BERITA ACARA
NOMOR :PL10E/ V t l.
/ KSOP SMD-2021
Pada hari ini Senin, tanggal 2 bulan Agustus, tahun 2021, kami masing-
masing:
1 IWAN SETIYONO / NIP 19920302201012 '1 003 / Nahkoda KNP 496 Kantor
Kesyahbandaran dan Otoritas Pelabuhan Kelas ll Samarinda, selanjutnya
disebut Pihak Pertama. dan
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I Lampu Lambunq Merah (PS) 1Pc
10 Lamou Lambuno Hiiau (SB) 1Pc tr
11 Flood Lioht 500 Watt menohadao deoan 1Pc (/
12 Lampu Patroli Biru c/w Sirine 1 Set w
13 Flood Liqht 500 Watt menqhadap belakanq 1Pc
14 lnflatable Life Raft 1Pc
Type : KHA-10 ; Kapasitas : 10 orang SN: 1232 U
Manufacture Date . 0412020
lnspection Date : 0710512021
15 Guard Railino 1 Lot
16 Vertical Ladder 1 Lot t/
17 Outdoor AC 1Pc
Merek: DAlKlN. Model :MKC7ORVM4
,18
Outdoor AC 1Pc V
Merek: DAlKlN. Model . MKCSORVM4
19 Camera CCTV , menqhadap belakano 1Pc r
20 Ganco 2Pc V
21 Automatic Antenna Tuner 1 Set t/
B INVENTARIS BANGUNAN ATAS (SUPERSTRUCTURE
8.1 RUANG KEMUDI ( WHEEL HOUSE )
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Panel Diesel Generator Paguro 2 Set
VHF Radio Telephone 1 Set
Merek. ICOM, Tvpe: lC-M220
V
Magnetic Compass 1Pc
Merek : RITCHE Type : FN-203 V
SN : A'170357400
Steerino Wheel 1Pc
Dash Board Sisi Port 1 Set
- Pane Switch 220V AC dan lndikator 1 Set t/
- Pane Bilqe Alarm 1 Set
- Pane Blower 1 Set .f
Pane Control Panel Naviqasi 1 Set
- DVR CCTV Merek: HIKVISION 1Pc V
- MF/HF Marine Transceiver (Radio SSB 1 Set
,/
Merek : ICOM Type : lC-M710
SN :6104138
Public Addressor 1 Set
- lndikator FW PS Tank, FW STBD Tank, 1 Set
Main Fuel Tank, Bilge Tank, dan Sludgt t/
Tank
Emeroencv Quick Closinq Valve 1Pc
lntercom 1Pc
U
Merek : COMMAX Tvpe : TP-6RC
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30 Panel Starter Box Sewaqe Pump 1 Set
31 Buku manual mesin dan peralatan 1 Set V
32 Foto pembanqunan Ukuran Postcard dalam alk 1 Set (
JJ Foto kapaltampak berbagai arah lengkap deng 8 Set
Frame
t/
34 Handv Talkie 2 Pcs
35 Monitor CCTV 1Pc t/
JO SART 1Pc
JI Loud Hailler 2 Pcs L/
8.3. SALOON
1 lnterior dindinq (Lininq) 36 M2
2 lnterior Atap ( Ceilinq ) 28 M2 t/
J Lantai ( Floor/Deck covering ) 36 M2
1 Set l-
n
a Temoat duduk @ oada PS, 1 dibelakanq )
E
Meia Rak 1Pc V
TV LED :32" Merek : Samsung 1 Set
o w
Tvoe : UA32N4001
DVD dan Audio Player 1 Set
7 t/
Merek : Sonv. Tvpe : DAV-T2140
o Soeaker Ruanqan 1Pc
9 Lampu Akomodasi (Ceiling Light) 2Pc
10 Lampu Peneranqan Darurat 1Pc V
11 Smoke Detector 1Pc U
12 Air Conditioner 2 Set
Merek: DAIKIN Model :CTKCSORVM4
Kapasitas ',2 PK
13 Stop Kontak 2 Pcs t/
14 Saklar Lampu 1Pc
15 Lemari PerlenqkaPan 5 Set l/
16 lntercom 1Pc V
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Merek :COMMAX
Tvoe :TP-6RC
17 Jendela Bulat 2 Pcs V
18 Pintu Water Tiqht Door 1 Lot V
19 Batterv Charqer 1 Set t/
20 Fire Manual Call Point 1 Set V
21 Emergency Escape Breathing '1 Set
Devices (EEBD) V
Merek : JianoBo Tvoe : THDFl5-ll SN: 210427
22 Baju Tahan Api dan perlengkapannya, termasu 1 Set
Breathing app, Merek ; Jiang Bo
l,/
Tvoe : DTXF-93-1 SN: 210096
23 Air Breathing Apparatus 1 Set l/
Merek : Hwayan Type : RHZK -6/30
Serial Number'.216132
24 Fire Alarm Bell 1Pc L/
25 Emeroencv Stoo Blower 1 Set V
26 Kantono mavat 2 Set U
27 Peralatan selam 2 Set
Tvoe : PX 6001
b Lemari Perlenokapan 1Pc
7 Jendela Bulat 1Pc
B Lampu Akomodasi (Ceiling Light) lPc v
o 1Pc a/
Saklar Lampu
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2 Pcs l/
10
11
12
Stop Kontak
Botol Pemadam Foam 10L
Komoor lnduksi Listrik Electrolux
1Pc
1Pc
r,,/
13 Panci untuk komoor nduksi 'l Pc
14 Heat Detector 1Pc
Page 7 of L1
o Lampu Akomodasi (Ceilinq Liqht) 1Pc
10 Lamou Peneranoan Darurat 1Pc t/
11 Saklar Lampu 1Pc
12 Stoo Kontak 1Pc
13 Smoke Detector 1Pc l,/
14 Air Conditioner 1Pc
Merek: DAlKlN, Model :CTK'15RVM4
lr/
Kaoasitas '. % Pk
15 Speaker Ruanqan 1Pc
16 Pintu Alumunium Main Deck '1 Pc V
'1 Pc
17 Jendela Bulat
1B Lemari pakaian di bawah kasur 1Pc t/
'1 Pc
19 Life Jacket Survivor
20 Gantunoan Baiu 1Pc L,/
21 Hanqer 1Pc t/
c.3.4 LORONG
1 Lamou Akomodasi (Ceilinq Liqht) 1Pc
'1Pc
2 Botol oemadam bubuk 6 Kq
J Fire Manual Call Point 1 Set
4 Lamou Emeqencv lPc
5 Fire BellAlarm 1Pc
b Battery 2 Pcs t/
Merek :GS 200AH
7 Switch Battery 1Pc
o Saklar lampu 1Pc t/
c.4 KAMAR MESIN
Dinding (lnterior peredam panas rockwool dilap 1 Lot
1
Alimunium foil) t/
2 Atap (lnterior peredam panas rockwool dilapisi
Alimunium foil)
1 Lot
U
J Lantai Plat Bordes 1 Lot
4 Mesin lnduk 2 Set
Merek: VOLVO PENTA;
Model : DB-550 HP 40860938
t/
S/N : 1008530648 (PS);1008530651 (SB)
Power: 405 KW550 HP: SPeed : 2900 rPm
5 Gearbox Merek : ZF ; Model', ZF 286', 2 Set
Ratio: 1.996 : 1 SN: 20392817 (SB) 20392818 /
(PS)
b Generator Set '15 KW 2 Sel
Merek : PAGURO; Model : VTE Paguro 15EK t/
SN: 5103602530 (PS); 5106003150 (SB)
Kaoasitas : 15 Kw, 3 phase 3B0V; frekuensi: 5C
7 Shafting Arrang (stern tube, as & propeller) 2 Set
Propeller
Merek : ZF;Model: FPP Modified B-Series
t/
Bahan: Manganese bronze, Jumlah daun: 4 Blz
Diameter Maksimum : 635 mm; Sertifikasi . BK
8 Fuel Purifler 2 Set t/
I Oily Water Separator 1 Set
V
Merek: PROTO, TvPe: HRS-0,25
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S/N: 39136, S/N Bilqe Alarm : 205139
10 Pompa Bilge/Ballast 1Pc
Merek: PEDROLLO
Type : CP 1608
S/N: 190333
11 Pompa BBM 1 Set
Merek: PEDROLLO
Type : CK 90-E
S/N : 191298
12 Pompa OWS lPc
Merek. KOSHIN
Type : GC 13 t/
S/N : 10650178
13 Pompa General Service 1 Set
Merek : VENEZIA
Type: THF150
S/N :2009050007
14 Pompa Fresh Water 1 Set
Merek: SHIMIZU
Type : PS-128 BIT
S/N FHJ 1 501 38
t/
15 Pompa Manual
Hand Pump Fuel System 1Pc
Merek :ASANO PUMP
Tvoe : ASN1000BB0
l,/
Hand Pump Sludge System 1Pc
Merek :ASANO PUMP l-/
Tvoe: ASN1000880
- Hand Pump Fresh Water System 1Pc
Merek: K5
Tvoe : Diaphraqm
16 Fix Sprinkler untuk CO2 4 Pcs V
17 Lamou Peneranoan 4 Pcs
1B Lamou Peneranoan Darurat 2 Pcs l,/
19 Stoo Kontak 2 Pcs U
20 Smoke Detector 1Pc t/
21 Heat Detector 1Pc
22 Main Switch Board 1 Lot t/
23 Panel Starter Board 2 Pcs L
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Power: '100 watt
34 Clinometer '1 Pc
otr Dailv Fuel Tank 1 Set
36 Biloe/Sludoe Tank 1 Set
c.5 RUANG TANGKI SEWAGE
1 Hatch 1 Lot
2 Pompa Sewage 1Pc
Merek: PEDROLLO
Type : NGA 14
S/N : 191 198
J Hand Pumo Sewaqe 1Pc
4 Lampu Peneranoan 1Pc
6 Saklar Lampu 1Pc
Dibuat di Samarinda
Pihak Kedua, Pihak Pertama,
Fannv Ardianto
351 51 62804770001 NtP 19920302 2Q1012 1 003
Mengetahui
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