A D E N D U M D O K U M E N P E N G A D A A N Nomor: PR Tanggal: 22 Maret 2013

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A D E N D U M D O K U M E N P E N G A D A A N

Nomor: PR.01.01.107.03.13.0791

Tanggal: 22 Maret 2013

untuk

Pengadaan

REAGEN

Panitia Pengadaan Reagen, Media Mikrobiologi dan Buffer Stock

BALAI BESAR PENGAWAS OBAT DAN MAKANAN DI DENPASAR

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SAMPUL DOKUMEN

TETAP/ TIDAK ADA PERUBAHAN

BAB I. UMUM

BAB II. PENGUMUMAN PELELANGAN UMUM DENGAN PASCAKUALIFIKASI

BAB III. INSTRUKSI KEPADA PESERTA (IKP) TETAP/ TIDAK ADA PERUBAHAN

BAB IV. LEMBAR DATA PEMILIHAN (LDP)

BAB V. LEMBAR DATA KUALIFIKASI (LDK) TETAP/ TIDAK ADA PERUBAHAN

BAB VI. BENTUK DOKUMEN PENAWARAN

A. BENTUK SURAT PENAWARAN PESERTA BADAN USAHA/KEMITRAAN

(KSO)

KOP SURAT BADAN USAHA

Berubah :

Penawaran ini berlaku sejak 31 Maret 2013 sampai dengan tanggal 15

April 2013___[perkiraan tanggal penandatanganan Kontrak, diisi oleh Pokja

ULP].

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BAB VII. PETUNJUK PENGISIAN DATA KUALIFIKASI

BAB VIII. TATA CARA EVALUASI KUALIFIKASI TETAP/ TIDAK ADA PERUBAHAN

BAB IX. BENTUK DOKUMEN KONTRAK TETAP/ TIDAK ADA PERUBAHAN

BAB X. SYARAT-SYARAT UMUM KONTRAK TETAP/ TIDAK ADA PERUBAHAN

BAB XI. SYARAT-SYARAT KHUSUS KONTRAK

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BAB XII. Spesifikasi Teknis

BERUBAH : CAIR No 76, 80, 81, 82, 83, 84, 85, 86, 87, 88

No.

Urut Nama Reagen Kemasan/Volume Jumlah Total

PADAT

1 1,3 Dinitrobenzene 25 gr 1

2 Acetanilide for synthesis 100 gr 1

3 Ammonium Acetat for Analysis 1 kg 3

4 Di-Ammonium Hydrogen Phosphate 500 gr 1

5 Ammonium Dihydrogen Phosphate 500 gr 3

6 Ammonium formate 100 gr 1

7 Amylum (Starch Soluble) 100 gr 1

8 Boiling Chip granules 100 gr 3

9 Boric Acid for Analysis 1 kg 1

10 Bromophenol Blue Indicator 5 gr 1

11 Briliant Blue R Concentrate 1 x 1EA 1

12 Cesium Chloride 99.995 Suprapur 50 gr 1

13 Calcium Chloride Dihidrat for analysis 1 kg 1

14 Chloroplatinic Acid Hydrate 250 mg 1

15 Citric Acid Monohydrat 1 kg 2

16 Cobalt (II) Asetat Tetrahydrate 100 gr 1

17 Cobalt (II) Tiosianat 5 gr 1

18 Copper (II) Sulfat 250 gr 1

19 Curcuma Paper / Turmeric Paper Pack (200 strip) 2

20 High Vacuum Silicone Grease 1 x 1EA 3

21 dl-10-Kamfer Sulfonat 500 gr 1

22 Dibasic Potassium Fosfat Trihidrat 250 gr 3

23 Dibutylamin 1 kg 1

24 2,7 Diklorofluorescein 10 gr 1

25 Disodium Hidrogen Phosfat Dihidrat 1 kg 4

26 Dipotasium Hydrogen Phosphat _Anhidrat 1 kg 1

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No.

28 HPTLC Plates Silica Gel 60 F254 _{(20x10) GLASS} 50 plates 5

29 Hydroxy Naphtol Blue 10 gr 1

30 Iodine 100 gr 2

31 Kjeldal Tablets 250 tab 1

32 Magnesium Nitrat Hexahydrate For _Analysis 500 gr 1

33 Molybdatophosphoric Acid Hydrate 25 gr 1

34 Manganese (Iv) Oxide 1 kg 1

35 Molecular Sieve 0.3 Nm Beads 1 kg 1

36 N-(1-Naphthyl) Ethylenediamine 2hcl

(GNG) 5 gr 1

37 Pb Asetat Trihidrat 250 gr 1

38 Potassium Chloride 1 kg 1

39 Potassium Dihidrogen Phosphat For _Analysis 1 kg 5

40 Potassium Dikromat 500 gr 1

41 Potassium Heksasianoferat (III) 250 gr 1

42 Potassium Hidroksida 1 kg 3

43 Potassium Iodida For Analysis 500 gr 4

44 Sulfite Test Kotak @100 Strips 2

45 Silica Gel 60 F254 25 TLC 20 X 20 Cm _GLASS 25 Unit 33

46 TLC Plates Silica Gel 60 F254 With _Conc. 25 Unit 2

47 Silica Gel With Moistore Indicator 1 kg 2

48 Silver Nitrate For Analysis 25 gr 2

49 Sodium Acetate Trihydrate 1 kg 2

50 Sodium Carbonate Anhydrous For _Analysis 5 kg 2

51 Sodium Carbonate Anhydrous 1 kg 1

52 Sodium Chloride For Analysis 1kg 4

53 Sodium Fosfat Monobasic 1 kg 1

54 Heptane-1-Sulfonic Acid Sodium Salt 25 gr 2

55 Sodium Hidroksida For Analysis 1 kg 9

56 Sodium Dodecyl Sulfate Ph Eur (HS2) 1 kg 2

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No.

58 Sodium Citrate Dyhidrate Mb Grade 500 gr 1

59 Sodium Thiosulfate Pentahydrate 1 kg 1

60 Merckoquant Arsenic Test (0.02-_3.0mg/L) 100 strips 1

61 Merckoquant Cyanide Test (1-30mg/L) 100 strips 1

62 Aquamerck Formaldehyde Test(0.1-_1.5mg/L) 100 test 4

63 Aquamerck Nitrite Test In _{Fresh,Seawater} 100 test 1

64 Merckoquant Lead Test (20-500mg/L) 100 strips 1

65 Sunset Yellow Fcf 25 gr 1

66 Tetraheptil Ammonium Bromid 50 gr 1

67 Tetrazolium Blue For Microscopy 5 gr 1

68 Tin(II) Chloride Anhydrous For _Synthesis 500 gr 1

69 TLC Plate Silica Gel 60 F254 (10X20

Cm) GLASS 50 gr 4

70 Urea USP 100 gr 1

71 Vanillin F. Synth. 100 gr 1

Cair

1 1-Propanol For Analysis 1 L 1

2 1-Propanol For Analysis 2,5 L 4

3 2-Propanol For Analysis 2,5 L 2

4 1-Butanol 2,5 L 1

5 Acetic Acid 96% 2,5 L 4

6 Acetic Acid (Glacial) 100% 2,5 L 7

7 Acetylacetone For Analysis(GA2) 100 mL 1

8 Acetone For Analysis 2,5 L 20

9 Acetonitrile Gradient Grade For Liquid

C 4 x 4 L 13

10 Acetonitrile Hypergrade For LC-MS. 2,5 L 3

11 Ammonium Hidroksida Solution ACS _{Reagent, 28-30% NH3 Basis} 2,5 L 1

12 Bromcresol Green/Methyl Red Mixed _{Indicator Solution In Methanol} 500 mL 1

13 3- Chloro-1,2-Propane Diol Standard 25 mL 2

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No.

15 Hydrochloric Acid Fuming 37% for _analysis 2,5 L 3

16 Nitric Acid 65% for analysis 2,5 L 5

17 Sulfuric Acid 95-97% 2,5 L 11

18 Ammonia solution 25 % 2,5 L 2

19 Chicken Pankreatin _{(Glutamylhydrolase)} Vial 1

20 Chloroform for analysis 2,5 L 6

21 Cyclohexane for analysis 2,5 L 6

22 Dichloromethane for analysis 2,5 L 2

23 Diethyl ether for analysis 5 L 13

24 Diethylamin for sintesis 2,5 L 1

25 Titriplex III for analysis 250 mL 1

26 Ethanol absolute for analysis 2,5 L 40

27 Ethanol Gradient Grade Lichrosolv 2,5 L 35

28 Ethylacetat for analysis 2,5 L 10

29 Extran ap 21 acidic with phosphoric _acid 2,5 L 1

30 Formaldehyde solution min. 37% 2,5 L 3

31 Glycerol 500 mL 1

32 Heptafluorobutyric anhydride for GC _{derivatization > 99,0%} 5 mL 5

33 Hydranal water Standar 1% 10 x 8ml 2

34 Hydranal Solvent 1 L 3

35 Hydranal Titran 5 1 L 2

36 Isobutanol For Analysis 2,5 L 2

37 Isooctane for analysis 2,5 L 1

38 Isopropylamine f. synth. 2,5 L 1

39 Lithium Chloride For Analysis 100 ml 1

40 Methanol For GC Suprasolv 2,5 L 2

41 Methanol HPLC Grade 4 X 4L 42

42 Methyl Acetate For Sintesis 1 L 2

43 Methanol Hypergrade Lichrosolv 2,5 L 1

44 Millon Reagent 50 mL 1

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No.

46 Ortho-Phosphoric Acid 85% 2,5 L 6

47 Parafin Liquid 1 L 1

48 Petroleum Eter For Analysis 2,5 L 1

49 Pectinase Botol @ 50 ml 1

50 Propionic Acid Analytical Standard 1 mL 3

51 Pyrethroid Standard Mixture 2 mL 2

52 Arsenic Standard 1,000mg/L As 100 mL 2

53 Standard Solution (Cr VI) Cromium _{1000 mg/L} 100 mL 1

54 Standard Solution (Hg) Mercury 1000 _Mg/L 100 mL 1

55 Lead STANDARD 1,000MG/L PB 100 mL 2

56 Zink Standard Solution 100 mL 1

57 Cadmium Standard Solution _{1,000mg/L Cd} 100 mL 2

58 Larutan Standar Besi (Fe Certipur) 100 mL 1

59 Tetrametyl Ammonium Hydroxyde 250 mL 1

60 Tetrahydrofuran Lichrosolv 1 L 6

61 Tetrabutyl Ammonium Hydroxide For

Sintesis 100 mL 2

62 Tetra-N-Butylammonium Hydroxide _Solution 1 L 2

63 Triethanolamine Hydrochloride 2 L 2

64 Trietilamin For sintesis 3 L 3

65 2-Phenoxyethanol 1 x 5mL 2

66 Thioglycolic acid 1 X 25 mL 1

67 Aqua DM 20 L 203

68 Quechers extract tubes AOAC method 1 Pack 1

69 Dispersive 15 ml, fatty sampel AOAC _w/CH 1 Pack 1

70 Dispersive 15 ml, fruit & Veg AOAC

w/CH 1 Pack 1

71 QC Solution, AOAC Method 1 mL 1

72 Gas Nitrogen (N2) Ultra High Purity _(UHP)13 2 m3 2

73 Gas Hidrogen (H2) Ultra High Purity

(UHP) 6 m3 1

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No.

75 Gas Argon Ultra High Purity (UHP) 6 m3 1

76 Gas Nitros Oksida (N2O) High Purity _(HP) 25 kg 1

77 Asetilen Ultra high Purity (UHP) 6 m3 1

78 Argon for LCMSMS+ tabung 6 m3 1

79 Argon for LCMSMS 6 m3 1

80 Gas Nitrogen (N2) Ultra High Purity _{(UHP) 150 bar+tabung (GC)} 6 m3 1

81 Gas Hidrogen (H2) Ultra High Purity _{(UHP) 150 bar+ tabung (GC)} 6 m3 1

82 Gas Helium (He) Ultra High Purity _{(UHP) 150 bar+ tabung (GC)} 6 m3 1

83 Gas Nitros Oksida (N2O) (HP) + _{tabung (GC)} 25 kg 1

84 Gas Argon Ultra High Purity (UHP)

150 bar+tabung (GC) 6 m3 1

85 Gas Metan 130 bar+ tabung (GCMS) 6 m3 1

86 Gas Helium (He) Ultra High Purity _{(UHP) 150 bar+ tabung (GCMS)} 6 m3 1

87 Gas Hidrogen (H2) Ultra High Purity _{(UHP) 150 bar+ tabung (GCMS)} 6 m3 1

88 Compressed Air (Air Liquid)(Alpha gaz _{air ) + tabung (GCMS)} 6 m3 1

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BAB XIII. DAFTAR KUANTITAS DAN HARGA

BAB XIV. BENTUK DOKUMEN LAIN