k e rja a n ] .........
C o n to h : W IN R IP IB R D L o a n N o . 8 0 4 3 -ID + A P B N
2016 - 2017
5 P engguna Jasa ........ [S e b u tk a n n a m a p e n g g u n a ja s a ] ......
C o n to h : K e m e n te ria n P e k e rja a n U m u m d a n P e ru m a h a n
R a k y a t, D ire k to ra t J e n d ra l B in a M a r g a B a la i J a la n
N a s io n a l W ila y a h II P ro v in s i B e n g k u lu , S A T K E R
P e la k s a n a a n J a la n N a s io n a l W ila y a h I P ro v in s i B e n g k u lu
6 PPK ........ [S e b u tk a n n a m a P P K y a n g b e rta n g g u n g ja w a b ] ......
C o n to h : F a to n i Ik h s a n S T , M ,S i
7 N a m a K o n s u lta n S u p e rv isi ........ [ S e b u tk a n n a m a k o n s u lta n s u p e rv isin y a ] ........
C o n to h : R e n a rd e t S .A
8 N a m a P e n y e d ia ........ [S e b u tk a n n a m a p e n y e d ia j a s a y a n g d ig u n a k a n ] ....
C o n to h : K S O Y a s a - M u lti
9 A la m a t ........ [S e b u tk a n a la m a t d a n e m a il p e n y e d ia ja s a ] ....
C o n to h : Jl. H .R . R a s u n a S a id K a v . 8 -9 , B lo k X -1 ,
K u n in g a n T im u r, J a k a r ta 12 9 5 0
e -m a il : y a s a _ c o n b lo c @ y a h o o .c o m
10 N o . K o n tra k ........ [S e b u tk a n n o m o r k o n tra k p e k e rja a n ] ......
C o n to h : 0 5 -2 6 /1 6 -W IN R IP -W P 3 /C E /A /8 0 4 3 /1 0 -1 6
11 T a n g g a l K o n tra k ........[S e b u tk a n ta n g g a l k o n tra k p e k e rja a n ] .........
C o n to h : 2 8 O k to b e r 2 0 1 6
12 N ila i K o n tra k ...... [S e b u tk a n n ila i k o n tra k p e k e rja a n ] ....
C o n to h : R p . 2 1 1 .3 7 4 .5 0 0 .0 0 0 ,0 0
/V
Lampiran 1.17 - 2
13 M a s a P e la k s a n a a n : ........[S e b u tk a n m a s a p e la k s a n a a n p e k e rja a n ] ....

C o n to h : 6 3 0 h a ri k a le n d e r
14 T a n g g a l M u la i K e r ja : ...... [S e b u tk a n ta n g g a l m u la i k e r ja d a la m S P M K ] ...
C o n to h : 08 N o v e m b e r 2 0 1 6
15 M a s a P e m e lih a ra a n : ...... [S e b u tk a n m a s a p e m e lih a ra a n n y a ] . . .
C o n to h : 7 3 0 h a ri k a le n d e r
• D a ta T e k n is
C o n to h D a ta T e k n is
T a b e l A .1 - D a t a T e k n is
No U ra ia n S a tu a n B e sa ra n
1 P a n ja n g J a la n km 3 4,5
2 L e b a r ru m ija m 14
3 L e b a r b a d a n ja la n m 7
4 L e b a r b a h u ja la n m 2
5 L a p is a n p e rk e ra s a n A spal
a. A C -W C cm 4
b. A C -B C cm 6
c. A C -B a s e cm 7,5
d. A g re g a t k e la s A cm 20
e. A g re g a t k e la s B cm 25
f. S e le c te d E m b a n k m e n t cm 15
6 J e n is p e rk e ra s a n b a h u ja la n : cm 17,5
A g re g a t B a se K e la s S
• T a b e l R o n a L in g k u n g a n H id u p A w a l
C o n to h r o n a lin g k u n g a n h i d u p a w a l
S isi K i r i S isi K a n a n
F o to R o n a A w al STA R o n a A w al F o to
B a se cam p G o ro n g -
A w al
p a k e t N o .1 6 g o ro n g ,
P ro y e k
(S ta .0 + 7 5 0 ) p e m u k im a n ,
0+000
G o ro n g - te m p a t u s a h a ,
g o ro n g , PD A M , K abel
p e m u k im a n , T e lk o m
m e s jid , te m p a t B aw ah T anah,
usaha, PD A M , T ia n g L istrik ,
1+ 875
je m b a ta n , je m b a ta n
G o ro n g -
1+ 875
g o ro n g , k e b u n
g o ro n g -g o ro n g ,
s a w it, K a b e l
k e b u n sa w it,
te lk o m b a w a h
T ia n g L istrik ,
ta n a h , T ia n g
je m b a ta n
L is trik ,
14+850
je m b a ta n
/V
Lampiran 1.17 - 3
S isi K i r i S isi K a n a n
F o to R o n a A w al STA R o n a A w al F o to
T e m p a t u sa h a ,
T em p at u saha,
14+850 p e m u k im a n ,
p e m u k im a n ,
je m b a ta n ,
je m b a ta n ,
K a b e l T e lk o m
K a b e l T e lk o m
b aw ah T anah,
B aw ah T anah,
g o ro n g -
g o ro n g -g o ro n g ,
16+200 g o ro n g , T ia n g
kebun
L is trik , k e b u n
16+200
K e b u n sa w it,
K e b u n sa w it, tia n g listrik ,
je m b a ta n , tia n g je m b a ta n ,k a b e
lis trik ▼ l te lk o m
b a w a h ta n a h
20+600
/V
Lampiran 1.17 - 4
LAMPIRAN 1.17 : TABEL RENCANA KERJA PENGELOLAAN LINGKUNGAN (RKKL)
C o n to h t a b e l r e n c a n a k e r j a p e n g e lo la a n l i n g k u n g a n
S IS I K IR I J a la n S IS I K A N A N
D am pak K e g ia ta n y a n g P e n g e lo la a n R o n a A w al STA R o n a A w al P e n g e lo la a n K e g ia ta n y a n g D am pak
L in g k u n g a n M e n im b u lk a n L in g k u n g a n L in g k u n g a n M e n im b u lk a n L in g k u n g a n
D am pak D am pak
1 2 3 4 5 6 7 8 9
.............. [S e b u tk a n .............. [ S e b u tk a n .......... [ S e b u tk a n .......... [S e b u tk a n .......... [S e b u tk a n .......... [ S e b u tk a n .......... [ S e b u tk a n .............. [S e b u tk a n .............. [S e b u tk a n
dam pak yang k e g ia t a n y a n g p e n g e lo la a n k o n d is i ro n a lo k a s i/ S T A y a n g k o n d is i r o n a p e n g e lo l a a n k e g ia t a n y a n g dam pak yang
d it im b u lk a n ] .......... m enyebabkan li n g k u n g a n a w a l d a n /a ta u a k a n d il a k u k a n a w a l d a n /a ta u li n g k u n g a n m enyebabkan d it im b u lk a n ] ..........
C o n to h : tim b u ln y a y a n g a d a d a la m k e g ia t a n d i p e n g e l o l a a n ] ......... k e g ia t a n d i y a n g a d a d a la m tim b u ln y a C o n to h :
P e n c e m a ra n u d a ra d a m p a k ] ............ dokum en s e k ita r C o n to h : 0 + 0 0 0 s e k ita r dokum en d a m p a k ] ............ P e n c e m a ra n u d a ra
(d e b u ) d a n C o n to h : lin g k u n g a n , l o k a s i ] ......... s /d 0 + 1 0 0 l o k a s i ] ......... lin g k u n g a n , C o n to h : (d e b u ) d a n
k e b is in g a n . E m is i M o b ilis a s i a la ta SK K LH C o n to h : C o n to h : SK K LH M o b ilis a s i a la ta k e b is in g a n . E m is i
gas buang b e ra t d a n d a n /a ta u iz in T em pat T em pat d a n /a ta u iz i n b e ra t d an gas b u an g
m a te ria l li n g k u n g a n tin g g a l, te m p a t tin g g a l, te m p a t li n g k u n g a n m a te ria l
u n tu k u sah a, pohon- usaha, p o h o n - u n tu k
m e m in im a lis ir pohon dan pohon dan m e m in im a lis ir
dam pak ta n a m a n ta n a m a n dam pak
t e r s e b u t ] ............ w a r g a , u tilita s w a rg a , u tilita s t e r s e b u t ] ............
C o n to h : C o n to h :
P e n y ir a m a n P e n y ir a m a n
p u tu s - p u tu s d i p u tu s - p u tu s d i
a re a b e rd e b u , a r e a b e rd e b u ,
p e n g a tu r a n p e n g a tu r a n
ja d w a l d a n ru te ja d w a l d a n ru te
p e n g a n g k u ta n p e n g a n g k u ta n
m a te ria l m a te r ia l
D s t ................
Lampiran 1.17 - 5
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LAMPIRAN 1.17 : TABEL RENCANA KERJA PEMANTAUAN LINGKUNGAN (RKPL)
C o n to h t a b e l r e n c a n a k e r j a p e m a n t a u a n l i n g k u n g a n
S IS I K IR I J a la n S IS I K A N A N
D am pak K e g ia ta n y a n g P e m a n ta u a n R o n a A w al STA R o n a A w al P e m a n ta u a n K e g ia ta n y a n g D am pak
L in g k u n g a n M e n im b u lk a n L in g k u n g a n L in g k u n g a n M e n im b u lk a n L in g k u n g a n
D am pak D am pak
1 2 3 4 5 6 7 8 9
.............. [S e b u tk a n .............. [ S e b u tk a n .......... [ S e b u tk a n .......... [S e b u tk a n .......... [S e b u tk a n .......... [ S e b u tk a n .......... [ S e b u tk a n .............. [S e b u tk a n .............. [S e b u tk a n
dam pak yang k e g ia t a n y a n g p e m a n ta u a n k o n d is i ro n a lo k a s i/S T A y a n g k o n d is i r o n a p e m a n ta u a n k e g ia t a n y a n g dam pak yang
d it im b u lk a n ] .......... m enyebabkan li n g k u n g a n d a n a w a l d a n /a ta u a k a n d il a k u k a n a w a l d a n /a ta u li n g k u n g a n m enyebabkan d it im b u lk a n ] ..........
C o n to h : tim b u ln y a to lo k k e g ia t a n d i p e n g e l o l a a n ] ......... k e g ia t a n d i y a n g a d a d a la m tim b u ln y a C o n to h :
P e n c e m a ra n u d a ra d a m p a k ] ............ u k u r /b a k u s e k ita r C o n to h : 0 + 0 0 0 s e k ita r dokum en d a m p a k ] ............ P e n c e m a ra n u d a ra
(d e b u ) d a n C o n to h : m u tu y a n g a d a l o k a s i ] ......... s /d 0 + 1 0 0 l o k a s i ] ......... lin g k u n g a n , C o n to h : (d e b u ) d a n
k e b is in g a n , e m is i M o b ilis a s i a la t d a la m C o n to h : C o n to h : SK K LH M o b ilis a s i a la t k e b is in g a n , e m is i
gas b u an g b e ra t d a n dokum en T em pat T em pat d a n /a ta u iz i n b e ra t d an gas b u an g
m a te r ia l lin g k u n g a n , tin g g a l, te m p a t tin g g a l, te m p a t li n g k u n g a n m a te ria l
SK K LH usaha, p ohon- usaha, p o h o n - u n tu k
d a n /a ta u iz in pohon dan pohon dan m e m in im a lis ir
lin g k u n g a n ta n a m a n ta n a m a n dam pak
u n tu k w a rg a , u tilita s w a rg a , u tilita s t e r s e b u t ] ............
m e m in im a lis ir C o n to h :
dam pak P en g u k u ra n
t e r s e b u t ] ............ k u a lita s u d a r a
C o n to h : d a n k e b is in g a n
P e n g u k u ra n
k u a lita s u d a r a
d a n k e b is in g a n ,
dengan
m engacu pada
P P 4 1 /9 9 9
D s t ................
Lampiran 1.17 - 6
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L A M P IR A N S P E S IF IK A S I U M U M 2 018
O
L a m p i r a n 1 .1 7 -
I?
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LAMPIRAN 1.17 : MATRIKS PELAPORAN PELAKSANAAN RENCANA KERJA PEMANTAUAN DAN PENGELOLAAN LINGKUNGAN
• C o n to h M a trik s P e la p o ra n P e la k s a n a a n R K P P L
L okasi P ro g re s s K e g ia ta n D am pak H a s il P e la k s a n a a n H a s il P e la k s a n a a n
E v a lu a s i d a n
( S t a - S ta ) (S u m b e r D a m p a k ) L in g k u n g a n P e n g e lo la a n P e m a n ta u a n D o k u m e n ta s i
K e s im p u la n
L in g k u n g a n L in g k u n g a n
1 2 3 4 5 6 7
.......... [ S e b u tk a n .............. [ S e b u tk a n .............. [S e b u tk a n ....... [S e b u tk a n h a s il ....... [S e b u tk a n h a s il ....... [S e b u tk a n h a s il ....... [C a n tu m k a n
lo k a s i/S T A yang k e g ia t a n y a n g dam pak yang p e la k s a n a a n p e n g e lo la a n p e la k s a n a a n p e m a n ta u a n e v a lu a s i dan d o k u m e n ta s i h a s il
d il a k u k a n m enyebabkan d it im b u lk a n ] .......... lin g k u n g a n ] . . . lin g k u n g a n dan to lo k k e s im p u la n d a ri p e la k s a n a a n dan
p e n g e l o l a a n ] ......... ti m b u ln y a C o n to h : P e n c e m a r a n C o n to h : Jad w al ukur a ta u baku m u tu p e n g e lo la a n dan p e m a n ta u a n d i lo k a s i
C o n to h : 0+000 d a m p a k ] ............ u d a ra (d e b u ) d a n m o b ilis a s i d ila k s a n a k a n y a n g d i g u n a k a n ] ....... p e m a n ta u a n y a n g te la h t e r s e b u t ] .......
s /d 0 + 1 0 0 C o n to h : M o b ilis a s i k e b is in g a n , e m is i g a s pada ja m 2 1 .0 0 -2 3 .0 0 C o n to h : S a m p lin g d ila k u k a n ] . . .
a la t b e r a t d a n m a te ria l buang d a n m e la lu i r a t e .. . . k u a lita s u d a r a d ila k u k a n C o n to h : H a s il s a m p lin g
pada s t a . /k o o r d in a t k u a lita s u d a ra a m b ie n d i
...., dengan p a ra m e te r lo k a s i p e k e r ja a n b e ra d a
d a n b a k u m u tu m e n g a c u di baw ah baku m u tu
p a d a P P 4 1 /9 9 9 lin g k u n g a n
D s t .. . .
Lampiran 1.17 - 8
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Tabel 1.17 (1) Baku Mutu Air Berdasarkan Kelas
KELAS
PA RA M ETER SATUAN KETERANGAN
I II III IV
F IS IK A
T e m p e r a tu r °C d e v ia s i 3 d e v ia s i 3 d e v ia s i 3 d e v ia s i 5 D e v ia s i t e m p e r a t u r d a r i k e a d a a n a lm ia h n y a
R e s id u T e r la r u t m g/ L 1000 1000 1000 2000
B a g i p e n g o la h a n a i r m in u m s e c a r a k o n -
R e s id u T e r s u s p e n s i m g /L 50 50 400 400
v e n s io n a l, r e s id u te r s u s p e n s i < 5 0 0 0 m g /L
K IM IA A N O R G A N IK
A p a b ila s e c a r a a la m ia h d i lu a r r e n ta n g
pH 6 -9 6 -9 6 -9 5 -9 te r s e b u t, m a k a d it e n tu k a n b e r d a s a r k a n
k o n d is i a la m ia h
BOD m g /L 2 3 6 12
COD m g /L 10 25 50 100
DO m g /L 6 4 3 0 A n g k a b a ta s m in im u m
K a d m iu m m g /L 0 ,0 1 0 ,0 1 0 ,0 1 0 ,0 1
B a g i p e n g o la h a n a i r m in u m s e c a r a
T em baga m g /L 0 ,0 2 0 ,0 2 0 ,0 2 0 ,2
k o n v e n s io n a l, C u < 1 m g /L
B esi m g /L 0 ,3 (-) (-) (-)
k o n v e n s io n a l, F e < 5 m g /L
T im b a l m g /L 0 ,0 3 0 ,0 3 0 ,0 3 1
k o n v e n s io n a l, P b < 0 ,1 m g /L
M angan m g /L 0 ,1 (-) (-) (-)

S eng m g /L 0 ,0 5 0 ,0 5 0 ,0 5 2
k o n v e n s io n a l, Z n < 5 m g /L
M IK R O B IO L O G I
F e c a l c o lif o r m jm l/1 0 0 m l 100 1000 2000 2000 B a g i p e n g o la h a n a i r m in u m s e c a r a k o n -

v e n s io n a l, f e c a l c o li f o r m < 2 0 0 0 j m l /1 0 0 m l
T o ta l c o lif o r m jm l/1 0 0 m l 1000 5000 10000 10000
d a n t o t a l c o li f o r m < 1 0 0 0 0 jm l/ 1 0 0 m l
S um ber : P eraturan P em erin tah R ep u b lik Ind o n esia N o m o r 82 T ahun 2001 tentang P en g elo laan K ualitas
A ir dan P en g en d aliaan P en cem a ran A ir
K eteran g an : * M engikuti peratu ran p erundangan p eru b ah an terhadap P eratu ran P em erin tah terseb u t, d an/atau
peratu ran peru n d an g an terk ait lainnya
C atatan :
mg = m illigram
ml = m illiliter
L = liter
N ila i di atas m erupakan b atas m aksim um , kecuali u n tu k p H dan DO.
B agi p H m eru p ak an n ila i rentang yang tid ak b o le h kurang atau lebih dari n ila i yang tercantum .
N ilai D O m erupakan batas m inim um .
Lampiran 1.17 - 9
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Tabel 1.17.(2) Baku Mutu AirLimbah Domestik
P a ra m e te r S a tu a n K a d a r M a k s im u m y a n g d ip e r b o le h k a n
pH 6 -9
BOD m g /L 30
COD m g /L 100
TSS m g /L 30
M in y a k & L e m a k m g /L 5
A m o n ia k m g /L 10
T o ta l c o lif o r m J u m la h /1 0 0 m L 3000
D e b it L /o rg . h a ri 100
S um ber : P eraturan M enteri L ingkungan H idup dan K eh u tan an R ep u b lik In d o n esia N o m o r 68 T ahun
2016 tentang B ak u M u tu K ualitas A ir L im bah D om estik
K eteran g an : * M engikuti peratu ran p erundangan p erubahan terh ad ap P eartu ran M en teri tersebut, dan/atau
peratu ran p eru n d an g an terk ait lainnya
T a b e l 1 .1 7 .(3 ) B a k u M u t u U d a r a A m b ie n N a s io n a l
W a k tu
No P a r a m e te r B a k u M u tu M e to d e A n a lis is P e r a l a ta n
P en g u k u ra n
1. SO 2 1 Jam 9 0 0 u g /N m 3 P ararosanilin Spektrofotom eter
( S u lf u r D io k s id a ) 24 Jam 3 6 5 u g /N m 3
1 T ahun 6 0 u g /N m 3
2. CO 1 Jam 3 0 .0 0 0 u g /N m 3 N D IR N D I R A n a lizer
( K a r b o n M o n o k s id a ) 24 Jam 1 0 .0 0 0 u g /N m 3
1 T ahun
3. NO2 1 Jam 4 0 0 u g /N m 3 Saltzm an Spektrofotom eter
( N itr o g e n D io k s id a ) 24 Jam 1 5 0 u g /N m 3
1 T ahun 1 0 0 u g /N m 3
4. O3 1 Jam 2 3 5 u g /N m 3 C hem ilum inescent Spektrofotom eter
(O k s id a n ) 1 T ahun 5 0 u g /N m 3
5. HC 3 Jam 1 6 0 u g /N m 3 F lam e Ionization G as C hrom atografi
(H id r o K a rb o n )
6. P M 10 24 Jam 1 5 0 u g /N m 3 G ravim etric H i - Vol Sam pler
( P a r tik e l < 10 u m )
P M 25 *) 24 Jam 6 5 u g /N m 3 G ravim etric H i - Vol Sam pler
( P a r tik e l < 2 ,5 u m ) 1 T ahun 15 u g /N m 3 G ravim etric H i - Vol Sam pler
7. TSP 24 Jam 2 3 0 u g /N m 3 G ravim etric H i - Vol Sam pler
(D e b u ) 1 T ahun 9 0 u g /N m 3
8. Pb 24 Jam 2 u g /N m 3 G ravim etric H i - Vol Sam pler
(T im a h H ita m ) 1 T ahun 1 u g /N m 3 E k s tra k tif P e n g a b u a n AAS
9. D ustfall 3 0 h a ri 10 T o n /K m 2/b u l a n G ravim etric Cannister

(D e b u J a tu h ) (P e m u k im a n )
2 0 T o n /k m 2/b u l a n
(I n d u s tr i)
10. T o ta l F lu o r id e s 24 Jam 3 u g /N m 3 Spesific Ion Im pinger atau
(a s F ) 90 H a ri 0 ,5 u g /N m 3 Electrode C ountinous A n a lizer
11. F lu o r I n d e k s 30 H a ri 4 0 u g /N m 3 C olourim etric Lim e F ilter P aper
Lampiran 1.17 - 10
W ak tu
No P aram eter B a k u M u tu M e to d e A n a lis is P eralatan
P en g u k u ra n
dari k ertas lim ed
filter
12. K lo r in e & 2 4 Jam 1 5 0 u g /N m 3 Spesific Ion Im p in g er atau

K h lo rin e D io k s id a Electrode C ountinous A n a lizer
13. S u lp h at In d ek s 3 0 H ari 1 m g S O 3/100 c m 3 C olourim etric L e a d P eroksida
dari L e a d Candle
P eroksida
S um ber : P eraturan P em erin tah R ep u b lik In d o n esia N o m o r 41 T ahun 1999 tentang P engendalian
P encem aran U d ara (L am piran I)
K eteran g an : * M engikuti p eratu ran p erundangan p eru b ah an terhadap P eratu ran P em erin tah tersebut, dan/atau
peratu ran peru n d an g an terkait lainnya
C atatan : - *) PM 25 m ulai diberlakukan tah u n 2002
N o m o r 10 s/d 13 h anya diberlakukan un tu k daerah / k aw asan Industri K im ia D asar
C ontoh : In d u stri P etro K im ia atau Industri P em b u atan A sam Sulfat
T a b e l 1 .1 7 .(4 ) B a k u M u t u E m is i G a s B u a n g K e n d a r a a n B e r m o t o r
A m b a n g B a ta s M a k s im u m
N o. Je n is K e n d a ra a n
C O (% ) H C (p p m ) K e te b a la n A s a p
1. S e p e d a m o to r 2 (d u a ) lan g k a h d e n g a n 4 ,5 3 .0 0 0
b a h a n b ak ar b e n s in d e n g a n b ila n g a n
ok ta n a > 8 7
2. S e p e d a m o to r 4 (e m p a t) la n g k a h d e n g a n 4 ,5 2 .4 0 0
b a h a n b ak ar b e n s in d e n g a n b ila n g a n
ok ta n a > 8 7
3. K en d araan b e r m o to r s e la in se p e d a m otor 4 ,5 1 .2 0 0
d e n g a n b a h a n b ak ar b e n s in d e n g a n
b ila n g a n o k ta n a > 8 7
4. K en d araan b e r m o to r s e la in se p e d a m otor E k iv a le n 5 0 % B o s c h
d e n g a n b a h a n b ak ar so la r / d is e l d e n g a n p a d a d ia m eter 102 m m ,
b ila n g a n seta n a > 4 5 atau o p a siti 2 5 %
S um ber : K ep u tu san M en teri lingkungan H idup R epublik In d o n esia N om or: K E P -35/M E N L H /10/1993
tentang B ak u M u tu E m isi G as B uang K en d araan B erm otor
K eteran g an : *M engikuti p eratu ran peru n d an g an p erubahan terh ad ap K eputusan M enteri tersebut, dan/atau
peratu ran p eru n d an g an terkait lainnya
C atatan: K andungan C O d an H C d iu k u r p a d a kon d isi percep atan b eb as (idling), K etebalan asap gas b uang d iu k u r pada
k o n d isi p ercep atan bebas
Lampiran 1.17 - 11
fb jS.
Tabel 1.17.(5) Baku Mutu Kebisingan
P e r u n tu k a n K a w a s a n /L in g k u n g a n K e s e h a ta n T in g k a t K e b is in g a n d b (A )
a P e ru n tu k a n K a w a sa n
1. P e ru m a h a n d a n P e m u k im a n 55
2. P e rd a g a n g a n d a n Jasa 70
3. P e rk a n to ra n d a n P e rg u d a n g a n 65
4. R u a n g T e r b u k a H ija u 50
5. I n d u s tri 70
6. P e m e r in ta h a n d a n F a s ilita s U m u m 60
7. R e k re a si 70
8. K husus
- B a n d a r U d a ra
- S ta s iu n K e r e ta A p i 60
- P e la b u h a n L a u t 70
- C agar B udaya
b. L in g k u n g a n K e g ia ta n 55
1. R u m a h S a k it a ta u s e je n is n y a 55
2. S e k o la h a ta u s e je n is n y a 55
3. T e m p a t ib a d a h d a n s e je n is n y a
Sum ber K ep u tu san M enteri L ingkungan H id u p R ep u b lik In d o n esia N o m o r 48 T ahun 1996 tentang
B ak u M u tu T ingkat K ebisingan
K eterangan * M engikuti peratu ran p erundangan p erubahan terhadap K eputusan M en teri tersebut, dan/atau
peratu ran peru n d an g an terk ait lainnya.
Lampiran 1.17 - 12
fb jS.
T a b e l 1 .1 7 .(6 ) P e n g a r u h T i n g k a t G e t a r a n T e r h a d a p K e n y a m a n a n d a n K e s e h a t a n
F rek w en si N ila i T in g k a t G e t a r a n ,d a la m m ic r o n ( 1 0 -6 m e te r )
No
HZ T id a k M e n g g a n g g u M en gan ggu T id a k N y a m a n M e n y a k it k a n
1 4 <100 100 - 500 > 500 - 1000 > 1000

2 5 <80 80 - 350 > 3 5 0 - 1000 > 1000
3 6,3 <70 70 - 275 > 275 - 1000 > 1000
4 8 <50 5 0 - 160 > 160 - 500 > 500
5 10 <37 3 7 - 120 > 120 - 300 > 300
6 12,5 <32 32 - 90 > 90 - 220 > 220
7 16 <25 25 - 60 > 6 0 - 120 > 120
8 20 <20 20 - 40 > 4 0 - 85 > 85
9 25 <17 17 - 3 0 > 30 - 50 > 50
10 3 1 ,5 <12 12 - 2 0 > 2 0 - 30 > 30
11 40 <9 9 - 15 > 15 - 2 0 > 20
12 50 <8 8 - 12 > 12 - 15 > 15
13 63 <6 6 - 9 > 9 - 12 > 12
S um ber : K ep u tu san M enteri L in gkungan H idup R epublik Ind o n esia N o m o r K ep 49/M E N L H /X I/1996
tentang B ak u M u tu T ingkat G etaran
K eteran g an : * M engikuti peratu ran p erundangan p erubahan terhadap K eputusan M en teri tersebut, dan/atau
K o n v ersi :
P ercep atan = (2%f)2 x sim pangan
K ecepatan = 2%f x sim pangan
% = 3,14
Lampiran 1.17 - 13
fb jS.
Tabel 1.17.(7) Baku Tingkat Getaran Berdasarkan Dampak Kerusakan
G e ta ra n F re k u e n si B a ta s G e r a k a n P e a k m m /d e tik )
P a ra m e te r S a tu a n (H z ) K a te g o ri A K a te g o ri B K a te g o ri C K a te g o ri D
K e c e p a ta n m m /d e tik 4 < 2 2 - 27 > 2 7 - 140 > 140
G e ta r a n 5 < 7 ,5 < 7 ,5 - 2 5 > 2 4 - 130 > 130
F re k u e n si Hz 6,3 <7 < 7 - 21 > 2 1 - 110 >110
8 <6 < 6 - 19 > 1 9 - 100 >100
10 < 5 ,2 < 5 ,2 - 16 > 1 6 - 90 >90
12 ,5 < 4 ,8 < 4 ,8 - 15 > 15 - 80 >80
16 <4 < 4 - 14 > 14 - 70 >70
20 < 3 ,8 < 3 ,8 - 12 > 12 - 67 >67
25 < 3 ,2 < 3 ,2 - 10 > 10 - 60 >60
3 1 ,5 <3 <3 - 9 > 9 - 53 >53
40 <2 <2 - 8 > 8 - 50 >50
50 <1 <1 - 7 7 - 42 >42
S um ber : K ep u tu san M enteri L ingkungan H id u p R ep u b lik In d o n esia N o m o r K ep 4 9 / M E N L H /X I/1 996

tentang B ak u M u tu T ingkat G etaran
K eteran g an : * M engikuti peratu ran p erundangan p erubahan terhadap K eputusan M en teri terseb u t, dan/atau
K eteran g an :
K ateg o ri A : T idak m enim bulkan kerusakan
K ateg o ri B : K em ungkinan keretakan sistem (retak/terlepas p lesteran p a d a dinding pem ikul b eb an p ad a kasus
khusus)
K ateg o ri C : K em ungkinan ru sa k k o m ponen struktur dinding pem ikul b eban
K ateg o ri D : R u sak D inding pem ikul b eban
Lampiran 1.17 - 14
fb jS.
LAMPIRAN 1.21
MANAJEMEN MUTU
L A M P IR A N 1.21 :
TU G A S M A N A JE R K E N D A L I M U T U (Q C M ) DAN IN D IK A T O R O U T PU T N Y A
A PA K A H SUDAH
L A K S A N A K A N T U G A S IN I?
T U G A S M A N A JE R K E N D A L I M U T U (B IL A S U D A H , B E R IK A N
(Q U A L IT Y C O N T R O L M A N A G E R , IN D IK A T O R O U TPU T C O P Y C O N T O H O U TP U T)
QCM ) B IL A B E L U M
M ELAK SAN AK A N,
JE L A S K A N M E N G A P A ?
1. M elaksanakan R encana P engendalian • L aporan pelaksanaan
M utu Penyedia Jasa; R encana P engendalian
M utu
2. B ertanggungjaw ab untuk m engukur • C atatan M utu

pem enuhan atas sem ua aspek • NCR
persyaratan m utu dalam kontrak;
3. M enghentikan pekerjaan bila • NCR

dijum pai cacat pada m aterial, produk,
proses atau penyerahan;
4. M enyusun rencana pengujian dan • Jadw al Pem eriksaan &

pem eriksaan untuk setiap bag ian P engujian
pekerjaan;
5. M em astikan sem ua survei, pengujian, • Sistem R eferensi P osisi

audit teknis, dll m enggunakan alat • Integritas dan
GPS untuk m encatat koordinatnya K ontinyuitas D ata
secara tepat;
6. M enyusun laporan penerim aan/peno- • L aporan

lakan dan daftar sim ak pengendalian Penerim aan/Penolakan
m utu untuk setiap bag ian pekerjaan • D aftar Sim ak
dengan ketelitian m em adai untuk P engendalian M utu
m engukur pem enuhan atas
persyaratan kontrak;
7. M em astikan b ah w a sem ua • P elatihan staf

persyaratan m anajem en m utu • M anual, Prosedur,
(m encakup pengoperasian R encana Instruksi K erja
M utu, peran setiap pekerja, spesifikasi
pekerjaan, d an prosedur kerja)
diketahui, dipaham i, dan dilaksanakan
oleh sem ua pekerja di lokasi
pakerjaan;
8. M em astikan sem ua daftar sim ak • D okum entasi D aftar

P engendalian M utu ditandatangani Sim ak
oleh pihak-pihak yan g berkom peten
dan penanggung-jaw ab pekerjaan
m asing-m asing sesuai dengan sifat
pekerjaannnya;
9. M em pelajari, m enandatangani, dan • D okum entasi L aporan

bertanggungjaw ab atas sem ua laporan Pengujian M aterial d an
(bahan d an hasil pengujiannya); P ekerjaan
/V
Lampiran 1.21 - 1
A PA K A H SUDAH
(Q U A L IT Y C O N T R O L M A N A G E R , IN D IK A T O R O U T P U T C O P Y C O N T O H O UTPUT)
M ELAK SAN AK A N,
10. B erkonsultasi dengan pengaw as • N otulen
lapangan m engenai perm asalahan
yang berkaitan dengan b ah an dan
pengujian;
11. M enerim a pem beritahuan dari • D okum entasi laporan

petugas pem eriksa tentang d an instruksi tindakan
cacat/kegagalan d an m em astikan
untuk tindakan pengujian ulang atau
penolakan pekerjaan;
12. M enyiapkan laporan m ingguan dan • L aporan

bulanan tentang pengujian dan hasil- M ingguan/B ulanan
hasil pem eriksaan; H asil Pem eriksaan &
P engujian
13. M elaksanakan proses n on • D okum entasi R encana
conform ance b ila m aterial atau T indak, T indakan,
produk tidak m em enuhi persyaratan M onitoring d an
spesifikasi, dan m em beritahu E valuasi T indakan
Pengaw as P ekerjaan atas adanya setiap N C R
penyim pangan; • L aporan kepada
P engguna Jasa.
14. B erkonsultasi dengan W akil P enyedia • N otulen

Jasa dan m elakukan tindakan
perbaikan atas pekerjaan y ang tidak
m em enuhi persyaratan;
15. M erespon setiap N on-C onform ance • D okum entasi R encana

R eport (NCR) yang diterbitkan oleh Tindak, Tindakan,
Pengaw as P ekerjaan dalam w aktu M onitoring d an
yang ditetapkan p ad a N C R tersebut; E valuasi T indakan
setiap N C R
16. M enyusun ja d w a l pengujian dan • Jadw al Pem eriksaan &

pem eriksaan dengan berkoordinasi P engujian
dengan GS d an Pelaksana;
17. M em antau prosedur pengujian • C atatan pem antauan

pengendalian m utu dan pem eriksaan, p em eriksaan &
term asuk yan g dikerjakan oleh sub- pengujian.
penyedia jasa;
18. B ekerjasam a dengan Pengaw as • N otulen

P ekerjaan untuk hal-hal yang
berkaitan d engan pengendalian m utu;
19. M em astikan m em peroleh izin dan • D okum entasi perizinan

persetujuan Pengaw as P ekerjaan yang
diperlukan;
/V
Lampiran 1.21 - 2
A P A K A H SU D A H
(Q U A L IT Y C O N T R O L M A N A G E R , IN D IK A T O R O U T P U T C O P Y C O N T O H O U TP U T)
M ELAKSANAKAN,
20. M em astikan bahw a sem ua alat • D aftar status kelaikan
pengujian dipelihara dan bekerja alat uji
dengan baik;
21. M em elihara sistem pengarsipan yang • Sistem A rsip

teratur agar sem ua catatan m utu
m udah diperoleh sehingga petugas
pem eriksa dapat m em peroleh
inform asi yang diperlukan;
22. M em eriksa gam bar-gam bar untuk • T ersedianya gam bar

pelaksanaan, perhitungan, gam bar kerja m utakhir y ang
kerja dan m em astikan setiap petugas telah diperiksa
tertentu Penyedia Jasa m em iliki
dokum en versi m utakhir yan g dapat
dilaksanakan pad a b ag ian pekerjaan
yang m enjadi tanggungjaw abnya;
23. M em beritahu Pengaw as P ekerjaan • L aporan

untuk setiap perubahan pad a layout
survei, lokasi, ketinggian, kem iringan,
dll., untuk persetujuan;
24. M em beritahu pim pinan perusahaan • L aporan

untuk setiap perm asalahan yang
berkaitan dengan integritas d an fungsi
Sistem M anajem en M utu,dan
25. M eyediakan suatu cara penyajian • Sistem A rsip

yang m udah ditelusuri kepada
Pengaw as Pekerjaan.
/V
Lampiran 1.21 - 3
LAMPIRAN 2.4.A
PEMILIHAN BAHAN DRAINASE
POROUS
ttL
L a m p i r a n 2 .4 .A - 1
/V
LAMPIRAN 3.2.A
KLASIFIKASI TANAH
KEMBANG SUSUT (EXPANSIVE SOIL)
VAN DER MERVE
A v
Grafik Klasifikasi Tanah Kembang Susut Van Der Merve
Van Der Merwe method
60
56
52
_ 1$
£ 44
PL 40
I 36
32
_v
o 2S
j: 24
3
■-i—
D 20
Z 16
II
8 Low,PE = 0
4
0 —i-----------1— i— | 1— i— i :— |— i— t— |— i— i— i— i :— i— i— i---------- 1— i— i— i— i— | :— i— i— i—
10 2Q 30 40 50 60 70
C la y f r a c t io n o f w h o le sa m p le (% <2 m ic r o n s }
Figure 2 .5 Expansivity classification fry tlie V a n D e r M erw e m ethod <PE = potential expansivity).
Y a n g te r m a s u k T a n a h K e m b a n g S u s u t d e n g a n P o te n s i K e m b a n g S u su t R E N D A H (L o w P o te n tia l
E x p a n s iv e ) d a n b o le h d ig u n a k a n a d a la h :
- U n tu k % le m p u n g s e lu ru h b e n d a u ji < 11,5 : IP = tid a k d ib a ta si
- U n tu k % le m p u n g s e lu ru h b e n d a u ji > 11,5 & < 2 4 : IP < 13
- U n tu k % le m p u n g s e lu ru h b e n d a u ji > 2 4 : IP < (0 ,5 3 3 9 % le m p u n g s e lu ru h
b e n d a u ji + 0 ,2 0 1 8 )
C a ta ta n :
IP = In d e k s P la tis ita s s e lu ru h b e n d a u ji
F ra k s i le m p u n g = p a rtik e l le b ih k e c il d a ri 2 m ic ro n (< 0 ,0 0 2 m m )
Lampiran 3.2.A - 1 fb i*L

LAMPIRAN 5.4.A
PROSEDURLAPANGAN
PENGGUNAAN
SKALA DCP UNTUK PENGENDALIAN
KONSTRUKSI LAPIS FONDASI
SEMEN TANAH
fb
PROSEDUR LAPANGAN
PENGGUNAAN SKALA DCP UNTUK PENGENDALIAN
KONSTRUKSI LAPIS FONDASI SEMEN TANAH
1. C akupan
M e to d e in i m e n g u ra ik a n p r o s e d u r y a n g s a n g a t c e p a t u n tu k m e la k s a n a k a n s u a tu e v a lu a s i
te rh a d a p h o m o g e n ita s , te b a l d a n k e k u a ta n d i te m p a t d a ri F o n d a s i S e m e n T a n a h , y a n g
d ip e rlu k a n u n tu k tu ju a n p e n g e n d a lia n m u tu k o n s tru k s i, d e n g a n m e n g g u n a k a n S k a la D C P
( S c a la D y n a m ic C o n e P e n e tro m e te r). In s tru m e n in i te la h d ig u n a k a n s e la m a 3 0 ta h u n o le h
Q e u n s la n d M a in R o a d D e p a rtm e n t u n tu k e v a lu a s i d a n p e n g e n d a lia n m u tu ta n a h d a sa r.
P e n g u jia n in i m e n g h a s ilk a n re k a m a n y a n g m e n e ru s te rh a d a p k e k u a ta n ta n a h sa m p a i
k e d a la m a n 9 0 c m d i b a w a h p e rm u k a a n y a n g a d a ta n p a p e rlu m e n g g a li sa m p a i k e d a la m a n
pem bacaan.
P e n g u jia n d ila k s a n a k a n d e n g a n m e n c a ta t ju m la h tu m b u k a n d a n p e n e tra s i y a n g d ih a s ilk a n

d a ri k e r u c u t m e ta l y a n g d id o ro n g o le h b e b a n ja tu h . K e m u d ia n d e n g a n m e n g g u n a k a n g ra fik
k o re la s i, p e m b a c a a n p e n e tr o m e te r d iu b a h m e n ja d i C B R y a n g s e ta ra n ila in y a a ta u k e k u a ta n
te k a n ta n p a p e m b a ta s a n (U C S ) y a n g n ila in y a se ta ra .
2. P e ra la ta n
(i) D C P sta n d a r, (s e p e rti d itu n ju k k a n d a la m G a m b a r), te rd iri d a ri :
(a) 9 .0 7 k g (2 0 lb ) b e b a n ja tu h se tin g g i 5 0 .8 c m (2 0 in c h ) p a d a b a ta n g d e n g a n
d ia m e te r 16 m m (5 /8 in c h ) p a d a la n d a s a n (a n v il).
(b ) b a ta n g b a ja b e r d ia m e te r 16 m m (5 /8 in c h ) y a n g u ju n g n y a ta ja m m e m p u n y a i
lu a s 1.61 c m 2 (1 /2 sq .in .) d e n g a n s u d u t 3 0 °.
(ii) m e te ra n d e n g a n p e n g u n c i.
(iii) f o rm u lir s ta n d a r (c o n to h te rla m p ir).
3. P ro sed u r
(i) S a tu o ra n g m e n g o p e ra s ik a n p e n e tro m e te r, d a n s e o ra n g la g i d e n g a n m e te r a n d i ta n g a n ,
m e n g u k u r d a n m e n c a ta t k e d a la m a n p e n e tra s i u n tu k s e tia p tu m b u k a n .
(ii) B e b a n d ig u n a k a n u n tu k m e n a n a m k a n u ju n g k e r u c u t sa m p a i b a g ia n y a n g b e r d ia m e te r
p a lin g b e s a r te p a t m e m a s u k i p e rk e ra s a n . P o s is i in i m e ru p a k a n p o s is i a w a l p e n g u jia n
d a n m e te ra n d ita rik d a n d ik u n c i d e n g a n u ju n g n y a a d a d i b a w a h b id a n g la n d a s a n .
(iii) U ju n g m e te ra n d ig e s e r ta n p a m e n g u b a h p o s is i k o ta k m e te r a n y a n g a d a d i a ta s ta n a h ,
d a n p e n g u jia n p e n e tra s i d im u la i.
(iv ) P e n e tr o m e te r d id o ro n g o le h tu m b u k a n b e b a n ja tu h . B ila m a te ria l y a n g d iu ji s a n g a t

k e ra s (p e n e tra s i k u ra n g d a ri 0 ,2 c m /tu m b u k a n ), d a p a t d ila k u k a n s e ju m la h tu m b u k a n
(5 sa m p a i 10) a n ta ra p e m b a c a a n p e n e tra s i. U n tu k m a te r ia l y a n g le b ih lu n a k ,
p e m b a c a a n d ila k u k a n s e te la h s e tia p tu m b u k a n .
(v ) D e n g a n m e n g g u n a k a n m e te ra n , d ib u a t c a ta ta n k e d a la m a n (c m ) d a ri u ju n g k e r u c u t d i
b a w a h p e rm u k a a n d a ri s e tia p a ta u s e ju m la h tu m b u k a n .
(v i) P e n e tr o m e te r d ita rik d e n g a n m e n u m b u k k a n b e b a n k e a ta s p a d a S e k ru p P e n g h e n ti.
Lampiran 5.4.A - 1 /V
(v ii) K a r e n a u n tu k m e n a rik in s tru m e n d ig u n a k a n te r b u k a k e a ta s , m a k a s e te la h s e k a in la m a

d a p a t te rja d i p e rta m b a h a n p a n ja n g b a ta n g b a ja n y a , s e h in g g a j a r a k ja t u h p e rlu
d ip e rik s a s e c a ra p e rio d ik d a n p o s is i S e k ru p P e n g h e n ti b ila p e rlu d is e s u a ik a n u n tu k
m e n g h a s ilk a n tin g g i ja t u h te ta p 5 0 ,8 cm .
4. P e r h i t u n g a n T a h a n a n P e n e t r a s i S k a la ( S P R ) a t a u P e n e t r a b i l i t a s ( S P P )
C a ta ta n ju m la h tu m b u k a n d a n k e d a la m a n d a p a t d ig u n a k a n u n tu k m e m b u a t p lo t c a ta ta n
v a ria s i k e d a la m a n d a ri m u d a h n y a p e n e tra s i te rh a d a p ta n a h (c m \tu m b u k a n ) a ta u s u k a rn y a
p e n e tra s i te rh a d a p ta n a h (tu m b u k a n /c m ). U k u ra n p e r ta m a d is e b u t P e n e tra b ilita s S k a la
P e n e tr o m e te r (S P P ) s e d a n g y a n g k e d u a d is e b u t K e ta h a n a n P e n e tra s i S k a la (S P R ), y a n g sa tu
m e ru p a k a n k e b a lik a n y a n g la in , y a itu :
1 1
SPP A ta u : SPR
SPR SPP
K a r e n a S P R m e ru p a k a n u k u r a n k e k u a ta n ta n a h , in i m e ru p a k a n n ila i y a n g d iru ju k k a n b ila

m e m b a n d in g k a n h a s iln y a d e n g a n u k u ra n -u k u ra n y a n g la in d a ri k e k u a ta n ta n a h , s e p e rti n ila i
C B R a ta u U C S . N a m u n s e la m a p e n g u jia n a d a la h le b ih m u d a h d a n le b ih te liti m e n g u k u r
p e n e tra s i d a ri s e tia p tu m b u k a n (c m /tu m b u k a n ) d a rip a d a m e n g u k u r ju m la h tu m b u k a n u n tu k
p e n e tra s i te r te n tu (tu m b u k a n /c m ), d a n k a r e n a n y a k e m u n g k in a n k e s a la h a n d a la m
p e rh itu n g a n le b ih k e c il j i k a S P P d i- p lo t la n g s u n g d a rip a d a S P R . O le h k a re n a n y a , fo rm u lir
s ta n d a r u n tu k m e n c a ta t d a ta p e n g u jia n d ile n g k a p i d e n g a n s k a la , y a n g m e n g e c il d a ri k iri k e
k a n a n , u n tu k m e m u n g k in k a n p lo t la n g s u n g p e n e tra b ilita s ta n a h (c m /tu m b u k a n ).
C a ta ta n g ra fik y a n g d ih a s ilk a n p a d a f o r m u lir-fo rm u lir in i m e n u n ju k k a n k e k u a ta n ta n a h

(S P R ) y a n g b e rta m b a h tin g g i d a ri k iri k e k a n a n , s e b a g a im a n a u m u m n y a u k u r a n k e k u a ta n
ta n a h y a n g la in .
5. P e rh itu n g a n C B R a ta u U C S y a n g s e ta ra
D a ta p e n g u jia n p e n e tra s i b e r b e n tu k g r a f ik d a p a t m e n u n ju k k a n d is trib u s i d e n g a n k e d a la m a n

d a ri C B R a ta u U C S j u k a h u b u n g a n a n ta r a p a r a m e te r- p a r a m e te r in i d a n p e n e tra s i ju m la h
tu m b u k a n d ik e ta h u i.C o n to h k o re la s i d itu n ju k k a n p a d a g ra fik te rla m p ir, te ta p i h a l in i
b e rg a n tu n g k e p a d a je n is ta n a h d a n h a ru s d is e s u a ik a n d e n g a n ta n a h te r te n tu d a la m k e ja d ia n
te r te n tu .U n tu k m e n d a p a tk a n k o re la s i y a n g te p a t u n tu k je n is ta n a h te rte n tu , p e n g u jia n
p e n e tr o m e te r h a ru s d ila k s a n a k a n p a d a , a ta u b e rd e k a ta n d e n g a n lo k a s i te m p a t p e n g a m b ila n
c o n to h ta n a h p a d a w a k tu k o n s tru k s i.H a s il C B R a ta u U C S d a ri c o n to h ta n a h in i k e m u d ia n
d ib a n d in g k a n d e n g a n h a s il p e n g u jia n p e n e tr o m e te r u n tu k m e m p e ro le h k o re la s i y a n g se su a i.
U n tu k m a te ria l s e m e n ta n a h , p a tu t d ip e rh a tik a n /d ija g a b a h w a k o n d is i p e m e ra m a n d a ri
c o n to h C B R a ta u U C S s e d e k a t m u n g k in m e n g ik u ti k o n d is i y a n g a d a d i la p a n g a n d a n
m e la k s a n a k a n p e n g u ju a n p e n e tra s i s e s u d a h p e rio d e p e m e ra m a n y a n g s a m a d e n g a n y a n g
d ila k s a n a k a n d i la b o ra to riu m .
Lampiran 5.4.A - 2 /V
3 cm Thread for stop nut

STOP NUT
HAMMER
16mm 0 bright
(50.8+H bar (M.S.)
(50.8+Hjcin
ANVIL NUT NUT

To slide fit on
Fillet Weld weld al rod then welded
around to rod as shown
( use gas, not etectric arc)
MAIN ROD
95 cm
Thread to tit
2 cm
cones
ASSEMBLY MAIN ROD
20mm ± 0.10mm
( Hem)
Dimension as 17,5mm
12 cm required to
give total weight
= 20 lb (9.07kb)
30mm (Depth of Thread)
Central hole = 2 0 mm 0
Dimension as required
urea give total
t
weight of hammer = 20 lb (9.07 kg)
Thread to ttt main rod
HAMMER
NOTE : Sketch ortfy, not to scale CONE

( 6 Required )
T r_ r
SCALA DYNAMIC CONE PENETROMETER
Lampiran 5.4.A - 3 fb fa
Lampiran 5.4.A - 4
BLOW COUNT DATA n = No.olbkM* ! ! AD = fo r ) ! P = parulnilJon ( o n , 1N o w ]
n 0 DO p n d AD p n D AD P n D AD p n D AD P
PENETRABILITY ( cm / BLOW)
SS 3 4 S 8 7 S 1 0 15 3D 30 40 50 3D 70 00 901X1
% C.B.R. FOR SOAKED UNCEMENTED CLAY SOIL (AASHTO T 193 -1 3 )
TITLE :
RECORD OF SOIL PENETRABILITY (SPP) AND PENETRATION RESISTANCE (SPR)
Lampiran 5.4.A - 5
Lampiran 5.4.A - 6
LAMPIRAN 5.4.B
PROSEDUR UNTUK RANCANGAN
CAMPURAN (MIX DESIGN)
LAPIS FONDASI SEMEN TANAH
/V
RENGANA CAM PURAN LABOTORIUM
FONDASI SEM EN TANAH

(T/m
KEPADATAN KERING LAB.
( kg/cnn2 )
HARI UCS
Lampiran 5.4.B - 1 /V
LAMPIRAN 6.2.A
METODE PENENTUAN UKURAN,

BENTUK DAN GRADASI DARI
SEALING CHIP UKURAN NOMINAL 9
s/d 20 MM
(Rujukan Pasal 6.2, Spesifikasi)
METODE PENENTUAN UKURAN, BENTUK DAN GRADASI

DARI SELAIN CHIP UKURAN NOMINAL 9 s/d 20 MM
( R u j u k a n P a s a l 6 .2 d a r i S p e s if ik a s i in i)
1. L in g k u p
M e to d e p e m e rik s a a n in i m e lip u ti p r o s e d u r a ta u ta ta c a r a s a m p lin g d a n p e n e n tu a n p ro s e n ta s e

m a te ria l h a lu s , ra ta - r a ta u k u ra n te r k e c il (A L D ), ra ta - r a ta u k u ra n te r b e s a r (A G D ), d is trib u s i
u k u ra n te rk e c il, d a n p ro p o rs i b id a n g p e c a h u n tu k u k u ra n n o m in a l 9 s/d 2 0 m m b a tu a n se a lin g
c h ip , d e n g a n A L D y a n g b e r k is a r a n ta ra 3,5 h in g g a 12,6 m m .
2. P e ra la ta n
2 .1 . T im b a n g a n y a n g m a m p u m e n im b a n g tid a k k u ra n g d a ri 6 0 k g d e n g a n p e m b a c a a n
d a p a t d ib a c a h in g g a 10 g ra m a ta u k u ra n g d a n k e te litia n ± 10 g ra m a ta u le b ih k e c il
la g i.
2 .2 . S a rin g a n d ia m e te r 4 5 0 m m , s a rin g a n u k u ra n 4 ,7 5 m m d a n n a m p a n (p a n c i).
2 .3 . P e ra la ta n A L D y a n g m e m p u n y a i la n d a s a n y a n g d ile n g k a p i a rlo ji p e n g u k u r y a n g d a p a t
d ib a c a h in g g a 0 ,0 2 m m , d a n d ile n g k a p i d e n g a n k a k i p e n g u k u r d ia m e te r 16 m m (lih a t
G a m b a r 1).
2 .4 . K a n a l p e n g u k u r A G D , d e n g a n p a n ja n g tid a k k u ra n g d a ri 1,0 m d a n m e m p u n y a i
p e n g u k u r y a n g te r p a s a n g d e n g a n p e m b a g ia n s k a la 1 m m ( lih a t G a m b a r 1).
2 .5 . O v e n p e n g e rin g y a n g b e rv e n tila s i y a n g m a m p u m e n ja g a te m p e r a tu r p a d a 1 0 0 °+ 10oC.
3. P e n g a m b i l a n C o n to h
U n tu k p e n g e n d a lia n p ro d u k s i c h ip s e c a ra ru tin , sa m p e l h a ru s d ia m b il s e d e k a t m u n g k in
d e n g a n a la t p e m e c a h b a tu ; s a m p e l-s a m p e l in i h a ru s d ia m b il b e rk a li-k a li s e c a r a a c a k s e la m a
p ro d u k s i d a n d ip e r ik s a s e c a ra se n d iri-s e n d iri.
S a m p e l u n tu k d ie v a lu a s i d ite r im a a ta u tid a k n y a d a ri c h ip y a n g te la h d i-s to k c p ile h a ru s

d ia m b il s e c a ra a c a k d a ri te m p a t- te m p a t p a d a p e r m u k a a n p e n im b u n a n m a te ria l d a n d ip e rik s a
s e c a ra s e n d iri-s e n d iri. S a m p e l h a ru s d ia m b il d e n g a n se k o p a ta u d is e k o p d a ri d a e ra h y a n g
r a ta p a d a s e tia p lo k a s i y a n g te la h d ip ilih , le b ih b a ik m e n g g u n a k a n p a p a n p e n y a n g g a u n tu k
m e n c e g a h ja tu h n y a c h ip d a ri p e rm u k a a n y a n g tin g g i k e d a la m d a e ra h y a n g a k a n d ia m b il
sa m p e ln y a . S a m p e l y a n g d ip e r ik s a u n tu k d ite rim a a ta u tid a k n y a , tid a k b o le h d ia m b il d a ri
tru k .
S a m p e l h a ru s m e m p u n y a i b e r a t tid a k k u ra n g d a ri 10 k g .
4. P ro sed u r
B a g i sa m p e l m e n ja d i 4 b a g ia n y a n g s a m a d a n p e r ik s a 1 sa m p e l y a n g m e w a k ili se b a g a i
b e r ik u t :
Lampiran 6.2.A - 1
T a h a p a n P e la k s a n a a n
(1 ) K e rin g k a n sa m p e l h in g g a m e n c a p a i b e - C a ta ta n 1 :
ra t y a n g te ta p . O v e n h a ru s te ta p d ija g a p a d a te m p e r a tu r
1 0 0 °+ 10oC
(2 ) T im b a n g sa m p e l d a n c a ta t b e r a tn y a C a ta ta n 2 :
(lih a t c a ta ta n 2 d a n c a ta ta n 3). S e m u a p e n im b a n g a n d a la m p e m e rik s a a n
in i h in g g a 10 g ra m te rd e k a t.
C a ta ta n 3 :
S e m u a p e m e r ik s a a n h a ru s d ic a ta t p a d a
le m b a r k e r ja te rla m p ir.
(3 ) S a rin g sa m p e l d e n g a n s a rin g a n 4 ,7 5 m m C a ta ta n 4 :
(lih a t c a ta ta n 4). L a n ju tk a n p e n g a y a k a n h in g g a s e m u a m a
te r ia l y a n g le b ih k e c il d a ri 4 ,7 5 m m lo lo s
se lu ru h n y a .
(4 ) T im b a n g m a te ria l y a n g te r ta h a n p a d a sa -
rin g a n ts b . d a n c a ta t b e ra tn y a .
(5 ) D a p a tk a n s a tu su b sa m p e l tid a k k u ra n g C a ta ta n 5 :
d a ri 100 c h ip (lih a t c a ta ta n 5). S u b sa m p e l d ip e ro le h d e n g a n q u a te rin g
m a te ria l y a n g te r ta h a n p a d a s a rin g a n 4 ,7 5
mm.
(6 ) U k u rla h m a s in g -m a s in g c h ip y a n g a d a C a ta ta n 6 :
d a la m su b sa m p e l (lih a t c a ta ta n 6). L e ta k k a n c h ip d e n g a n sisi y a n g m e m b e ri-
k a n k e te b a la n m in im u m , te m p a tk a n te p a t
d ite n g a h -te n g a h d i b a w a h k a k i p e n g u k u r
ALD.
(7 ) C a ta t p e m b a c a a n y a n g d id a p a t d a ri p e - C a ta ta n 7 :
n g u k u ra n te r s e b u t (lih a t c a ta ta n 7). P e m b a c a a n d ip e ro le h u n tu k s e tia p c h ip
y a n g d ic a ta t s e b a g a i ju m la h a n g k a d a la m
p e r in g k a t te b a l y a n g se s u a i, s e p e rti te r -
lih a t p a d a le m b a r k e r ja te rla m p ir.
T a h a p a n P e la k s a n a a n
(8 ) M e n g g u n a k a n k a n a l A G D , le ta k k a n se - C a ta ta n 8 :
ju m la h c h ip b e r d e r e t s a m b u n g -m e n y a m - P a n ja n g a n tria n d iu k u r d a la m 1 m m te r -
b u n g d e n g a n a ra h p a n ja n g n y a . C a ta tla h d e k a t.
p a n ja n g g a ris d a n ju m la h c h ip d a la m k e -
lo m p o k te r s e b u t (lih a t c a ta ta n 8 d a n 9).
Lampiran 6.2.A - 2
(9 ) P e rik s a s e tia p c h ip d a la m su b sa m p e l C a ta ta n 9 :
u n tu k m e n e tu k a n a p a k a h b e n a r - b e n a r ia U k u r s e m u a c h ip d i d a la m su b sa m p e l d e
m e m p u n y a i 2 b id a n g m u k a y a n g p e c a h . n g a n c a r a y a n g sa m a .
C a ta t ju m la h c h ip y a n g m e m e n u h i p e r-
s y a ra ta n d a la m h a l di atas.
5. P e rh itu n g a n
C o n to h b e rik u t m e ru p a k a n p e r h itu n g a n p o k o k y a n g d ip e rlih a tk a n p a d a le m b a r k e ija

te rla m p ir.
5 .1 . M e n g h itu n g p ro s e n ta s e y a n g lo lo s s a rin g a n 4 ,7 5 m m .
B e r a t Y a n g H ila n g (g ra m )
% L o lo s S a rin g a n 4 ,7 5 m m = x 100%
B e r a t P e rm u la a n (g ra m )
D in y a ta k a n d a la m 0 ,1 % te rd e k a t.
5 .2 . M e n g h itu n g A L D .
J u m la h ( u k u ra n te n g a h x ju m la h b a tu a n d a la m p e r in g k a t u k u ra n )
ALD
J u m la h b a tu a n
E { (a) x (b ) }
ALD =
E (b)
D in y a ta k a n d a la m 0 ,0 1 m m te rd e k a t.
5 .3 . P ro s e n ta s e c h ip di d a la m u k u ra n 2,5 m m d a ri A L D d ih itu n g h in g g a 1% te rd e k a t.
5 .4 . M e n g h itu n g A G D .
J u m la h p a n ja n g
AGD =
J u m la h b a tu a n
E (f )
AGD
E ( e )
D in y a ta k a n d a la m 0 ,0 1 m m te rd e k a t.
5 .5 . N y a ta k a n ju m la h c h ip y a n g m e m p u n y a i b id a n g p e c a h p a lin g s e d ik it 2 d a la m
p ro s e n ta s e ju m la h to ta l c h ip d i d a la m su b sa m p e l d a la m 1% te rd e k a t.
5 .6 . T e n tu k a n p e rb a n d in g a n A G D te r h a d a p A L D d a la m 0 ,01 te rd e k a t.
6. L a p o ra n
U n tu k s e tia p la p o ra n p e m e rik s a a n , c a ta t ju m la h c h ip d a la m su b sa m p e l m a u p u n :
6 .1 . ALD.
Lampiran 6.2.A - 3
6 .2 . P ro s e n ta s e c h ip /b a tu a n d e n g a n u k u ra n y a n g te r k e c il A L D ± 2 ,5 m m .
6 .3 . P ro s e n ta s e c h ip /b a tu a n y a n g m e m p u n y a i b id a n g p e c a h m in im u m d u a .
6 .4 . B a n d in g k a n A G D te rh a d a p A L D .
6 .5 . P ro s e n ta s e y a n g lo lo s s a rin g a n 4 ,7 5 m m .
Lampiran 6.2.A - 4
P E N E T A P A N U K U R A N D A N B E N T U K D A R I C H IP S
U K U R A N R A T A - R A T A T E R K E C I L (A L D ) & U K U R A N R A T A - R A T A T E R B E S A R
(A G D )
N A M A PRO Y EK : TANGGAL : .... / .... /

2 0 ....
N A M A BAG. PRO Y EK :
N O M O R TU M PU K A N :
KETEBALAN
JU M L A H B A T U A N J u m la h
U k u ra n U k u ra n P e rs e n
(d a la m s e tia p u k u ra n CATAT C a ta ta n (a) x (b)
A n ta ra T engah K u m u la tif
ra ta -ra ta ) K u m u la tif
(m m ) (m m )
(a) (b ) (c) (c) : 1 (b ) (d)

2- 4 3
4- 6 5
6- 8 7
8 - 10 9
10 - 12 11
12 - 14 13
14 - 16 15
16 - 18 17
18 - 20 19
20 - 22 21
1 (b ) E (d )
1 3 5 7 9 11 13 15 17 19 21
KETEBALAN ( mm )
U K U R A N R A T A -R A T A T E R K E C IL (A L D ) = ^
ALD = .........................m m .
% d a la m d a e ra h 2 ,5 m m A L D = ......................... % > 6 0 %
% b a tu a n d e n g a n 2 b id a n g p e c a h a ta u le b ih = ......................... % > 6 0 %
Lampiran 6.2.A - 5
UKURAN TERBESAR
(e ) (f )
P a n ja n g
J u m la h B a tu a n
(m m )
S (e ) = S ( f ) =
U K U R A N R A T A -R A T A T E R B E S A R (A G D ) = — ^ —
E (e)
AGD = .........................m m .
K O N T R O L K E P IP IH A N ( A G D /A L D ) = .........................% < 2 ,3 0
P E R S E N L O L O S S A R IN G A N 4 ,7 5 m m
B e ra t D a la m G R A M
(h ) ( i) P e rs e n L o lo s
(h - i)
K e rin g O v e n T e rta h a n P a d a h - i 100
L o lo s S a rin g a n
P e rm u la a n S a rin g a n h X i
< 2%
P e rs e n ta s e y a n g lo lo s s a rin g a n h a ru s le b ih k e c il d a ri 2 % .
Lampiran 6.2.A - 6
LAMPIRAN 6.2.B
PROSEDUR STANDAR
PEMERIKSAAN
UNTUK MENGUKUR TEKSTUR
DENGAN MENGGUNAKAN
METODE LINGKARAN PASIR
(Rujukan Pasal 6.2. dalam Spesifikasi ini)
PROSEDUR STANDAR PEMERIKSAAN

UNTUK M ENGUKUR TEKSTUR
DENGAN METODE LINGKARAN PASIR

(Rujukan Pasal 6.2. dalam Spesifikasi ini)
1. L in g k u p
T a ta c a r a p e m e rik s a a n in i m e lip u ti p e n e n tu a n k e d a la m a n te k s tu r ra ta - r a ta d a ri p e rm u k a a n
p e rk e ra s a n d e n g a n m e n g g u n a k a n p a s ir u n tu k m e n d a p a tk a n v o lu m e d a ri ro n g g a -ro n g g a n y a .
M e to d e in i c o c o k u n tu k m e n g u k u r p e rm u k a a n d e n g a n k e d a la m a n te k s tu r ra ta - r a ta le b ih
b e s a r d a ri 0 ,4 5 m m (g a ris te n g a h lin g k a ra n p a s ir k u ra n g d a ri 3 5 0 m m ).
2. P e r a la ta n d a n M a te ria l
2 .1 . S e b u a h p e n g g a ris a ta u p ita u k u r y a n g b e r s k a la d a la m m ilim e te r d e n g a n p a n j a n g tid a k

k u ra n g d a ri 4 0 0 m m .
2 .2 . S e b u a h s ik a t h a lu s a ta u k u a s.
2 .3 . S e b u a h p a p a n p e n g g a ris d e n g a n p a n ja n g a n ta r a 150 h in g g a 160 m m .
2 .4 . S e b u a h s ilin d e r p e n g u k u r p a s ir d e n g a n g a ris te n g a h 3 0 - 45 m m y a n g m e m p u n y a i
v o lu m e s e b e la h d a la m 45 ± 0,5 m l. P e rm u k a a n a ta s s ilin d e r h a ru s d ip o to n g r a ta u n tu k
m e m p e rm u d a h p e m b u a n g a n k e le b ih a n p a s ir d e n g a n s a p u a n .
2 .5 . S e ju m la h p a s ir k e rin g d a n b e rs ih d e n g a n b u tira n y a n g b u la t, 1 0 0 % lo lo s 6 0 0 p,m d a n

1 0 0 % te r ta h a n p a d a s a rin g a n 3 0 0 p m B S 4 1 0 (b ila d ip e rik s a d e n g a n p e n g a y a k a n ).
3. T a ta C a r a P e m e rik s a a n
3 .1 . P e rik s a b a h w a d a e ra h y a n g a k a n d ip e rik s a c u k u p k e rin g d a n b e b a s d a ri k o to ra n . S ik a t

s e tia p m a te ria l h a lu s d a ri p e rm u k a a n y a n g d ip e rik sa .
3 .2 . Isi s ilin d e r d e n g a n p a s ir d a n k e tu k -k e tu k s e c a ra rin g a n h in g g a p a s ir b e rh e n ti

m e m a d a t. Isi s ilin d e r h in g g a p e n u h d a n s a p u r a ta d e n g a n h a ti- h a ti p e rm u k a a n s ilin d e r
d e n g a n p a p a n p e n g g a ris .
3 .3 . T u a n g k a n p a s ir d e n g a n b e n tu k k e r u c u t p a d a te n g a h - te n g a h d a e ra h y a n g a k a n
d ip e rik s a (d a la m k e a d a a n b e ra n g in d is a ra n k a n m e n g g u n a k a n b a n a ta u p e n y e k a t a n g in
m e n g e lilin g i p a s ir te rs e b u t).
3 .4 . D e n g a n m e n g g u n a k a n p a p a n p e n g g a ris , s e b a rk a n p a s ir d a la m b e n tu k lin g k a ra n
h in g g a c e k u n g a n -c e k u n g a n p e rm u k a a n d iis i r a ta s e h in g g a b a g ia n a ta s b a tu a n
p e rk e ra s a n (lih a t G a m b a r 1). B a g ia n a ta s d a ri b a tu a n y a n g le b ih b e s a r h a ru s h a n y a
p e rs is te r lih a t m e la lu i la p is a n p a sir.
3 .5 . U k u rla h g a ris te n g a h j e ja k lin g k a ra n , d u a k a li, a ra h d a ri p e n g u k u ra n y a n g k e d u a k ira -

k ir a te g a k lu ru s te rh a d a p y a n g p e rta m a . A m b il h a r g a r a ta - r a ta d a ri p e n g u k u ra n in i
u n tu k m e m b e rik a n h a r g a D , y a n g m e ru p a k a n g a ris te n g a h lin g k a ra n p a sir.
(i) V o lu m e p a s ir y a n g te la h d ite n tu k a n d itu a n g k a n p a d a p e rm u k a a n ja la n .
(ii) P a s ir d ih a m p a rk a n m e m b e n tu k s u a tu lin g k a ra n .
NB : U k u r a n c h ip y a n g lu a s n y a
ti d a k b i a s a h a ru s
d ia b a i k a n b i l a m e r a ta k a n
p a s ir.
GAM BAR 1
4. P e rh itu n g a n
K e d a la m a n te k s tu r ra ta - r a ta d a p a t d ih itu n g d e n g a n m e m b a g i v o lu m e p a s ir d e n g a n lu a s d a ri
lin g k a ra n p a sir.
57300
R a ta -ra ta k e d a la m a n te k s tu r = mm (D d a la m m m )
D2
5. L a p o ra n
5 .1 . C a ta ta n d ia m e te r lin g k a ra n p a s ir d a la m m ilim e te r h in g g a 5 m m te rd e k a t. T e k s tu r y a n g
m e n g h a s ilk a n d ia m e te r m e le b ih i 3 5 0 m m (tid a k d a p a t d iu k u r s e c a ra te p a t d e n g a n c a ra
in i) h a ru s d ila p o rk a n s e b a g a i “le b ih b e s a r d a ri 3 5 0 m m ” .
5 .2 . C a ta t k e d a la m a n te k s tu r ra ta - r a ta h in g g a 0,1 m m te r d e k a t (tid a k d ip e rlu k a n u n tu k

p e n e litia n p e re n c a n a a n p e la b u ra n ).
5 .3 . C a ta t lo k a s i, ta n g g a l, w a k tu d a n n a m a o ra n g y a n g m e la k s a n a k a n p e m e rik s a a n
te rs e b u t.
LAMPIRAN 6.2.C
METODE RANCANGAN
LABURAN ASPAL SATU LAPIS
(BURTU)
DAN LABURAN ASPAL DUA LAPIS
(BURDA)
(Rujukan Pasal 6.2, Spesifikasi)
METODE RANCANGAN
LABURAN ASPAL SATU LAPIS (BURTU)
DAN LABURAN ASPAL DUA LAPIS (BURDA)
( R u j u k a n P a s a l 6 .2 d a r i S p e s if ik a s i in i)
1. L in g k u p
M e to d e R a n c a n g a n in i m e n a k u p p r o s e d u r y a n g d ip a k a i u n tu k m e n g h itu n g ta k a ra n
p e m a k a ia n a sp a l d a n a g re g a t p e n u tu p u n tu k p e k e rja a n “B U R T U ” d a n “ B U R D A ” . T a k a ra n
p e m a k a ia n b itu m e n y a n g d ih itu n g h a n y a b e rla k u u n tu k p e k e r ja a n p e la b u ra n d i a ta s L a p is
F o n d a s i A ta s (L P A ) b e r b u tir y a n g te la h p a d a t y a n g te la h d ib e ri la p is re s a p p e n g ik a t, a ta u d i
a ta s la p is p e rm u k a a n a s p a l y a n g k e ra s d a n k e d a p air. B ila la p is d i b a w a h n y a m a s ih lu n a k ,
a ta u m e n g a n d u n g b itu m e n b e rle b ih a n , a ta u te la h la p u k d a n p o ru s , ta k a ra n p e m a k a ia n
b itu m e n p e rlu p e n y e s u a ia n le b ih la n ju t k e a ta s a ta u k e b a w a h u n tu k p e n g a r u h a b s o rp s i
b itu m e n o le h la p is p e rm u k a a n in i a ta u te r ta n a m n y a c h ip .
T a k a ra n p e m a k a ia n a g re g a t k a d a n g -k a d a n g p e r lu d in a ik k a n s e d ik it j i k a k e s e ra g a m a n
p e n e b a ra n a g re g a t k u ra n g d a ri y a n g o p tim u m . P e n y e s u a ia n a k h ir d a ri h a l-h a l in i h a ru s
d ila k u k a n d e n g a n p e r c o b a a n d i la p a n g a n .
2. P e rs y a ra ta n
2 .1 . H a s il p e n g u k u ra n te r k e c il ra ta - r a ta (A L D ) d a ri a g re g a t p e n u tu p (la b u ra n c h ip ) y a n g
a k a n d ig u n a k a n u n tu k s u a tu k e p a n ja n g a n j a la n k h u s u s y a n g a k a n d ila b u r u n tu k se tia p
75 m 3 r e n c a n a p e m a k a ia n b a h a n , h a ru s d ia m b il c o n to h s e b e ra t 10 k g u n tu k d iu ji, d a n
A L D y a n g d ip e ro le h d a ri h a s il p e n g u jia n s e tia p c o n to h te r s e b u t h a ru s d ic a ta t
b e rd a s a rk a n n o m o r tu m p u k a n d a n h a s iln y a d ip a k a i s e b a g a i A L D ra n c a n g a n . C a ra
p e n g u jia n d iu ra ik a n d a la m L a m p ira n 6 .2 .A .
2 .2 . T ig a P e n g u k u ra n L in g k a ra n P a s ir, y a n g d ite m p a tk a n p a d a a lu r ro d a (2 b a n ) y a n g
te r d e k a t d e n g a n te p i j a la n d ita m b a h s a tu h a r g a p a d a s u m b u ja la n ; ja r a k p e n e m p a ta n
lin g k a ra n p a s ir d ia m b il se tia p 2 0 0 m la ri. M e to d e p e n g u jia n d iu ra ik a n d a la m
L a m p ira n 6 .2 .A .
2 .3 . D a ta p e rk ira a n v o lu m e la lu lin ta s h a r ia n p e r j a l u r y a n g m e lin ta s i p e rk e ra s a n s e g e ra

s e te la h p e la b u ra n .
3. T a k a r a n P e m a k a i a n B itu m e n U n t u k B U R T U d a n L a p i s P e r t a m a B U R D A
3 .1 . H itu n g ta k a r a n p e m a k a ia n b a h a n re s id u a sp a l s e m e n (R ) d a la m s a tu a n lite r/m 2 (tid a k

te r m a s u k b a h a n p e la r u t u n tu k a sp a l c a ir m a u p u n b a h a n p e n g e m u ls i u n tu k a sp a l
e m u lsi).
D i m ana : R = ( 0 ,1 3 8 x A L D + e ) x T f
ALD = U k u ra n r a ta -ra ta te rk e c il (m m ) d a ri s e tia p tu m p u k a n y a n g

d id a p a t d e n g a n c a ra p e n g u k u ra n s e p e rti d ite te p k a n p a d a b u tir
2 .1.
e = J u m la h a sp a l s e m e n y a n g d ip e rlu k a n u n tu k m e n g is i la p is
te k s tu r d i b a w a h n y a . P e n g u k u ra n d ia m e te r lin g k a ra n p a s ir
(2 .2 .), g u n a k a n k o lo m (1 ) d a n (3 ), d a la m T a b e l I (te rla m p ir)
d a n a m b il s a tu h a r g a “ e ” u n tu k s e tia p 1 k m p a n ja n g d e n g a n
m e n g a m b il ra ta -ra ta n ila i-n y a .
Lampiran 6.2.C - 1
Tf = A ngka fa k to r u n tu k m e m u n g k in k a n m e n a ik k a n ta k a ra n
p e m a k a ia n p a d a v o lu m e la lu lin ta s r e n d a h u n tu k m a k s u d
m e n g u n d u rk a n k e ru s a k a n k e a w e ta n . N ila i T f d ia m b il d a ri
k o lo m (3 ) d a n (4 ) p a d a T a b e l I (te rla m p ir), b e rh u b u n g a n
d e n g a n p e rk ira a n n ila i r a ta -ra ta p e rh itu n g a n v o lu m e la lu lin ta s
(2 .3 .).
3 .2 . A n g k a F a k to r B a h a n P e la ru t a ta u B a h a n P e n g e m u ls i
T a k a ra n p e m a k a ia n re s id u (R ) h a r u s d in a ik k a n m e n u r u t a n g k a f a k to r p e rb a n d in g a n :
100
(1 0 0 - % b a h a n p e la r u t a ta u b a h a n p e n g e m u ls i)
u n tu k m a k s u d k o m p e n s a s i b a h a n p e la r u t a ta u p e n g e m u ls i d i d a la m b a h a n p e n g ik a t
y a n g k e m u d ia n a k a n m e n g u a p . T a k a ra n p e m a k a ia n re s id u d im a k s u d a d a la h s a m a
d e n g a n T a k a ra n R a n c a n g a n A s p a l S e m e n d a n tid a k te r m a s u k m in y a k ta n a h b a h a n
p e la r u t a ta u b a h a n p e n g e m u ls i. B a h a n p e la r u t a ta u b a h a n p e n g e m u ls i d ic a m p u r
d e n g a n A s p a l S e m e n u n tu k m a k s u d m e n u ru n k a n s e m e n ta ra v is k o s ita s b a h a n p e n g ik a t
d e n g a n m a k s u d m e n in g k a tk a n d a y a a d h e s i b a tu a n c h ip .
3 .3 . V o lu m e (s u h u ) d a ri F a k to r M u a i ( te f ).
U n tu k m e n d a p a tk a n ta k a r a n ra n c a n g a n p e m a k a ia n re s id u p a d a su h u 15oC , p e rlu
d ia d a k a n k o m p e n s a s i a ta s v o lu m e m u a i b a h a n p e n g ik a t p a d a s u h u se m p ro t, d i m a n a
ta k a r a n p e m a k a ia n d ik e n d a lik a n d e n g a n j a la n m e n g u k u r “V o lu m e T a n g k i” (d a ri h a s il
p e m b a c a a n T o n g k a t C e lu p U k u r) p a d a su h u se m p ro t. S u h u s e m p ro ta n u n tu k a sp a l
k e ra s d a n a sp a l c a ir a d a la h s u h u y a n g m e m b e rik a n n ila i v is k o s ita s te ta p p a d a 65
c e n tis to k e s . V is k o s ita s in i d ip a k a i u n tu k p e k e r ja a n p e n g k a lib r a s ia n s e lu ru h g ra fik
p e ra la ta n s e m p ro t a sp a l d a n tin g g i d a ri b a ta n g s e m p ro t u n tu k m a k s u d m e n g h a s ilk a n
k e te b a la n s e m p ro ta n a sp a l y a n g m e r a ta (y a itu p e n d is trib u s ia n b a h a n p e n g ik a t y a n g
r a ta d a la m a ra h m e lin ta n g ) m e lin ta n g ja la n .
3 .4 . F a k to r R e d u k s i L a p is P e rta m a .
T a k a ra n p e m a k a ia n u n tu k L a p is P e rta m a B U R D A h a ru s d ik u ra n g i 1 0 % d a ri ta k a ra n
h a s il p e rh itu n g a n te r a k h ir d i a ta s.
4. T a k a r a n P e m a k a i a n B itu m e n U n t u k L a p i s K e d u a B U R D A
T a k a ra n p e m a k a ia n b itu m e n y a n g k e d u a h a ru s s e su a i d e n g a n T a b e l I d i b a w a h in i :
T a b e l I : T a k a ra n P e m a k a ia n K e d u a P a d a B U R D A
T a k a r a n P e m a k a ia n P e n g ik a t
N a m a P e la b u ra n
( l i t e r / m 2)
D BST- 1 0 ,8 0
D BST- 2 0 ,6 0
Lampiran 6.2.C - 2 fb
C a ta ta n : P a d a g ra d ie n y a n g ta ja m d a n tik u n g a n s e rta lo k a s i-lo k a s i la in d i m a n a g e s e k a n

d a n d a y a s u d u t d a ri k e n d a ra a n b e r a t s a n g a t b e s a r, d iiz in k a n u n tu k m e n a ik k a n
ta k a r a n p e m a k a ia n d e n g a n 7 5 % m a k s im u m , a s a lk a n ju m la h ta k a r a n p e m a k a ia n
y a n g p e r ta m a d a n k e d u a tid a k b e ru b a h .
5. T a k a r a n P e m a k a ia n A g re g a t P e n u tu p
U n tu k B U R T U d a n L a p is P e r ta m a B U R D A , tu ju a n p e m a k a ia n c h ip a d a la h m e n g h a m p a r
a g re g a t h a n y a s e c u k u p n y a , s e h in g g a a g re g a t itu b e rs e n tu h a n sisi d e n g a n sisi, d a n p a d a ta h a p
itu s e lu ru h p e rm u k a a n b itu m e n h a ru s te rtu tu p a g re g a t. C h ip p in g y a n g b e rle b ih a n
m e n g a k ib a tk a n tid a k te r s e d ia c u k u p ru a n g u n tu k c h ip te r le ta k r a ta d i a ta s p e n g ik a t b ila
d ig ila s , d a n k a r e n a n y a h a ru s d ih in d a ri.
P e rk ira a n ta k a r a n y a n g d ip e rlu k a n a d a la h :
1000
T a k a ra n = m2/ m3
(1 ,5 A L D + 0 ,6 )
di m an a : A L D = u k u ra n te rk e c il ra ta - r a ta d a ri a g re g a t p e n u tu p (m m ),
d e n g a n p e n g a n d a ia n b a h w a a d a p e n g e n d a lia n y a n g k e ta t te rh a d a p p e m a k a ia n c h ip .
K u a n tita s d a p a t d in a ik k a n j i k a k e s e ra g a m a n p e n e b a r a n tid a k o p tim u m .
U n tu k a g re a g a t d a ri L a p is K e d u a B U R D A , p e rs a m a a n d i a ta s h a n y a m e ru p a k a n p e rk ira a n
a w a l y a n g m a s ih k a s a r. J u m la h s e s u n g g u h n y a d a ri c h ip k e c il y a n g d a p a t d ita h a n o le h te k s tu r
p e rm u k a a n la p is y a n g p e r ta m a h a ru s d ite n tu k a n d a ri p e rc o b a a n la p a n g a n .
6. R in g k a s a n
6 .1 . T a k a ra n S e m p ro ta n .
T a k a ra n p e m a k a ia n b a h a n a s p a l p a d a s u h u s e m p ro t (ju g a “ T a k a ra n S e m p ro t”) a d a la h
100
SR = ( 0 ,1 3 8 x A L D + e ) x T f x x te f
(1 0 0 - p e la ru t/p e n g e m u ls i)
100
SR = R x x te f
(1 0 0 - p e la ru t/p e n g e m u ls i)
y a itu lih a t p a s a l (3 .1 .), (3 .2 .) d a n (3 .3 .) d i a ta s.
T a k a ra n s e m p ro t a k a n d ite ta p k a n o le h P e n g a w a s P e k e rja a n m e m a k a i L a m p ira n

L e m b a r K e r ja d a n d ib e rik a n k e p a d a P e n y e d ia J a s a u n tu k d ila k s a n a k a n .
6 .2 . P e n g e n d a lia n M u tu .
V o lu m e d a ri b a h a n a sp a l y a n g te la h te r s e m p r o t d ip a n ta u d e n g a n c a r a m e n g u k u r
p e r b e - d a a n v o lu m e ta n k i m u la - m u la d a n a k h ir p a d a s e tia p s e le sa i s a tu s e m p ro t lari.
V o lu m e in i d ib a g i d e n g a n lu a s d a e ra h y a n g te la h d is e m p ro t, d id a p a t ta k a ra n
p e m a k a ia n , h a s il in i d ib a n d in g k a n d e n g a n ra n c a n g a n p e m a k a ia n .
V o lu m e A w a l - V o lu m e A k h ir (L tr)
T a k a ra n P e m a k a ia n S e m p ro ta n Y a n g D ic a p a i =
L u a s D a e r a h S e m p r o ta n ( m 2)
di m ana :
N ila i d a ri L u a s D a e ra h S e m p ro ta n (m 2) = P a n ja n g X L e b a r
= P a n ja n g X 0,1 X J u m la h n o z e l y a n g d ip a k a i
FORMAT PERHITUNGAN PEMAKAIAN

BAHAN ASPAL UNTUK LABURAN PERTAMA
A. T A K A R A N P E M A K A IA N R E S ID U
(1 ) . U k u ra n R a ta - r a ta T e rk e c il (A L D ) A g re g a t P e n u tu p = ________
mm.
(L a m p ira n 6 .2 .A )
(2 ) . N ila i R a ta -ra ta “e ” = ________

mm.
{ L a m p ira n 6 .2 .B , d a n T a b e l I k o lo m (1 ) & (2 ) te r la m p ir }
(3 ) . V o lu m e L a lu L in ta s = ________________k e n d a ra a n /h a ri/ja lu r.
Tf = __________________
{ P e r ik s a T a b e l I, k o lo m (3 ) d a n (4 ) }
(A ) T a k a ra n P e m a k a ia n R e s id u = ( 0 ,1 3 8 x A L D + e ) x T f
R = _______________________ L tr/m 2
B. ANGKA FA K TO R BAHAN PELA RU T ATAU PEN G EM U LSI
P e rs e n ta s e B a h a n P e la ru t a ta u P e n g e m u ls i
D a la m B a h a n P e n g ik a t = ................. .. (a)
(B ) A n g k a F a k to r B a h a n P e la ru t a ta u P e n g e m u ls=i 100 : (a)
C. FA K TO R M UAI VOLUM E
S u h u S e m p ro t = ............................ (b)
(P e rik s a T a b e l d a la m L a m p ira n 6 .1 .A F a k to r K o n v e rs i u n tu k A s p a l C a ir a ta u A s p a l E m u ls i
m a n a y a n g d ig u n a k a n )
(C ) F a k to r M u a i V o lu m e , Tf = ________________
(P e rik s a T a b e l d a la m L a m p ira n 6 .1 .A F a k to r K o n v e rs i u n tu k A s p a l
C a ir a ta u A s p a l E m u ls i, m a n a y a n g d ig u n a k a n )
D. T A K A R A N S E M P R O T (P A D A S U H U P E N Y E M P R O T A N )
T a k a ra n S e m p ro t { p a d a s u h u s e m p ro t (b ) } = (A ) x (B ) / (C )
L ite r/m 2.
TABEL I
R U M U S T A K A R A N P E M A K A IA N A S P A L R E S ID U A L
T a k a ra n R e s id u a l = R
R = ( 0 ,1 3 8 x A L D + e ) x T f
A spal Y ang
D ia m e te r
D ib u tu h k a n U n tu k
L a lu L in ta s
L in g k a ra n P a s ir M e n g is i R o n g g a
D a la m J a l u r Tf
( v o id s ) P e r m u k a a n
( 0 ) ( k e n d /h a ri/ja lu r )
( e )
( mm )
( L ite r/m 2 )
(1 ) (2) (3) (4 )
150 0 ,4 9
155 0,4 5 5 1 ,5 9 6
160 0 ,4 2 10 1,523
165 0 ,3 9 20 1,451
170 0 ,3 7 30 1 ,4 0 9
175 0 ,3 4
180 0 ,3 2 40 1 ,3 7 9
185 0 ,3 0 50 1 ,3 5 6
190 0 ,2 9 75 1 ,3 1 4
195 0 ,2 7 100 1 ,2 8 4
200 0,2 5
210 0 ,2 2 150 1 ,2 4 2
220 0 ,2 0 200 1 ,2 1 2
230 0 ,1 8 300 1 ,1 7 0
240 0 ,1 6 400 1 ,1 4 0
250 0 ,1 4
260 0,1 3 500 1 ,1 1 7
270 0 ,1 2 750 1 ,0 7 4
280 0,11 1 .000 1 ,0 4 4
290 0 ,1 0 1 .500 1 ,0 0 2
300 0 ,0 9
325 0 ,0 7 2 .0 0 0 0 ,9 7 2
350 0,0 5 3 .0 0 0 0 ,9 3 0
400 0,0 3 4 .0 0 0 0 ,9 0 0
500 0 ,0 0 5 .0 0 0 0 ,8 7 7
LAMPIRAN 6.3
CAMPURAN ASPAL PANAS
LAMPIRAN 6.3.A
P e rm u k a a n e k s is tin g y a n g m e m e rlu k a n le v e llin g , s e su a i d e n g a n G a m b a r a ta u y a n g

m e n u r u t p e n d a p a t P e n g a w a s P e k e rja a n .
Lampiran 6.3 - 1 /V
LAMPIRAN 6.3.B
M o d if ik a s i M a r s h a l l U n t u k A g r e g a t B e s a r (> 1 ” & < 2 ” )
P r o s e d u r m o d ifik a s i M a rs h a ll (A S T M D 5 5 8 1 -0 7 a (2 0 0 3 )) p a d a d a s a m y a s a m a d e n g a n c a ra
M a rs h a ll a sli (A S T M D 6 9 2 7 -1 5 ) k e c u a li b e b e r a p a p e r b e d a a n s e h u b u n g a n d e n g a n d ig u n a k a n n y a
u k u ra n b e n d a u ji y a n g le b ih b e sa r.
a) B e r a t p e n u m b u k 1 0 ,2 0 6 k g d a n m e m p u n y a i la n d a s a n b e rd ia m e te r 1 4 ,9 4 c m . H a n y a a la t
p e n u m b u k y a n g d io p e ra s ik a n s e c a r a m e k a n ik d e n g a n tin g g i j a tu h 4 5 ,7 c m y a n g d ig u n a k a n .
b) B e n d a u ji b e r d ia m e te r 1 5 ,24 c m d a n tin n g i 9 ,5 2 cm .
c) B e r a t c a m p u ra n a sp a l y a n g d ip e rlu k a n s e k ita r 4 kg .
d) P e ra la ta n u n tu k p e m a d a ta n d a n p e n g u j ia n (c e ta k a n d a n p e m e g a n g c e ta k a n / b r e a k in g h e a d )
s e c a ra p ro p o rs io n a l le b ih b e s a r d a ri M a rs h a ll n o rm a l u n tu k m e n y e s u a ik a n b e n d a u ji y a n g
le b ih b e sa r.
e) C a m p u ra n a sp a l d im a s u k k a n b e rta h a p k e d a la m c e ta k a n d a la m d u a la p is y a n g h a m p ir s a m a
te b a ln y a , se tia p k a li d im a s u k k a n d itu s u k -tu s u k d e n g a n p is a u u n tu k m e n g h in d a ri te r ja d in y a
k e ro p o s p a d a b e n d a u ji.
f) J u m la h tu m b u k a n y a n g d ip e rlu k a n u n tu k c e ta k a n y a n g le b ih b e s a r a d a la h 1,5 k a li (75 a ta u

112) d a ri y a n g d ip e rlu k a n u n tu k c e ta k a n y a n g le b ih k e c il (5 0 a ta u 75 tu m b u k a n ) u n tu k
m e n m p e ro le h e n e rg i p e m a d a ta n y a n g sa m a .
g) K r ite r ia r a n c a n g a n h a ru s d im o d ifik a s i s e b a ik -b a ik n y a . S ta b ilita s m in im u m h a ru s 2 ,2 5 k a li

d a n n ila i k e le le h a n h a ru s 1,5 k a li, m a s in g -m a s in g d a ri u k u ra n c e ta k a n n o rm a l.
h) S e ru p a d e n g a n p r o s e d u r n o rm a l, b ila m a n a te b a l a k tu a l b e n d a u ji b e r b e d a m a k a n ila i-n ila i

d i b a w a h in i h a ru s d ig u n a k a n u n tu k k o re k s i te rh a d a p n ila i s ta b ilita s y a n g d iu k u r d e n g a n
tin g g i s ta n d a r b e n d a u ji a d a la h 9 ,5 2 c m :
T IN G G I P E R K IR A A N (m m ) V O L U M E C E T A K A N (c m 3) FA K TO R K O REK SI
8 8 ,9 1608 - 1626 1,12
9 0 ,5 1 6 3 7 - 1665 1,09
92,1 1 6 6 6 - 1694 1,06
9 3 .7 1695 - 1723 1,03
9 5 .2 1 7 2 4 - 1752 1,00
9 6 .8 1753 - 1781 0 ,9 7
9 8 .4 1 7 8 2 - 1810 0 ,95
100,0 1811 - 1839 0 ,9 2
101,6 1 8 4 0 - 1868 0 ,9 0
C a ta ta n :
P e n tin g u n tu k d ig a ris b a w a h i b a h w a u n tu k m e n e n tu k a n ro n g g a d a la m c a m p u ra n d e n g a n k e p a d a ta n
m e m b a l (r e fu s a l), d is a ra n k a n u n tu k m e n g g u n a k a n p e n u m b u k b e r g e ta r ( v ib r a to r y h a m m e r ).
P e c a h n y a a g re g a t d a la m v a m p u ra n m e n ja d i b a g ia n y a n g le b ih k e c il m u n g k in d a p a t d ih in d a ri.
Lampiran 6.3 - 2
LAMPIRAN 6.3.C
P R O S E D U R P E N G U JIA N A N G U L A R IT IT A S A G R E G A T K A S A R
S N I 7 6 1 9 :2 0 1 2
M e n e n t u k a n P e r s e n t a s e B u t i r P e c a h d a la m K e r ik il)
1) U m um :
S ifa t-s ifa t a g re g a t d e n g a n k r ite r ia a n g u la rita s a d a la h u n tu k m e n ja m in g e s e k a n a n ta r

a g re g a t d a n k e ta h a n a n te rh a d a p a lu r (r u ttin g ).
A n g u la rita s a g re g a t k a s a r d id e fin is ik a n s e b a g a i p e r s e n b e r a t b u tira n a g re g a t y a n g le b ih

b e s a r d a ri 4 ,7 5 m m (N o .4 ) d e n g a n s a tu b id a n g p e c a h a ta u le b ih .
S u a tu p e c a h a n d id e fin is ik a n s e b a g a i su a tu y a n g b e rs u d u t, k a s a r a ta u p e rm u k a a n p e c a h
p a d a b u tira n a g re g a t y a n g d ih a s ilk a n d a ri p e m e c a h a n b a tu , d e n g a n c a r a b u a ta n la in n y a ,
a ta u d e n g a n c a r a a la m i.K r ite r ia a n g u la rita s m e m p u n y a i s u a tu n ila i m in im u m d a n
te r g a n tu n g d a ri ju m la h la lu lin ta s s e rta p o s is i p e n e m p a ta n a g re g a t d a ri p e rm u k a a n
p e rk e ra s a n ja la n .
S u a tu m u k a d ip a n d a n g p e c a h h a n y a b ila m u k a te r s e b u t m e m p u n y a i p r o y e k s i lu a s p a lin g
s e d ik it s e lu a s s e p e re m p a t p r o y e k s i lu a s m a k s im u m (lu a s p e n a m p a n g m e lin ta n g
m a k s im u m ) d a ri b u tira n d a n j u g a h a ru s m e m p u n y a i te p i-te p i y a n g ta ja m d a n je la s .
2) P ro s e d u r :
a) A m b illa h a g re g a t k a s a r te r ta h a n y a n g s u d a h d ic u c i d a n d ik e rin g k a n s e k ita r 5 0 0

g ra m .
b) P is a h k a n b a h a n y a n g te r ta h a n a y a k a n N o .4 (4 ,5 m m ) d a n b u a n g la h b a h a n y a n g
lo lo s N o .4 (4 ,7 5 m m ), k e m u d ia n tim b a n g la h s is a n y a (B ).
c) P ilih la h s e m u a fra k s i p e c a h d a la m c o n to h d a n te n tu k a n b e r a tn y a d a la m g ra m
te r d e k a t (A ).
3) P e rh itu n g a n :
A n g u la rita s A g re g a t K a s a r = (A / B ) x 100
d im a n a :
A = b e r a t fra k s i p e c a h .
B = b e r a t to ta l c o n to h y a n g te r ta h a n a y a k a n N o .4 (4 ,7 5 m m ).
4) P e la p o ra n :
L a p o rk a n a n g u la rita s d a la m p e r s e n te rd e k a t.
Lampiran 6.3 - 3
LAMPIRAN 6.3.D
P R O S E D U R P E N G U JIA N A N G U L A R IT A S A G R E G A T H A L U S
( S N I 0 3 -6 8 7 7 -2 0 0 2 , M e to d e P e n g u j i a n u n t u k m e n e n t u k a n R o n g g a U d a r a d a la m A g r e g a t
H a lu s y a n g tid a k d ip a d a tk a n )
( s e b a g a i m a n a d i p e n g a r u h i o le h B e n t u k B u t i r a n , T e k s t u r P e r m u k a a n d a n G r a d a s i )
1) U m um :
S ifa t-s ifa t a g re g a t d e n g a n k r ite r ia a n g u la rita s a d a la h u n tu k m e n ja m in g e s e k a n a n ta r

a g re g a t d a n k e ta h a n a n te rh a d a p a lu r (r u ttin g ).
A n g u la rita s a g re g a t h a lu s d id e fin is ik a n s e b a g a i p e r s e n ro n g g a u d a r a p a d a a g re g a t lo lo s
a y a k a n N o .8 (2 ,3 6 m m ) y a n g d ip a d a tk a n d e n g a n b e r a t se n d iri.
A n g u la rita s a g re g a t h a lu s d iu k u r p a d a a g re g a t h a lu s y a n g te rk a n d u n g d a la m a g re g a t
c a m p u ra n , d iu ji s e su a i d e n g a n S N I 0 3 -6 8 7 7 -2 0 0 2 , M e to d e P e n g u jia n u n tu k m e n e n tu k a n
R o n g g a U d a r a d a la m A g r e g a t H a lu s y a n g tid a k d ip a d a tk a n (s e b a g a im a n a d ip e n g a ru h i o le h
B e n tu k B u tira n , T e k s tu r P e rm u k a a n d a n G ra d a si).
S e m a k in tin g g i ro n g g a u d a r a b e ra rti s e m a k in tin g g i p e rs e n ta s e b id a n g p e c a h d a la m a g re g a t

h a lu s .
2) P ro s e d u r :
a) A m b illa h a g re g a t h a lu s lo lo s a y a k a n N o .8 (2 ,3 6 m m ) y a n g s u d a h d ic u c i d a n
d ik e rin g - k a n , k e m u d ia n tu a n g k a n k e d a la m s ilin d e r k e c il y a n g s u d a h d iu k u r d a n
d ik a lib ra s i v o lu m e n y a (V ) m e la lu i c o ro n g s ta n d a r y a n g d ip a s a n g d i a ta s s ilin d e r
d e n g a n s u a tu k e r a n g k a d a n m e m p u n y a i j a r a k te rte n tu .
b) H itu n g d a n tim b a n g b e r a t a g re g a t h a lu s y a n g d iis i k e d a la m s ilin d e r y a n g su d a h

d iu k u r v o lu m e n y a .
c) U k u rla h B e r a t J e n is K e rin g O v e n a g re g a t h a lu s (G sb )
d) H itu n g v o lu m e a g re g a t h a lu s d e n g a n m e n g g u n a k a n B e r a t J e n is K e rin g O v e n
a g re g a t h a lu s (W /G sb ).
3) P e rh itu n g a n :
H itu n g ro n g g a u d a r a d e n g a n ru m u s b e r ik u t in i : V - (W /G sb )
............................. x 100%
V
Lampiran 6.3 - 4
LAMPIRAN 6.3.E
Contoh Grafik-grafik Data Marshall
Kadar Aspal >< Rongga Udara
Kadar Aspal >< VIM at PRD
Lampiran 6.3 - 5
LAMPIRAN 6.3.F
C o n to h G r a f i k B a lo k ( B a r C h a r t ) u n t u k M e n u n j u k k a n D a t a R a n c a n g a n C a m p u r a n
a n d P e m ilih a n K a d a r A s p a l R a n c a n g a n .
S ifa t-s ifa t C a m p u ra n R e n ta n g a d a r A s p a l T o ta l Y a n g M e m e n u h i P e rs y a ra ta n

4 5 6 7 8
R o n g g a d a la m A g re g a t (V M A )
R o n g g a T e ris i A s p a l (V F B )
S ta b ilita s M a rs h a ll
K e le le h a n
M a rs h a ll Q u o tie n t
S ta b ilita s S isa
R o n g g a d a la m C a m p u ra n p a d a K e -
p a d a ta n M e m b a l (V IM a t P R D ) = = = =
S u p e rp o s is i re n ta n g k a d a r a sp a l R e n ta n g
y a n g m e m e n u h i s e m u a p e rs y a ra ta n di m ana
sem u a
p a r a m e te r
y a n g d i-
s y a ra tk a n
d ip e n u h i
C a ta ta n :
K a d a r a sp a l r a n c a n g a n d a la m c o n to h in i a d a la h 6 ,5 %
Lampiran 6.3 - 6
LAMPIRAN 8.2.A
FORMULIR PEMERIKSAAN DETAIL
KONDISIJEMBATAN
/V
H J
LAPORAN PEMERIKSAAN DETAIL KONDISIJEMBATAN
HonorJembstan
M vn IM M ttn
KabupotciVKcrta
U J /U IT T*f*mPeflMngunvi
Tinggn Pemaiksavi » " ■ Fcmcriksi
USD LAN PEMERIKSAAN KHUSUS

ELEMEN VANG M EM ERLUKAN PEM ERIKSAAN KHUSUS
tLKMM LCKA9
AlAWinMenGAAMfHUSLB
KODC LKAJAN A'P.'S X Y z
T1NDAKAN DARURAT
ELEMEN VA NG M EM ERLUKAN TINDAKAN DARURAT
unn UXA5I
A.AJMVhDAJtAH□MLHA'
KOOC UHAIAM Aj'P/B X Y z
Lampiran 8.2.A - 1 fb £>±

LAPORAN PEMERIKSAAN DETAIL KONDISI JEMBATAN
Nama Jembatan
Tipe Bangunan Atas
DAFTAR KERUSAKAN ELEMEN JEMBATAN LEVEL 5 - 4

Elemenyangrusaii bnnbn LewdS
ld«i Nilai Kandia
Kode Urown Kode Uraan A/P/f X z s R K F P NK
Lampiran 8.2.A - 2 fb
Lampiran 8.2.A - 3 fb £>±

LAMPIRAN 8.2.B
TABEL KRITERIA PENILAIAN
KONDISIJEMBATAN
/V
KRITERIA PENILAIAN KONDISI JEMBATAN

Sistem
Kriteria Nilai
Penilaian
Struktur Berbahaya 1
(S) Tidak berbahaya 0
Kerusakan Parah 1
JRL Tidak parah 0
Kuantitas L e b ih d a ri > 3 0 % 1
JKL K u ra n g d a ri < 3 0 % 0
Fungsi Elemen tidak berfungsi 1
Elemen berfungsi 0
Pengaruh Mempengaruhi elemen lain atau pengguna
1
(P) jalan, trafik
Tidak mempengaruhi elemen lain atau
0
pengguna jalan , trafik
NILAI KONDISI
NK = S + R + K + F + P 0-5
(m .
Lampiran 8.2.C - 1 t*L

LAMPIRAN 8.2.C
TABEL KODE KERUSAKAN BAHAN
DAN JENIS KERUSAKAN JEMBATAN
tbL
KODE KERUSAKAN BAHAN DAN JENIS KERUSAKANNYA
Kode kerusakan Bahan dan Kerusakan
Pasangan Batu Bata

101 Pelapukan dan retak
102 Penggembungan atau perubahan bentuk
103 Pecah atau hilangnya bahan
Beton
201 Mutu beton yang rendah, keropos
202 Retak
203 Korosi pada tulangan baja
204 Kotor, berlumut, penuaan atau pelapukan beton
205 S p a llin g , s c a llin g atau pecah
206 Lendutan
Baja
301 Penurunan mutu cat
302 Korosi
303 Perubahan bentuk
304 Retak
305 Komponen yang rusak atau hilang
306 Elemen yang salah
307 Kabel yang terurai/aus
308 Sambungan yang longgar
Kayu
401 Cacat pada kayu akibat lapuk. serangan serangga, sobek,
kerusakan mata kayu
402 Komponen yang rusak atau hilang
403 Penyusutan
404 Penurunan mutu lapis pengaman
405 Sambungan yang longgar
Lampiran 8.2.C - 1 t*L

Spesifikasi Umum 2018 - Lampiran

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Spesifikasi Umum 2018 - Lampiran

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LAMPIRAN

DAFTAR PERALATAN LABORATORIUM

p e k e r ja a n p e n g u jia n s e s u a i s p e s ifik a s i a ta u s e s u a i p e r in ta h P e n g a w a s P e k e rja a n .

P y c n o m e te r b o ttle s o f 100 c c c a p a c ity 3

1.5 A n a lis a S a rin g a n :

C e n tr ifu g e e x tra c tio n , 15 0 0 g r a m c a p a c ity , 2 2 0 V 5 0 c y c le 1

R e flu x e x tr a c to r set, 1000 g r a m c a p a c ity 1

K a lib ra s i s e m u a a la t p e n g u k u r h a ru s d iv a lid a s i te r le b ih d a h u lu o le h la b o ra to riu m in d e p e n d e n y a n g

Kaupalan ta£fu ur. )VtQ (SirgnlSfl ilr p : r.'

K -« c « u n Keccf3«csn yjr>3 d lr^ rM a n

R am bu P erintah M engikuti L ajur 2 - - 2 2 1 4 1 1

R am bu P engarah T ikungan * * * * * * * * * Jum lah kebutuan

R am bu P eringatan dengan K ata- 8 8 8 4 4 16 24 10 10

Jum lah kebutuhan

M arka Jalan Sem entara * * * * * * * * * D isesuaikan dengan

M inggu sam pai K am is

KONTRAK TANGGAL K EN D A LA K HU SUS

“R am adhan ” sebagai contoh Tidak boleh ada pen u tu p a n setelah m atahari

RENCANA KERJA PENGELOLAAN DAN

B e n tu k la m p ira n d o k u m e n R K P P L m e lip u ti:

13 M a s a P e la k s a n a a n : ........[S e b u tk a n m a s a p e la k s a n a a n p e k e rja a n ] ....

Tabel 1.17 (1) Baku Mutu Air Berdasarkan Kelas

R e s id u T e r la r u t m g/ L 1000 1000 1000 2000

M angan m g /L 0 ,1 (-) (-) (-)

F e c a l c o lif o r m jm l/1 0 0 m l 100 1000 2000 2000 B a g i p e n g o la h a n a i r m in u m s e c a r a k o n -

Tabel 1.17.(2) Baku Mutu AirLimbah Domestik

9. D ustfall 3 0 h a ri 10 T o n /K m 2/b u l a n G ravim etric Cannister

11. F lu o r I n d e k s 30 H a ri 4 0 u g /N m 3 C olourim etric Lim e F ilter P aper

12. K lo r in e & 2 4 Jam 1 5 0 u g /N m 3 Spesific Ion Im p in g er atau

Tabel 1.17.(5) Baku Mutu Kebisingan

1 4 <100 100 - 500 > 500 - 1000 > 1000

Tabel 1.17.(7) Baku Tingkat Getaran Berdasarkan Dampak Kerusakan

S um ber : K ep u tu san M enteri L ingkungan H id u p R ep u b lik In d o n esia N o m o r K ep 4 9 / M E N L H /X I/1 996

2. B ertanggungjaw ab untuk m engukur • C atatan M utu

3. M enghentikan pekerjaan bila • NCR

4. M enyusun rencana pengujian dan • Jadw al Pem eriksaan &

5. M em astikan sem ua survei, pengujian, • Sistem R eferensi P osisi

6. M enyusun laporan penerim aan/peno- • L aporan

7. M em astikan b ah w a sem ua • P elatihan staf

8. M em astikan sem ua daftar sim ak • D okum entasi D aftar

9. M em pelajari, m enandatangani, dan • D okum entasi L aporan

11. M enerim a pem beritahuan dari • D okum entasi laporan

12. M enyiapkan laporan m ingguan dan • L aporan

14. B erkonsultasi dengan W akil P enyedia • N otulen

15. M erespon setiap N on-C onform ance • D okum entasi R encana

16. M enyusun ja d w a l pengujian dan • Jadw al Pem eriksaan &

17. M em antau prosedur pengujian • C atatan pem antauan

18. B ekerjasam a dengan Pengaw as • N otulen

19. M em astikan m em peroleh izin dan • D okum entasi perizinan

21. M em elihara sistem pengarsipan yang • Sistem A rsip

22. M em eriksa gam bar-gam bar untuk • T ersedianya gam bar

23. M em beritahu Pengaw as P ekerjaan • L aporan

24. M em beritahu pim pinan perusahaan • L aporan

25. M eyediakan suatu cara penyajian • Sistem A rsip

Grafik Klasifikasi Tanah Kembang Susut Van Der Merve

Van Der Merwe method

Lampiran 3.2.A - 1 fb i*L

P e n g u jia n d ila k s a n a k a n d e n g a n m e n c a ta t ju m la h tu m b u k a n d a n p e n e tra s i y a n g d ih a s ilk a n

(i) D C P sta n d a r, (s e p e rti d itu n ju k k a n d a la m G a m b a r), te rd iri d a ri :

(iii) f o rm u lir s ta n d a r (c o n to h te rla m p ir).

(iv ) P e n e tr o m e te r d id o ro n g o le h tu m b u k a n b e b a n ja tu h . B ila m a te ria l y a n g d iu ji s a n g a t

(v i) P e n e tr o m e te r d ita rik d e n g a n m e n u m b u k k a n b e b a n k e a ta s p a d a S e k ru p P e n g h e n ti.