DURHAM TEST DRAFT - Veterans Affairs...Unit Of Issue Log Cat/ Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN A6046 Artwork, Decorative, With Frame 1 EA VV . . . . . . 6230 Department:

Project Room Contents

DURHAM TEST

DURHMAN TEST

DRAFTTENN

Projected Year: 2018 Midpoint Year: 2020

VISN: 9 State: TN Station ID: 614 Station Name: Memphis

Installation: VA Medical Center

Project Created: 01 Nov 2017 02:03PM ET by Jacob Brown Space Plan Last Edited: 01 Nov 2017 02:23PM ET by Jacob Brown

Contents List Created: 01 Nov 2017 02:15PM ET by Jacob Brown Contents List Last Edited: 01 Nov 2017 02:23PM ET by Jacob Brown

Report Generated: 01 Nov 2017 02:59PM ET

Project Room Contents (01 Nov 2017 02:59PM ET)

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: LOB02 Room Area: 200 Agency Room Name: Vestibule Staff: 0 Criteria Room Name: Vestibule Blueprint #:

JSN Content Name Qty Unit Of Issue

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Util1 Util2 Util3 Util4 Util5 Util6 NSN

A6046 Artwork, Decorative, With Frame 1 EA VV . . . . . . 6230

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: SRLW1 Room Area: 120 Agency Room Name: Alcove, Wheelchair Staff: 0 Criteria Room Name: Alcove, Wheelchair Blueprint #:


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M4705 Wheelchair, Patient Transport, Folding 1 EA VV . . . . . . 6530

M4710 Wheelchair, Patient, Bariatric, Transport, Folding 1 EA VV . . . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: WTF03 Room Area: 225 Agency Room Name: Waiting, PACT Family Staff: 0 Criteria Room Name: Waiting, PACT Family Blueprint #:

DRAFTJSN Content Name Qty Unit Of

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A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA VV . . . . . .


F0206 Chair, Side, Bariatric, With Arms 1 EA VV . . . . . . 6530

F0215 Chair, Child's 4 EA VV . . . . . . 7100

F0305 Chair, Waiting Room, Single 2 EA VV . . . . . . 7100

Privacy Act – FOR OFFICIAL USE ONLY (Page 2)


F0760 Table, Child's 1 EA VV . . . . . . 7110

F2000 Basket, Wastepaper, Fire Resistant 1 EA VV . . . . . . 7520002051857

F2300 Rack, Magazine, Wall Mounted 1 EA VV . . . . . . 7105000825449

F3200 Clock, Battery, 12" Diameter 1 EA VV . . . . . . 6645

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: RCP03 Room Area: 385 Agency Room Name: Reception Staff: 0 Criteria Room Name: Reception Blueprint #:


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A1010 Telecommunication Outlet 3 EA VV . . . . . . 5805

A1015 Telephone, Desk, Multiple Line 3 EA VV . . . . . . 5805

A6105 Counter, Reception Control, Built-In 1 EA CC . A . . . . 6530

F0275 Chair, Swivel, High Back 3 EA VV . . . . . . 7110

F0420 Cabinet, Filing, Lateral, Half Height 3 EA VV . . . . . . 7110



M1801 Computer, Microprocessing, w/Flat Panel Monitor 3 EA VV . A . . . . 7025

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: RCHK2 Room Area: 105 Agency Room Name: Kiosk, Patient Check-In Staff: 0 Criteria Room Name: Kiosk, Patient Check-In Blueprint #:


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M1890 Kiosk, Educational, Stand-Up 2 EA VV . A . . . . 6530



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: NCWD4 Room Area: 120 Agency Room Name: Alcove, Volunteer Staff: 0 Criteria Room Name: Alcove, Volunteer Blueprint #:


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A5075 Dispenser, Soap, Disposable 1 EA VV . . . . . . 4510

A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA CC . . . . . . 4510

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 1 EA CC . . . . . . 6530

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 1 EA CC . . . . . . 6530

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 1 EA CC . . . . . . 6530

CT030 Countertop, High Pressure Laminate 1 LF CC . . . . . . 6530


F3025 Board, Bulletin, Wood Framed 1 EA VV . . . . . . 7195

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 EA VV J A . . . . 7310

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: CLSC2 Room Area: 30 Agency Room Name: Workstation, Patient Education Staff: 0 Criteria Room Name: Workstation, Patient Education Blueprint #:


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E0042 Workcenter, Computer, Free Standing, 48" W 1 EA VV . . . . . . 6530

F0280 Chair, Swivel, Low Back 1 EA VV . . . . . . 7110







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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: WTPC3 Room Area: 7200 Agency Room Name: Waiting, PACT 3 Staff: 0 Criteria Room Name: Waiting, PACT 3 Blueprint #: DRAFT


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A5212 Bracket, Television, Wall-Mounted, Tilt/Angle 2 EA VV . . . . . .

A5220 Bracket, Television, Wall Backing 2 EA CC . . . . . . 6520







M0512 Television, HDTV, Large Screen, 60" 4 EA VV . A . . . .





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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: TNPFM Room Area: 80 Agency Room Name: Toilet, Family Staff: 0 Criteria Room Name: Toilet, Family Blueprint #:


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A1067 Mirror, Float Glass, ADA Accessible 1 EA CC . . . . . . 7105

A4995 Table, Diaper Changing, Wall Mounted 1 EA CC . . . . . . 7100


A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA CC . . . . . . 4510

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA CC . . . . . . 7240

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA CC . . . . . . 6530

A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA CC . . . . . . 5340007541678

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA CC . . . . . . 4510007026934

F2010 Basket, Wastepaper, Step-On 1 EA VV . . . . . . 7240007883953

P3000 Lavatory, Vitreous China, Straight Back 1 EA CC D . . . . . 4510

P9050 Toilet, Wall Hung, Siphon Jet 1 EA CC B . . . . . 4510

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: TNPM3 Room Area: 295 Agency Room Name: Toilet, Male Staff: 0 Criteria Room Name: Toilet, Male Blueprint #:


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CT020 Countertop, Solid Surface 1 LF CC . . . . . . 6530

F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors 1 EA VV . . . . . . 7240006340133

P3070 Lavatory, Vitreous China, Under or Counter Top Mtd 2 EA CC D . . . . . 4510

P8150 Urinal, Wall Hung 1 EA CC B . . . . . 4510


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: TNPF3 Room Area: 265 Agency Room Name: Toilet, Female Staff: 0 Criteria Room Name: Toilet, Female Blueprint #:


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P3070 Lavatory, Vitreous China, Under or Counter Top Mtd 2 EA CC D . . . . . 4510


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: TNPFM Room Area: 80 Agency Room Name: Toilet, Family Staff: 0

DRAFT



Criteria Room Name: Toilet, Family Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: PEHW1 Room Area: 30 Agency Room Name: Alcove, Height / Weight Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Station Blueprint #: DRAFT


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A1011 Telephone, Desk, 1 Line 1 EA VV . . . . . . 5805

E0222 Worksurface, Computer, O/H Cab, Wall Mtd, 48" W 1 EA VV . A . . . . 6530

F0210 Chair, Side, Without Arms 1 EA VV . . . . . . 7110011885296





M4040 Scale, Weighing, 300 Pound Capacity 1 EA VV . . . . . . 6670007889000



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: PEHW2 Room Area: 40 Agency Room Name: Alcove, Height / Weight Accessible Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Accessible Station Blueprint #:


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M4045 Scale, Wheelchair, Portable, 1000 lb Capacity 1 EA VV . . . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) Staff: 1 Criteria Room Name: Consult Room, Patient Aligned Care Team (PACT) Blueprint #:


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CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA CC . . . . . . 6530

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA CC D . . . . . 6530


F0205 Chair, Side With Arms 3 EA VV . . . . . . 7110

F0340 Stool, Self Adjusting 1 EA VV . . . . . . 6530

F0740 Table, Occasional, Lamp 1 EA VV . . . . . . 7110




M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110

DRAFT



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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A1012 Telephone, Wall Mounted, 1 Line 1 EA VV . . . . . . 5805

A1066 Mirror, Float Glass, With SS Frame 1 EA CC . . . . . . 7105



A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA VV . . . . . . 4510

A5108 Waste Disposal Unit, Sharps 1 CS VV . . . . . . 6530



A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT VV . . . . . . 6530




E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA VV . . . . . . 6530




F2310 Rack, Pamphlet, Wall Mounted 1 EA VV . . . . . . 7100



M0506 Television, Flat Screen 1 EA VV . A . . . . 7730



M1825 Printer, Computer 1 EA VV . A . . . . 7025


DRAFT



M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA VV . . . . . . 6520

M4116 Monitor, Vital Signs 1 EA VV . A . . . . 6515

M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA VV . A . . . . 6515

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA VV . A . . . . 6530

M9025 Table, Examination/Treatment, With Cabinet 1 EA VV . A . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXW01 Room Area: 125 Agency Room Name: Exam Room, Women's Health Staff: 1 Criteria Room Name: Exam Room, Women's Health Blueprint #:

DRAFT




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M3072 Frame, Infectious Waste Bag w/Lid 1 EA VV . . . . . . 7240






DRAFT

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3



Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TRPR1 Room Area: 180 Agency Room Name: Procedure Room, General Staff: 0 Criteria Room Name: Procedure Room, General Blueprint #:


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A1132 Rail, Accessory Mounting, Length As Required 1 LF VC . . . . . J 6530

A1200 Lift System, Overhead, Patient Room 1 EA VC . F . . . J 6530









C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA CC . . . . . . 6530









M0750 Flowmeter, Air, Connect w/50 PSI Supply 1 EA VV . . K . . . 6530

M0755 Flowmeter, Oxygen, Low Flow 1 EA VV . . A . . . 6680

M0765 Regulator, Vacuum 2 EA VV . . B . . . 6515



M3070 Hamper, Linen, Mobile, w/Lid 1 EA VV . . . . . . 7240





M4255 Stand, IV, Adjustable 1 EA VV . . . . . . 6530


M7405 Light, Exam, Ceiling Mounted 1 EA CC . F . . . . 6530

M8810 Stand, Mayo 1 EA VV . . . . . . 6530


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, General Procedure Room Patient Staff: 0

DRAFT



Criteria Room Name: Toilet, General Procedure Room Patient Blueprint #:


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P3005 Lavatory, Vitreous China, Bariatric 1 EA CC D . . . . .

P9056 Toilet, Floor Mounted, Bariatric 1 EA CC B . . . . .

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM2 Room Area: 125 Agency Room Name: Tele-Health Room Staff: 0 Criteria Room Name: Tele-Health Room Blueprint #:


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M9025 Table, Examination/Treatment, With Cabinet 1 EA VV . A . . . . 6530 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM3 Room Area: 125 Agency Room Name: Tele-Retinal Room Staff: 0 Criteria Room Name: Tele-Retinal Room Blueprint #:


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M6050 Retinal Imaging System, Fluoroscein/Indocyanine 1 SY VV . A . . . . 6540



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CLSC4 Room Area: 400 Agency Room Name: Shared Medical Appointment Room Staff: 0 Criteria Room Name: Shared Medical Appointment Room Blueprint #:


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E0945 Cart, Computer, Mobile 2 EA VV . . . . . . 6530

F0295 Chair, Stacking 16 EA VV . . . . . . 7100

F0435 Cabinet, Storage, Multi Media 1 EA VV . . . . . . 7110



F0860 Table, Mobile 4 EA VV . . . . . . 7310


F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone 1 EA VV . . . . . . 5836

F3060 Whiteboard, Projection Screen Combination 1 EA VV . . . . . . 6730



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Shared Medical Appointments Staff: 0 Criteria Room Name: Storage, Shared Medical Appointments Blueprint #:


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M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 4 EA VV . . . . . . 7100

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: RCA06 Room Area: 20 Agency Room Name: Alcove, Medication Staff: 0 Criteria Room Name: Alcove, Medication Blueprint #:


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M3150 Distribution System, Medication, Automatic 1 EA VV B A . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Resuscitation Cart Staff: 0



Criteria Room Name: Alcove, Resuscitation Cart Blueprint #:


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E0954 Cart, Emergency, Mobile, 66"H x 32"W x 22"D 1 EA VV . . . . . . 6530

M1100 Resuscitator, Bag-Mask, Hand Operated 1 EA VV . . . . . . 6515

M7660 Defibrillator/Monitor/Recorder, Portable 1 EA VV . A . . . . 6530013901460

M7905 Oximeter, Pulse 1 EA VV . A . . . . 6515

M8770 Aspirator/Pressure Unit, General Purpose 1 EA VV . A . . . . 6515

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #: DRAFTJSN Content Name Qty Unit Of

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F0750 Table, Office, (size as required) 1 EA VV . . . . . . 7110


F3050 Whiteboard, Dry Erase 1 EA VV . . . . . . 7110


M0507 Video Teleconferencing System 1 EA VV . A . . . . 7730





Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Extended Team Staff: 1 Criteria Room Name: Workstation, Extended Team Blueprint #:


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E0123 Workstation, Straight, Free Standing, 72" W 1 EA VV . A . . . . 6530





Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Training Room, Staff Staff: 0 Criteria Room Name: Training Room, Staff Blueprint #: DRAFT


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F0220 Chair, Conference 6 EA VV . . . . . . 7110

F0765 Table, Folding / Nesting 2 EA VV . . . . . .






Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WKTM3 Room Area: 100 Agency Room Name: Workroom, Patient Aligned Care Team (PACT) Staff: 2 Criteria Room Name: Workroom, Patient Aligned Care Team (PACT) Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Administrative Staff: 1 Criteria Room Name: Workstation, Administrative Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Conference Room Staff: 0 Criteria Room Name: Conference Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:


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E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D 2 EA VV . . . . . . 6530

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D 2 EA VV . . . . . . 6530

E0912 Locker, Supply, Med Surg, Wall Mtd 2 EA VV . . . . . . 6530



E1500 Rail, MOD, W/MNTD, HX144XD 1 EA VV . . . . . . 7310


P8710 Utility Center, Plumbing Connection 1 EA CC D . . . . . 4100

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SRE01 Room Area: 120 Agency Room Name: Storage, Medical Equipment Staff: 0 Criteria Room Name: Storage, Medical Equipment Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SL001 Room Area: 220 Agency Room Name: Lounge, Staff Staff: 0 Criteria Room Name: Lounge, Staff Blueprint #: DRAFT


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A1080 Mirror, Posture, Wall Mounted 1 EA CC . . . . . . 6530




A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA VV . . . . . . 7730






C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 1 EA CC . . . . . . 6530




F0225 Chair, Dining Room 4 EA VV . . . . . . 7110

F0795 Table, Dining 1 EA VV . . . . . . 7110


F3065 Whiteboard/Bulletin Board, Combination 1 EA VV . . . . . . 7110



K4665 Oven, Microwave, Consumer 1 EA VV . A . . . . 7310

M0515 Television, HD, 40" Class 1 EA VV . A . . . M

R7250 Refrigerator/Freezer, 20 Cubic Feet 1 EA VV . A . . . . 4110

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #: DRAFT


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P3200 Lavatory, Vitreous China, Slab Type w/Sens Op Fauc 1 EA CC D . . . . . 4510




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: LR004 Room Area: 60 Agency Room Name: Locker, Staff Personal Property Staff: 0 Criteria Room Name: Locker, Staff Personal Property Blueprint #:


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A1040 Locker, 2 Person, Side by Side, 72x15x18 15 EA VV . . . . . . 7125




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SL001 Room Area: 220 Agency Room Name: Lounge, Staff Staff: 0 Criteria Room Name: Lounge, Staff Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Conference Room Staff: 0 Criteria Room Name: Conference Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Administrative Staff: 1 Criteria Room Name: Workstation, Administrative Blueprint #:


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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Training Room, Staff Staff: 0 Criteria Room Name: Training Room, Staff Blueprint #:




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Extended Team Staff: 1 Criteria Room Name: Workstation, Extended Team Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0



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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Resuscitation Cart Staff: 0 Criteria Room Name: Alcove, Resuscitation Cart Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Shared Medical Appointments Staff: 0 Criteria Room Name: Storage, Shared Medical Appointments Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, General Procedure Room Patient Staff: 0 Criteria Room Name: Toilet, General Procedure Room Patient Blueprint #:


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M8810 Stand, Mayo 1 EA VV . . . . . . 6530


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #:


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Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:


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M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: PEHW1 Room Area: 30 Agency Room Name: Alcove, Height / Weight Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Station Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: PEHW1 Room Area: 30 Agency Room Name: Alcove, Height / Weight Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Station Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:


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M8810 Stand, Mayo 1 EA VV . . . . . . 6530


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, General Procedure Room Patient Staff: 0 Criteria Room Name: Toilet, General Procedure Room Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Shared Medical Appointments Staff: 0 Criteria Room Name: Storage, Shared Medical Appointments Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Resuscitation Cart Staff: 0 Criteria Room Name: Alcove, Resuscitation Cart Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Training Room, Staff Staff: 0 Criteria Room Name: Training Room, Staff Blueprint #:


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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Administrative Staff: 1 Criteria Room Name: Workstation, Administrative Blueprint #:




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: CFR01 Room Area: 240 Agency Room Name: Conference Room Staff: 0 Criteria Room Name: Conference Room Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0



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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: SL001 Room Area: 220 Agency Room Name: Lounge, Staff Staff: 0 Criteria Room Name: Lounge, Staff Blueprint #:


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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:


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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #: DRAFT


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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #: DRAFT


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M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) Staff: 1 Criteria Room Name: Consult Room, Patient Aligned Care Team (PACT) Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Patient Aligned Care Team (PACT) Staff: 1 Criteria Room Name: Consult Room, Patient Aligned Care Team (PACT) Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Extended Team Staff: 1 Criteria Room Name: Workstation, Extended Team Blueprint #: DRAFT


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M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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M9025 Table, Examination/Treatment, With Cabinet 1 EA VV . A . . . . 6530 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3 Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: HAFR1 Room Area: 125 Agency Room Name: Hearing Aid Fitting Room Staff: 0 Criteria Room Name: Hearing Aid Fitting Room Blueprint #:


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A1014 Telephone, Wall Mounted, 1 Line, With Speaker 1 EA VV . . . . . . 5805














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M0020 Hearing Aid Analyzer 1 EA VV . A . . . . 6515


M4915 Chair, Exam/Treatment, ENT, w/Adjustable Light 1 EA VV . A . . . . 6540

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: EXAU1 Room Area: 125 Agency Room Name: Exam / Consult, Audiology Staff: 0 Criteria Room Name: Exam / Consult, Audiology Blueprint #:


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A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA VV . . . . . . 6530







M0035 Analyzer, Auditory, Evoked Potential 1 EA VV . A . . . . 6515





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M8540 Microscope, Operating, Wall Mounted 1 EA VV . A . . . . 6530

P3100 Lavatory, Vitreous China, Slab Type 1 EA CC D . . . . . 4510

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: EXOS1 Room Area: 125 Agency Room Name: Exam / Consult, Speech Pathology Staff: 0 Criteria Room Name: Exam / Consult, Speech Pathology Blueprint #:


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F0115 Bookcase, Open, 5 Shelf 1 EA VV . . . . . . 7110










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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: PEHS4 Room Area: 260 Agency Room Name: Exam, Audiometric Booth Staff: 0 Criteria Room Name: Exam, Audiometric Booth Blueprint #:


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M0025 Audiometer, Diagnostic, Middle Ear, Impedance 1 EA VV . A . . . . 6515

M0041 Booth, Audio, Double Wall, Suite 1 EA CC . F . . . . 6515



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: OPAE2 Room Area: 125 Agency Room Name: Electrophysiology Room Staff: 0 Criteria Room Name: Electrophysiology Room Blueprint #:

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M0035 Analyzer, Auditory, Evoked Potential 1 EA VV . A . . . . 6515





M8830 Table, Instrument/Dressing, Mobile 1 EA VV . . . . . . 6530



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: EXVE1 Room Area: 180 Agency Room Name: Vestibulography Room Staff: 0 Criteria Room Name: Vestibulography Room Blueprint #:

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M3073 Container, Biohazard Waste, Step-on, Fire Safe 1 EA VV . . . . . . 7240



M4840 ENT Unit, w/Air, Electric Power, Suction, Pressure 1 EA VV . A H . . . 6530

M4910 Chair, Exam, Vestibular 1 EA VV . A . . . . 6530



M7730 Electronystagmograph w/Accessories 1 EA VV D A . . . . 6515


DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: OPMH1 Room Area: 240



Agency Room Name: Group Therapy Room, Audiology Staff: 1 Criteria Room Name: Group Therapy Room, Audiology Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: OPMH1 Room Area: 240 Agency Room Name: Group Therapy Room, Speech Pathology Staff: 1 Criteria Room Name: Group Therapy Room, Speech Pathology Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Audiology Patient Staff: 0 Criteria Room Name: Toilet, Audiology Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: AUDIOLOGY AND SPEECH PATHOLOGY CLINIC Room Code: SRSE1 Room Area: 150 Agency Room Name: Storage, Equipment Staff: 0 Criteria Room Name: Storage, Equipment Blueprint #:


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M2070 Shelving, Storage, 77hx36wx18d 2 EA VV . . . . . . 7100



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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Dental Staff: 1 Criteria Room Name: Consult Room, Dental Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: DNXS1 Room Area: 150 Agency Room Name: X-Ray Room, Panoramic / Cephalometric Staff: 1 Criteria Room Name: X-Ray Room, Panoramic / Cephalometric Blueprint #:


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C0041 Rail, Apron, 4x60x1 1 EA CC . . . . . . 6530

C0047 Frame, Apron, 3 Drawer, 4x60x22 1 EA CC . . . . . . 6530


D9280 Legs, Rail, Apron 4 EA CC . . . . . . 6520



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X3150 Rack, Apron/Gloves, Wall Mounted 1 EA CC . . . . . . 6525

X6505 Radiographic Unit, Dental, Panographic & Cephalo. 1 EA VV . F . . . B 6525

X6605 Imager, Dental, Digital Image 1 EA VV . A . . . . 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: DNTG1 Room Area: 125 Agency Room Name: Dental Treatment Room (DTR), Multi-Functional Staff: 0 Criteria Room Name: Dental Treatment Room (DTR), Multi-Functional Blueprint #:


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D0670 Console, Treatment Unit, Dental Operatory 1 EA CC D A . . . . 6520

D0680 Console, Accessory/Side, Dental Operatory 2 EA CC D A . . . . 6520

D0685 Cabinet, Storage, Dental Operatory, Wall MNTD 2 EA CC . . . . . . 6520

D3320 Chair, Operating, Dental 1 EA VV B A H . . D 6520

D3380 Stool, Operating, Dental, Doctor 1 EA VV . . . . . . 6520

D3390 Stool, Operating, Dental, Assistant 1 EA VV . . . . . . 6520

D3565 Resin Curing Unit, Visible Light 1 EA VV . A . . . . 7310

DRAFT



D6050 Light, Dental, Operating, Ceiling, Track 2 EA CC . F . . . . 6520008902184

D6151 Mount, Monitor Ceiling Track 1 EA CC . F . . . J

D7090 Utility Center, Dental, Wall or Floor Mounted 1 EA VV B A H . . . 6520

D8250 Delivery System, Dental Operating 1 EA VV B B H . . . 6520

D8850 Amalgamator, Dental 1 EA VV . A . . . . 6520001490123

D9060 Prophylaxis Unit, Ultrasonic 1 EA VV J A D . . . 6520010456407




M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA VV . A . . . .

X6600 Radiographic Unit, Dental, Wall Mounted, 7 mA 1 EA VV . A . . . B 6525

X6610 Sensor, Dental Imaging System 1 EA VV . . . . . .

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Dental Patient Staff: 0 Criteria Room Name: Toilet, Dental Patient Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area, Dental Clinic Staff: 0 Criteria Room Name: Team Work Area, Dental Clinic Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: DNPL1 Room Area: 240 Agency Room Name: Laboratory, Dental Prosthetics Staff: 0 Criteria Room Name: Laboratory, Dental Prosthetics Blueprint #:


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C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W 2 EA CC . . . . . . 6530

C04F0 Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x36x22 5 EA CC . . . . . . 6530

CS200 Sink, SS, Single Compartment, 12x28x16 ID 2 EA CC D . . . . . 6530


D0755 Tank Assembly, Boilout/Curing, Double 1 EA CC D A . . A E 6520

D0904 Workstation, Dental Lab, Tech, Single Station 4 EA VV . A D . A . 6520

D0942 Workstation, Dental Lab, Microblasting 1 EA VV . A D . . . 6520

D2580 Casting Machine, Induction, Bench Mounted 1 EA VV . C D . . . 6520012340255

D3295 Chair, Rotary, Laboratory, Dental 4 EA VV . . . . . . 6520

D4100 Cleaner, Steam, Dental 1 EA VV D D . . . . 6520

D4260 Handpiece, Laboratory, Dental, Electric 4 EA VV . A . . . . 6520

D4351 Sintering Oven 1 EA VV . D . . . .

D4360 Pump, Vacuum, Dental Oven 1 EA VV . A . . . . 6520

D4500 Furnace, Laboratory, Dental, Burnout 1 EA VV . A . . . . 6520012558162

D6250 Lathe, Dental, Bench Mounted 4 EA VV . A . . . . 6520005389150

D6600 Mixer / Investor, With Vacuum 1 EA VV . A . . . . 6520008901463

D6650 Former, Vacuum, With Motor, Vacuum Pump, Heater 1 EA VV . A . . . . 6520

D8510 Oven, Drying, Dental 1 EA VV . A . . . . 6520012132652

D9035 Driver, Model Indexing Pins 1 EA VV . A . . . . 6520

D9050 Trimmer, Model, Dental, 1/4 HP 1 EA VV B A . . . . 6520005644050



L2337 Canopy, Hood, Fume, 6 foot 1 EA CC . F . . . E 6640

M2015 Cabinet, Storage, Flammable, Freestanding 1 EA VV . . . . . . 7125

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free 1 EA CC A . . . . . 4510

P2451 Valve, Mixing, Thermostatic, Eyewash 1 EA CC A . . . . .

P7650 Trap, Plaster, Small 1 EA CC I . . . . . 6520

DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: LCCL1 Room Area: 100



Agency Room Name: Linen Room, Clean Staff: 0 Criteria Room Name: Linen Room, Clean Blueprint #:


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F0515 Cart, Supply, Linen 1 EA VV . . . . . . 7100

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: LCSL2 Room Area: 100 Agency Room Name: Linen Room, Soiled Staff: 0 Criteria Room Name: Linen Room, Soiled Blueprint #:


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F0510 Cart, Linen, Soiled 2 EA VV . . . . . . 7100

F2020 Can, Trash, 44 Gallon 1 EA VV . . . . . . 7100


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Equipment Staff: 0 Criteria Room Name: Storage, Equipment Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: DENTAL CLINIC Room Code: MECH1 Room Area: 120



Agency Room Name: Dental Equipment Mechanical Room Staff: 0 Criteria Room Name: Dental Equipment Mechanical Room Blueprint #:


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A1000 Extinguisher, Fire 1 EA VV . . . . . . 5805

D4001 Compressor, Dental Air, System 2 EA CC . F . . . . 6520



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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: WTG03 Room Area: 80 Agency Room Name: Sub-Waiting, Dilation Patient Staff: 0

DRAFT



Criteria Room Name: Sub-Waiting, Dilation Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYFD1 Room Area: 125 Agency Room Name: Fitting and Dispensing Room Staff: 0 Criteria Room Name: Fitting and Dispensing Room Blueprint #:


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E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 1 EA VV . A . . . . 6530






DRAFT






M5520 Lensometer 1 EA VV . A . . . . 6540002998134

M5705 Gauge, Distance, Pupillary 1 EA VV . . . . . . 6540

M5735 Warmer, Spectacle, Plastic 1 EA VV . A . . . . 6540002999590


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYOT2 Room Area: 125 Agency Room Name: Exam / Treatment Room Staff: 0 Criteria Room Name: Exam / Treatment Room Blueprint #:


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M5016 Desk, Refraction w/console, w/o Sink 1 EA VC . F . . . . 6540

M5025 Table, Instrument, Ophthalmic, Adjustable 1 EA VV . A . . . . 6540009629964

M5530 Lamp, Slit, w/Applanation Tonometer 1 EA VV . A . . . . 6515010324518

M5535 Ophthalmoscope, Binocular, Indirect 1 EA VV . A . . . . 6540000428380

DRAFT



M5536 Ophthalmoscope, Direct 1 EA VV . A . . . . 6540

M5545 Ophthalmometer/Keratometer 1 EA VV . A . . . . 6515003533200

M5562 Tester, Visual Acuity, Video/Microprocessor Based 1 EA VV . A . . . . 6540

M5575 Tonometer, Noncontact 1 EA VV . A . . . . 6515

M5600 Unit, Exam, Eye, w/Motor Chair, Phoropter 1 EA VV . A . . . . 6515


M6040 Pachymeter, Ultrasound, Corneal 1 EA VV . A . . . . 6540


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYOT4 Room Area: 180 Agency Room Name: Exam / Training Room, Low Vision Staff: 0 Criteria Room Name: Exam / Training Room, Low Vision Blueprint #:


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F0820 Table, Office, Round 1 EA VV . . . . . . 7110


F2435 Lamp, Desk, Fluorescent 1 EA VV . A . . . . 6230006823423


DRAFT



M0435 Monitor, CCTV, Small, 9" (Color) 1 EA VV . A . . . . 5820










M5700 Frame Set, Lens, Trial 1 EA VV . . . . . . 6540


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYVS1 Room Area: 125 Agency Room Name: Pre-Testing Room Staff: 0 Criteria Room Name: Pre-Testing Room Blueprint #: DRAFT


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M5027 Table, Multiple Instrument, Ophthalmic 1 EA VV . A . . . . 6540

M5500 Autorefractor, Ophthalmic 1 EA VV . A . . . . 6540

M5570 Armed Forces Vision Tester 1 EA VV . A . . . . 6540013759031


M6045 Corneal Topography Unit 1 EA VV . A . . . . 6540


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYVF1 Room Area: 125 Agency Room Name: Visual Fields Room Staff: 0 Criteria Room Name: Visual Fields Room Blueprint #:


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A1016 Telephone, Desk, With Speaker 1 EA VV . . . . . . 5805








E0210 Worksurface, w/Overhead Cab, Wall Mtd, 48" W 1 EA VV . A . . . . 6530

F0300 Chair, Task, Swivel, With Arms 1 EA VV . . . . . . 710004018042




DRAFT






M5510 Camera, Fundus, Digital 1 EA VV . A . . . . 6540


M5555 Perimeter, Automated 1 EA VV . A . . . . 6540


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYVS1 Room Area: 180 Agency Room Name: Photography Room Staff: 0 Criteria Room Name: Photography Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: WRTM1 Room Area: 360 Agency Room Name: Team Work Area, Eye Clinic Staff: 0 Criteria Room Name: Team Work Area, Eye Clinic Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: OFA09 Room Area: 100 Agency Room Name: Office, Blind Rehabilitation (VIST) Counselor Staff: 1 Criteria Room Name: Office, Blind Rehabilitation (VIST) Counselor Blueprint #:

DRAFT




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E0090 Workstation, L-Shaped, Free Standing, 72x72 1 EA VV . A . . . . 6530







Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: OFA09 Room Area: 100 Agency Room Name: Office, Supervisor Staff: 1 Criteria Room Name: Office, Supervisor Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYVF1 Room Area: 125 Agency Room Name: Visual Fields Room Staff: 0 Criteria Room Name: Visual Fields Room Blueprint #:


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A1016 Telephone, Desk, With Speaker 1 EA VV . . . . . . 5805









F0300 Chair, Task, Swivel, With Arms 1 EA VV . . . . . . 710004018042







M5510 Camera, Fundus, Digital 1 EA VV . A . . . . 6540


M5555 Perimeter, Automated 1 EA VV . A . . . . 6540


DRAFT



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYVS1 Room Area: 125 Agency Room Name: Pre-Testing Room Staff: 0 Criteria Room Name: Pre-Testing Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: WTG03 Room Area: 80 Agency Room Name: Sub-Waiting, Dilation Patient Staff: 0

DRAFT



Criteria Room Name: Sub-Waiting, Dilation Patient Blueprint #:


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DRAFT















Department: OUTPATIENT / PACT CLINIC (265) Functional Area: EYE CLINIC Room Code: EYOT2 Room Area: 125 Agency Room Name: Exam / Treatment Room Staff: 0 Criteria Room Name: Exam / Treatment Room Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OPMH1 Room Area: 300 Agency Room Name: Group Therapy Room, Mental Health Staff: 1 Criteria Room Name: Group Therapy Room, Mental Health Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #:


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DRAFT



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: SRS01 Room Area: 160 Agency Room Name: Storage, General Staff: 0 Criteria Room Name: Storage, General Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OPMH3 Room Area: 125 Agency Room Name: Biofeedback Staff: 1 Criteria Room Name: Biofeedback Blueprint #: DRAFTJSN Content Name Qty Unit Of

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F0265 Chair, Recliner 1 EA VV . . . . . . 6530







M1620 Holder, Chart, Patient, Wall or Door Mounted 1 EA VV . . . . . . 6530



M7710 Electrocardiograph, 12 Lead, Portable 1 EA VV . A . . . . 6515

M8180 Biofeedback Analysis System 1 EA VV . A . . . . 6515




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DRAFT

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC



Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Office, Supervisor Staff: 1 Criteria Room Name: Office, Supervisor Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: WRTM1 Room Area: 660 Agency Room Name: Team Work Area, Mental Health Staff: 0 Criteria Room Name: Team Work Area, Mental Health Blueprint #: DRAFT


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DRAFT




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #: DRAFT


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DRAFT





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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #:


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M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #:


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DRAFT





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DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: MENTAL HEALTH CLINIC Room Code: OFDC1 Room Area: 125 Agency Room Name: Consult Room, Mental Health Staff: 1 Criteria Room Name: Consult Room, Mental Health Blueprint #:


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M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA VV . B . . . D 7110 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: PEHW1 Room Area: 30 Agency Room Name: Alcove, Height / Weight Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Station Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: PEHW2 Room Area: 40 Agency Room Name: Alcove, Height / Weight Accessible Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Accessible Station Blueprint #:


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M4045 Scale, Wheelchair, Portable, 1000 lb Capacity 1 EA VV . . . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: OPCR1 Room Area: 180 Agency Room Name: Cast Room Staff: 1 Criteria Room Name: Cast Room Blueprint #: DRAFTJSN Content Name Qty Unit Of

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A5150 Hook, Garment, Triple, Surface Mounted 1 EA CC . . . . . . 5340


C04E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x36x22 1 EA CC . . . . . . 6530


CE090 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 41x36x16 1 EA CC . . . . . . 6530



E0942 Cart, Cast, Mobile, 36"H x 46"W x 22"D 1 EA VV . . . . . . 6530




E0963 Cart, General Storage, Mobile 1 EA VV . . . . . . 6530











M4835 Cutter, Cast, w/Vacuum 1 EA VV . A . . . . 6515

M7470 Light, Surgical, Ceiling, Single, Small 1 EA CC . F . . . . 6530

M8320 Table, Treatment, Hi/Lo 1 EA VV . A . . . . 6530

M8810 Stand, Mayo 1 EA VV . . . . . . 6530

P7650 Trap, Plaster, Small 1 EA CC I . . . . . 6520

X4111 Console, PACS, Remote View, 1k X 1k, 1 Monitor 1 EA VV . A . . . . 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Multi-Specialty Staff: 1 Criteria Room Name: Consult Room, Multi-Specialty Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Multi-Specialty Staff: 0 Criteria Room Name: Exam Room, Multi-Specialty Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: EXP01 Room Area: 125 Agency Room Name: Exam Room, Podiatry Staff: 0 Criteria Room Name: Exam Room, Podiatry Blueprint #:


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M4920 Chair, Exam/Treatment, Podiatry, w/Motor 1 EA VV . A . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: TRPR1 Room Area: 180 Agency Room Name: Procedure Room, Multi-Specialty Staff: 0 Criteria Room Name: Procedure Room, Multi-Specialty Blueprint #:


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M8810 Stand, Mayo 1 EA VV . . . . . . 6530


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, Multi-Specialty Procedure Room Patient Staff: 0

DRAFT



Criteria Room Name: Toilet, Multi-Specialty Procedure Room Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: OPTM1 Room Area: 240 Agency Room Name: Treadmill Room Staff: 1 Criteria Room Name: Treadmill Room Blueprint #:


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M4655 Stretcher, Mobile, CRS, 9 Position 1 EA VV . . . . . . 6530


M7710 Electrocardiograph, 12 Lead, Portable 1 EA VV . A . . . . 6515

M8133 Ergometer, Upper Body 1 EA VV . A . . . . 6530

M8185 System, Stress Exercise, w/Treadmill 1 EA VV . D . . . . 6515


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: TPB01 Room Area: 75 Agency Room Name: Toilet, Multi-Specialty Patient Staff: 0 Criteria Room Name: Toilet, Multi-Specialty Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Multi-Specialty Staff: 0 Criteria Room Name: Exam Room, Multi-Specialty Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: MULTI-SPECIALTY CLINIC Room Code: EXPA1 Room Area: 125 Agency Room Name: Exam Room, Multi-Specialty Staff: 0 Criteria Room Name: Exam Room, Multi-Specialty Blueprint #:


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DRAFT




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DRAFT











Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC

Room Code: DR001 Room Area: 50 Agency Room Name: Dressing Room Staff: 0 Criteria Room Name: Dressing Room Blueprint #:


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A1030 Locker, 2 Person, Over/Under 1 EA VV . . . . . . 7125




Room Code: PTEA1 Room Area: 1000 Agency Room Name: Treatment Exercise Area Staff: 0 Criteria Room Name: Treatment Exercise Area Blueprint #:


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CT025 Countertop, Solid Surface with Sink Combination 1 EA CC . . . . . . 6530




G0144 Ergometer, Recumbent Stepper 1 EA VV . . . . . . 6530

G1007 Ergometer, Stationary, Stair 1 EA VV . A . . . . 6530

G1026 Exercise Apparatus, Weight Training, Multi-Station 1 EA VV . . . . . . 6530

G1037 Weight Set, Exercise, Dumbbell 1 ST VV . . . . . . 6530

G1040 Rack, Dumbbell 1 EA VV . . . . . . 6530

G1043 Ergometer, Recumbent Bicycle, Computer Assisted 1 EA VV . A . . . . 6530


M8075 Lift, Patient, Physical Therapy 1 EA CC B . . . . . 6630

M8115 Conditioner, Cold Treatment Pack 1 EA VV . A . . . . 6530

M8120 Therapy Unit, Hydroculator 1 EA VV . A . . . . 6530

M8125 Ergometer, Bicycle, Stationary 2 EA VV . . . . . . 6530

M8174 Ultrasound/Neuromuscular Stimulation Combo Unit 1 EA VV . A . . . . 6515009379697

M8210 Cart, Weight, Physical Therapy, w/Weights 1 EA VV . . . . . . 6630

M8240 Parallel Bars, Physical Therapy 1 EA VV . B . . . . 6530

M8275 Pulley, Triplex 1 EA VC . . . . . . 6530

M8305 Platform, Exercise, w/Mat, Powered 2 EA VV . A . . . . 6530009269068

M8331 Treadmill, Weight Bearing System 1 EA VV . . . . . . 6515

M8335 Exerciser, Continuous Passive Motion (CPM) 1 EA VV . A . . . . 6515



Room Code: PTTC1 Room Area: 125 Agency Room Name: Treatment Room Staff: 0

DRAFT



Criteria Room Name: Treatment Room Blueprint #:


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F0355 Footstool, Straight 1 EA VV . . . . . . 6530007086975

M8174 Ultrasound/Neuromuscular Stimulation Combo Unit 1 EA VV . A . . . . 6515009379697

M8315 Table, Traction, Physical Therapy 1 EA VV . A . . . . 6530 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC

Room Code: OFA09 Room Area: 100 Agency Room Name: Office, Therapist Staff: 1 Criteria Room Name: Office, Therapist Blueprint #:


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Room Code: SRE01 Room Area: 400 Agency Room Name: Storage, Equipment Staff: 0 Criteria Room Name: Storage, Equipment Blueprint #:


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Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PM&R Patient Staff: 0 Criteria Room Name: Toilet, PM&R Patient Blueprint #:


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Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PM&R Patient Staff: 0 Criteria Room Name: Toilet, PM&R Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PROSTHETICS AND SENSORY AIDS CLINIC Room Code: WTG03 Room Area: 80 Agency Room Name: Sub-Waiting, Prosthetics Patient Staff: 0 Criteria Room Name: Sub-Waiting, Prosthetics Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PROSTHETICS AND SENSORY AIDS CLINIC Room Code: OFA03 Room Area: 56 Agency Room Name: Workstation, Dispensing Prosthetic Clerk Staff: 1 Criteria Room Name: Workstation, Dispensing Prosthetic Clerk Blueprint #:


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E0075 Workstation, L-Shaped, Freestanding, 72x48 1 EA VV . A . . . . 6530





Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PROSTHETICS AND SENSORY AIDS CLINIC Room Code: SRCS1 Room Area: 150 Agency Room Name: Storage, Prosthetic Appliances Staff: 0 Criteria Room Name: Storage, Prosthetic Appliances Blueprint #:


Issue

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A5125 Rack, Crutch, Wall Mounted 2 EA VV . . . . . . 6530




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PROSTHETICS AND SENSORY AIDS CLINIC Room Code: MRPA1 Room Area: 80 Agency Room Name: Mailing Room, Prosthetic Appliances Staff: 0 Criteria Room Name: Mailing Room, Prosthetic Appliances Blueprint #:


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F0230 Chair, Drafting, Rotary 1 EA VV . . . . . . 7110002814469


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: HOME BASED PRIMARY CARE Room Code: WRTM1 Room Area: 480 Agency Room Name: Team Work Area, Home-Based Primary Care Staff: 0 Criteria Room Name: Team Work Area, Home-Based Primary Care Blueprint #:


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DRAFT




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: HOME BASED PRIMARY CARE Room Code: SRE01 Room Area: 120 Agency Room Name: Storage Room Staff: 0 Criteria Room Name: Storage Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: WTG02 Room Area: 45 Agency Room Name: Sub-Waiting, Diagnostic Patient Staff: 0 Criteria Room Name: Sub-Waiting, Diagnostic Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: DR001 Room Area: 50 Agency Room Name: Dressing Room Staff: 0 Criteria Room Name: Dressing Room Blueprint #:

DRAFT




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XDR01 Room Area: 300 Agency Room Name: Radiology Room, General Purpose Staff: 0 Criteria Room Name: Radiology Room, General Purpose Blueprint #:


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F0465 Cabinet, Storage, 2 Door, 5 Shelf 1 EA VV . . . . . . 7100



X1405 Stand, Bucky, Vertical, Tilt, Automatic 1 EA VC . A . . . D 6525


X5700 Radiographic Unit, 65 kW, Non-Tilt Table 1 EA VC . F . . . B 6525

DRAFT

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE



Room Code: XDBD1 Room Area: 125 Agency Room Name: Bone Densitometer Staff: 0 Criteria Room Name: Bone Densitometer Blueprint #:


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X2120 Scanner, Bone Density, Full Body 1 EA VV . F . . . . 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XDRF1 Room Area: 320 Agency Room Name: Radiographic / Fluoroscopic (R/F) Room Staff: 0 Criteria Room Name: Radiographic / Fluoroscopic (R/F) Room Blueprint #:


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X3155 Rack, Apron/Gloves, Mobile 1 EA VV . . . . . . 6525

X6185 Rad/Fluoro Unit, Remote, 80 kW, 90/90 Table 1 EA VC . E . . . B 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, R/F Patient Staff: 0 Criteria Room Name: Toilet, R/F Patient Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE



Room Code: XDUS1 Room Area: 180 Agency Room Name: Ultrasound Room Staff: 0 Criteria Room Name: Ultrasound Room Blueprint #:


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CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 1 EA CC . . . . . . 6530



E0930 Locker, Supply, 6 Drawers, Mobile, 29"W x 20"D 1 EA VV . . . . . . 6530









M4266 Pump, Volumetric, Infusion, Multiple Line 1 EA VV . A . . . . 6515

M4655 Stretcher, Mobile, CRS, 9 Position 1 EA VV . . . . . . 6530

M8810 Stand, Mayo 1 EA VV . . . . . . 6530

M8940 Stool, Anesthesia, With Back 1 EA VV . . . . . . 6530

DRAFT



X2100 Scanner, Ultrasound, General Purpose 1 EA VV . B . . . . 6515

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Ultrasound Patient Staff: 0 Criteria Room Name: Toilet, Ultrasound Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: WTG02 Room Area: 45 Agency Room Name: Sub-Waiting, Mammography Patient Staff: 0 Criteria Room Name: Sub-Waiting, Mammography Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XDM01 Room Area: 180 Agency Room Name: Mammography Room Staff: 0 Criteria Room Name: Mammography Room Blueprint #:


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F0360 Footstool, Straight w/Handle 1 EA VV . . . . . . 6530





X5430 Radiographic Unit, Mammography, Digital 1 EA VC . C . . . B 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, Mammography Patient Staff: 0 Criteria Room Name: Toilet, Mammography Patient Blueprint #:

DRAFT




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XVC01 Room Area: 125 Agency Room Name: Viewing Room, Picture Archiving and Communication System Staff: 0

(PACS) Criteria Room Name: Viewing Room, Picture Archiving and Communication System Blueprint #:

(PACS) DRAFT


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X4124 Console, PACS, Remote View, w/Four 2MP Monitors 1 EA VV . A . . . . 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: OFDR1 Room Area: 100 Agency Room Name: Office, Radiology Staff: 1 Criteria Room Name: Office, Radiology Blueprint #:


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F0115 Bookcase, Open, 5 Shelf 1 EA VV . . . . . . 7110







X4122 Console, PACS, Remote View, w/Two 3MP Monitors 1 EA VV . A . . . . 6525

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Radiology Tech Staff: 1 Criteria Room Name: Workstation, Radiology Tech Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: WTG02 Room Area: 45 Agency Room Name: Sub-Waiting, Diagnostic Patient Staff: 0 Criteria Room Name: Sub-Waiting, Diagnostic Patient Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: DR001 Room Area: 50 Agency Room Name: Dressing Room Staff: 0 Criteria Room Name: Dressing Room Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XDR01 Room Area: 300 Agency Room Name: Radiology Room, General Purpose Staff: 0 Criteria Room Name: Radiology Room, General Purpose Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: RADIOLOGY SERVICE Room Code: XDR01 Room Area: 300 Agency Room Name: Radiology Room, General Purpose Staff: 0 Criteria Room Name: Radiology Room, General Purpose Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE

Room Code: LBVP1 Room Area: 80 Agency Room Name: Blood Specimen Collection Room Staff: 0 Criteria Room Name: Blood Specimen Collection Room Blueprint #:


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M1410 Chair, Laboratory, Blood Drawing, w/Storage 1 EA VV . . . . . . 6640


M1830 Printer, Label, Pharmacy 1 EA VV . A . . . . 7100

P2000 Eyewash, Wall Mounted, Hands-Free 1 EA CC B . . . . . 4510

P2450 Valve, Mixing, Thermostatic 1 EA CC A . . . . . 6530


DRAFT






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Room Code: TPSP1 Room Area: 60 Agency Room Name: Toilet, Specimen Collection Staff: 0 Criteria Room Name: Toilet, Specimen Collection Blueprint #:

DRAFT




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Room Code: LBVP1 Room Area: 80 Agency Room Name: Blood Specimen Collection Room Staff: 0 Criteria Room Name: Blood Specimen Collection Room Blueprint #: DRAFT


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Room Code: LMCH1 Room Area: 400 Agency Room Name: Laboratory, Clinical Chemistry Staff: 0 Criteria Room Name: Laboratory, Clinical Chemistry Blueprint #:


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C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W 1 EA CC . . . . . . 6530

C04E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x36x22 1 EA CC . . . . . . 6530






DRAFT



L1035 Analyzer, Chemistry, Stat 1 EA VV E D . . . A 6630

L1502 Centrifuge, Tabletop 1 EA VV . A . . . . 26640




Room Code: LBSS1 Room Area: 100 Agency Room Name: Shipping / Receiving Staff: 0 Criteria Room Name: Shipping / Receiving Blueprint #:


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E0573 Workstation, Shipping/Receiving Lab, Minimal 1 EA VV A A . . . . 6530


F2540 Shredder, Paper, Security 1 EA VV . A . . . . 7100


L1502 Centrifuge, Tabletop 1 EA VV . A . . . . 26640



P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free 1 EA CC A . . . . . 4510


R5135 Freezer, Undercounter, 5 Cubic Feet 1 EA VV . A . . . . 4110

R6200 Refrigerator, U/C or F/S, 5 Cu Ft 1 EA VV . A . . . . 4110

DRAFT




Room Code: SRS01 Room Area: 250 Agency Room Name: Storage, Bulk Staff: 0 Criteria Room Name: Storage, Bulk Blueprint #:


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Room Code: SRR02 Room Area: 50 Agency Room Name: Storage, Refrigerated Staff: 0 Criteria Room Name: Storage, Refrigerated Blueprint #:


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R6060 Refrigerator, Biological, SS, 2 Door, 40 Cu Ft 2 EA VV . A . . . C 4110


Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:


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DRAFT











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DRAFT




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: PHOW1 Room Area: 60 Agency Room Name: Dispensing, Window Staff: 0 Criteria Room Name: Dispensing, Window Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: PHOW1 Room Area: 80 Agency Room Name: Prescription Receiving, Window Staff: 0 Criteria Room Name: Prescription Receiving, Window Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Pharmacy Staff: 1 Criteria Room Name: Consult Room, Pharmacy Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Pharmacist Staff: 1 Criteria Room Name: Workstation, Pharmacist Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: PHOD6 Room Area: 1520 Agency Room Name: Pharmacy, PACT 3 Staff: 0 Criteria Room Name: Pharmacy, PACT 3 Blueprint #:

DRAFT




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E0612 Shelf Unit, Pharmacy, Wall Mtd, 88"Hx48"Wx16"D 6 EA VV . . . . . . 6530

E0648 Station, Picking, Pharm, U-Shape, Free Std, 144x72 1 EA VV . . . . . . 6530

E0674 Pharmacy Manuf & Prepack Medium Volume 1 EA VV D A . . . . 6530

E0978 Cart, Wire, Mobile, 72"H x 48"W x 24"D 4 EA VV . . . . . . 6530



F0530 Cart, Trash 2 EA VV . . . . . . 7110


F2026 Container, Recycling, Large 2 EA VV . . . . . . 7100


L1200 Cabinet, Specimen, Pass Thru, CRS 1 EA CC . . . . . . 6640



M1840 Printer/Copier/Fax Combination 2 EA VV . A . . . . 7100

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves 1 EA VV . . . . . . 7125

M2020 Cabinet, Storage, Safety, Built-In, Vented 1 EA CC . . . . . E 7125


M7265 Counter, Pill/Tablet, Automated, Counter Mounted 1 EA VV . A . . . . 6530

M7280 Dispensing System, Prescription, Robotic 3 EA VV . F . . . .

P1960 Eyewash, Counter Top 1 EA CC B . . . . . 4510


R6060 Refrigerator, Biological, SS, 2 Door, 40 Cu Ft 2 EA VV . A . . . C 4110

R6100 Freezer, Food, Upright, CRS, 23 CUFT 1 EA VV . A . . . . 4110

DRAFT




R7050 Refrigerator, 25 Cubic Feet 2 EA VV . A . . . . 4110

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: WKTM4 Room Area: 140 Agency Room Name: Data Processing Staff: 2 Criteria Room Name: Data Processing Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: PHOW1 Room Area: 80 Agency Room Name: Prescription Receiving, Window Staff: 0 Criteria Room Name: Prescription Receiving, Window Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PHARMACY SERVICE Room Code: PHOW1 Room Area: 60 Agency Room Name: Dispensing, Window Staff: 0 Criteria Room Name: Dispensing, Window Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: CLINIC MANAGEMENT Room Code: OFA09 Room Area: 100 Agency Room Name: Office, CMO Staff: 1 Criteria Room Name: Office, CMO Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: CLINIC MANAGEMENT Room Code: OFA09 Room Area: 100 Agency Room Name: Office, Nurse Manager Staff: 1 Criteria Room Name: Office, Nurse Manager Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: BUSINESS SERVICES Room Code: WKTM1 Room Area: 240 Agency Room Name: Workroom, Business Services Staff: 2 Criteria Room Name: Workroom, Business Services Blueprint #:

DRAFT




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Code






F0130 Bookstack, Single 2 EA VV . . . . . . 7195









M1825 Printer, Computer 1 EA VV . A . . . . 7025 DRAFTDepartment: OUTPATIENT / PACT CLINIC (265) Functional Area: ENGINEERING SERVICE Room Code: BMER1 Room Area: 200 Agency Room Name: Repair Shop, Biomedical Engineering Staff: 0 Criteria Room Name: Repair Shop, Biomedical Engineering Blueprint #:


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T0005 Electrical Safety Analyzer 1 EA VV . A . . . . 6625

T0015 Defibrillator Analyzer, Automatic, Portable 1 EA VV . A . . . . 6625

T0030 Radiation-Light Field Analyzer 1 EA VV . A . . . . 6525

T0801 Workbench, Electric, Pedestal Base 1 EA VV . B . . . . 7195000571976

T8030 Electrosurgery Analyzer 1 EA VV . . . . . . 6625010428213

T8055 Wattmeter, Ultrasonic 1 EA VV . A . . . . 6625

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOGISTICS SERVICE Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Logistics Staff: 1 Criteria Room Name: Workstation, Logistics Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOGISTICS SERVICE Room Code: DOCK1 Room Area: 130 Agency Room Name: Receiving / Shipping Dock Staff: 0 Criteria Room Name: Receiving / Shipping Dock Blueprint #:


Issue

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A6125 Leveler, Dock 1 EA CC . . . . . . 3990



K0450 Curtain, Air 1 EA CC . D . . . . 7310

K9300 Washer, Pressure w/Sanitizer 1 EA VC D A . . . . 7310

M2105 Pallet Lift, Hydraulic, Manual, 48" Pallet 1 EA VV . . . . . . 3920

M2115 Truck, Hand, 2 Wheel 1 EA VV . . . . . . 3920

M2120 Truck, Platform, 4 Wheel 1 EA VV . . . . . . 3920

M4025 Scale, Roll On, Freestanding, 2000 Pound Capacity 1 EA VV . A . . . . 6530

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOGISTICS SERVICE Room Code: SRLG3 Room Area: 1860 Agency Room Name: Storage Area, Logistics PACT 3 Staff: 0 Criteria Room Name: Storage Area, Logistics PACT 3 Blueprint #:


Log Cat/ Acq

Code







F2700 Reader, Bar Code, Hand Held, With Interface 2 EA VV . A . . . . 7200


M1840 Printer/Copier/Fax Combination 1 EA VV . A . . . . 7100

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves 1 EA VV . . . . . . 7125

M2020 Cabinet, Storage, Safety, Built-In, Vented 1 EA CC . . . . . E 7125

M2025 Rack, Storage, Cylinder, Gas 3 EA VV . . . . . . 7125


M2070 Shelving, Storage, 77hx36wx18d 9 EA VV . . . . . . 7100

M2085 Shelving, Storage, Pallet 12 EA VV . . . . . . 7100

M2090 Shelving, Storage, Warehouse 12 EA VV . . . . . . 7125010995763

M2115 Truck, Hand, 2 Wheel 2 EA VV . . . . . . 3920

M2130 Truck, Hydraulic Lift, Electric 1 EA VV . A . . . . 3930

DRAFT



M7780 Scanner, Document 1 EA VV . A . . . . 6515


P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA CC B . . . . . 4510

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: POLICE SERVICE Room Code: CROP1 Room Area: 125 Agency Room Name: Operations Room Staff: 0 Criteria Room Name: Operations Room Blueprint #:


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F0425 Cabinet, Filing, Security, Full Height 1 EA VV . . . . . . 7110

F0780 Table, Work, 60W x 30D 2 EA VV . . . . . . 7110


F2550 Shredder, Paper Heavy Duty 1 EA VV . A . . . . 7100



F3230 Rack, Hat / Coat, Wall Mounted 1 EA VV . . . . . . 5340

M0385 Projector, Multimedia/Data 1 EA VV . A . . . . 6700

M0400 Screen, Projection, 144x144, Remote Control 1 EA CC . A . . . . 6730





DRAFT



M4125 Radio Communication System 1 SY VV . F . . . . 5820

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: POLICE SERVICE Room Code: POH01 Room Area: 60 Agency Room Name: Holding Room Staff: 0 Criteria Room Name: Holding Room Blueprint #:


Log Cat/ Acq

Code


A5020 Bench, Locker Room, Floor Mounted 1 EA CC . . . . . . 7105

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: POLICE SERVICE Room Code: LR001 Room Area: 125 Agency Room Name: Locker Room Staff: 0 Criteria Room Name: Locker Room Blueprint #:


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Code




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: POLICE SERVICE Room Code: SSS01 Room Area: 40 Agency Room Name: Storage, Secure Staff: 0 Criteria Room Name: Storage, Secure Blueprint #:


Issue

Log Cat/ Acq

Code


F0425 Cabinet, Filing, Security, Full Height 1 EA VV . . . . . . 7110

F3105 Safe, F/S , Class 5 1 EA VV . . . . . . 7110



Department: OUTPATIENT / PACT CLINIC (265) Functional Area: CANTEEN SERVICE Room Code: BX002 Room Area: 360 Agency Room Name: Vending Machine Area Staff: 0 Criteria Room Name: Vending Machine Area Blueprint #:


Log Cat/ Acq

Code


A6030 Machine, Vending 2 EA L_RE . A . . . . 7100




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: CANTEEN SERVICE Room Code: FSCD5 Room Area: 1680 Agency Room Name: Canteen, PACT 3 Staff: 0 Criteria Room Name: Canteen, PACT 3 Blueprint #: DRAFT


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F2125 Cash Register, With Locking Drawer 1 EA VV . A . . . . 7110




K4660 Oven, Microwave, Heavy Duty, 1000 Watts 1 EA VV . B . . . . 7310

K7250 Table, Food Preparation, CRS, Mobile 1 EA VV . . . . . . 7310

K8250 Toaster, Pop-Up, 4 Slice, Electric 1 EA VV . C . . . . 7310


R7200 Refrigerator, 20 Cubic Feet 1 EA VV . A . . . . 4110

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: WRTM2 Room Area: 125 Agency Room Name: Tele-Health Room Staff: 0 Criteria Room Name: Tele-Health Room Blueprint #:


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DRAFT












Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: RCA06 Room Area: 20 Agency Room Name: Alcove, Medication Staff: 0 Criteria Room Name: Alcove, Medication Blueprint #:


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Code




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area, Clinical Support Staff: 0 Criteria Room Name: Team Work Area, Clinical Support Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: SRE01 Room Area: 100 Agency Room Name: Storage, Equipment Staff: 0 Criteria Room Name: Storage, Equipment Blueprint #:


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Code




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: OFDC2 Room Area: 125 Agency Room Name: Consult Room, Clinical Support Staff: 1 Criteria Room Name: Consult Room, Clinical Support Blueprint #:


Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: CFR01 Room Area: 240 Agency Room Name: Training Room, Staff Staff: 0 Criteria Room Name: Training Room, Staff Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: CFR01 Room Area: 240 Agency Room Name: Conference Room Staff: 0 Criteria Room Name: Conference Room Blueprint #:


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: LAC01 Room Area: 100 Agency Room Name: Lactation Room Staff: 0 Criteria Room Name: Lactation Room Blueprint #:


Issue

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F0255 Chair, Easy 1 EA VV . . . . . . 7100



M2605 Pump, Breast 1 EA VV . A . . . . 6515


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: SL001 Room Area: 220 Agency Room Name: Lounge, Staff Staff: 0 Criteria Room Name: Lounge, Staff Blueprint #:


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DRAFT











Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: LR001 Room Area: 60 Agency Room Name: Locker, Staff Personal Property Staff: 0 Criteria Room Name: Locker, Staff Personal Property Blueprint #:


Log Cat/ Acq

Code




Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:


Issue

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DRAFT




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: STAFF SUPPORT AREA Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #: DRAFT


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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: COMC1 Room Area: 110 Agency Room Name: Communications Room Staff: 0 Criteria Room Name: Communications Room Blueprint #:


Log Cat/ Acq

Code


A0900 Relay Rack, Aluminum 3 EA VV . . . . . .

A0901 Cable Management, Horizontal Base Unit 26 EA VV . . . . . .

A0902 Rear Wire Frame 13 EA VV . . . . . .

A0903 Rear Hinged Cover, for LAN Rack 13 EA VV . . . . . .

A0904 Fiber Optic Cabinet, 36 Port, Rack Mounted 1 EA VV . . . . . .

A0908 Patch Panel, 110 Block/RJ-45, Cat 5E, 48 Port,568A 13 EA VV . . . . . .

A0911 Power Supply, Uninterruptable, Rack Mounted 1 EA VV . B . . . .

A0912 Battery Pack, Extended for use with UPS (A0911) 1 EA VV . . . . . .

A0913 Switch, Local Area Network (LAN) 1 EA VV . A . . . .

A0914 Management Processor Module for LAN Switch 1 EA VV . A . . . .

A0915 Power Supply, 725 W, for LAN Switch 1 EA VV . A . . . .

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: JANC1 Room Area: 60 Agency Room Name: Housekeeping Aides Closet (HAC) Staff: 0 Criteria Room Name: Housekeeping Aides Closet (HAC) Blueprint #:

DRAFT




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Code






A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd 1 EA CC . . . . . . 7125

F0500 Cart, Janitor's 1 EA VV . . . . . . 7110

F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA VV . . . . . . 7100



P4700 Sink, Mop, Molded Stone 1 EA CC D . . . . . 4510

Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: USCL1 Room Area: 80 Agency Room Name: Utility Room, Soiled Staff: 0 Criteria Room Name: Utility Room, Soiled Blueprint #: DRAFT


Log Cat/ Acq

Code











CT050 Countertop, Stainless Steel 7 LF CC . . . . . . 6530









Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: UTC01 Room Area: 80 Agency Room Name: Utility Room, Recycled Material Staff: 0 Criteria Room Name: Utility Room, Recycled Material Blueprint #:


Log Cat/ Acq

Code



F0530 Cart, Trash 1 EA VV . . . . . . 7110




Issue

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Code















Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: UCCL1 Room Area: 125 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:


Log Cat/ Acq

Code









Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: USCL1 Room Area: 80 Agency Room Name: Utility Room, Soiled Staff: 0 Criteria Room Name: Utility Room, Soiled Blueprint #:


Issue

Log Cat/ Acq

Code













CT050 Countertop, Stainless Steel 7 LF CC . . . . . . 6530







Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: UTC01 Room Area: 80 Agency Room Name: Utility Room, Recycled Material Staff: 0 Criteria Room Name: Utility Room, Recycled Material Blueprint #:


Issue

Log Cat/ Acq

Code



F0530 Cart, Trash 1 EA VV . . . . . . 7110


Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: NT001 Room Area: 20 Agency Room Name: Pneumatic Tube Station Staff: 0 Criteria Room Name: Pneumatic Tube Station Blueprint #:




Log Cat/ Acq

Code




A6165 Station, Pneumatic Tube System 1 EA CC . . . . . . 5680



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DRAFT




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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: NT001 Room Area: 20 Agency Room Name: Pneumatic Tube Station Staff: 0 Criteria Room Name: Pneumatic Tube Station Blueprint #: DRAFT


Log Cat/ Acq

Code





Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: UCCL1 Room Area: 125 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:




Log Cat/ Acq

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: COMC1 Room Area: 110 Agency Room Name: Communications Room Staff: 0 Criteria Room Name: Communications Room Blueprint #: DRAFTJSN Content Name Qty Unit Of

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Issue

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Department: OUTPATIENT / PACT CLINIC (265) Functional Area: SUPPORT AREA Room Code: NT001 Room Area: 20 Agency Room Name: Pneumatic Tube Station Staff: 0 Criteria Room Name: Pneumatic Tube Station Blueprint #: DRAFTJSN Content Name Qty Unit Of

Issue

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Report Parameters

Sorted By: Selection Tree

DRAFT


Documents

DURHAM TEST DRAFT - Veterans Affairs...Unit Of Issue Log Cat/ Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN A6046 Artwork, Decorative, With Frame 1 EA VV . . . . . . 6230 Department: