05.A.1 RLP 36C10F26R0024 Project Room Contents List RCL SPB County FL OPC 7_17_2026.pdf
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- Solicitation number
- 36C10F26R0024
About this file
This is a Project Room Contents List (RCL) document for a Department of Veterans Affairs construction project located in South Palm Beach County, Florida under solicitation 36C10F26R0024. The RCL serves as a detailed inventory and specification document for furnishings, equipment, and materials required for an Outpatient Primary Care (OPC) facility comprising 56,076 square feet of ANSI/BOMA-measured space. The document functions as a technical appendix to the solicitation, providing room-by-room breakdowns of required items, quantities, specifications, and standards that contractors or vendors must furnish and deliver as part of the overall project scope.
The RCL is a supporting specification document rather than a standalone solicitation vehicle and does not contain pricing terms, response dates, or award dates. Instead, it provides detailed product and material requirements organized by individual rooms within the OPC facility, enabling contractors to accurately estimate costs and plan procurement and delivery logistics. This document is essential for ensuring that all parties involved in the construction or outfitting of the facility maintain alignment on required contents and specifications throughout the project execution phase.
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Project Room Contents
SOUTH CBOC - FY25 MID-LEVEL REV 2025-11-20
COMBINED PC AND SPECIALTY CARE
DELRAY BEACH
Projected Year: 2025 Midpoint Year: 2027
VISN: 8 State: FL Station ID: 548 Station Name: West Palm Beach Installation: VA Medical Center
Project Created: 17 Mar 2024 10:14PM ET by Jason Moseley Space Plan Last Edited: 20 Nov 2025 08:26PM ET by Dickens Precil
Contents List Created: 14 Aug 2024 07:38PM ET by Linda Chan Contents List Last Edited: 03 Dec 2025 04:17PM ET by Dickens Precil
Report Generated: 03 Dec 2025 11:50AM ET
Project Room Contents (03 Dec 2025 11:50AM ET)
FOR OFFICIAL USE ONLY (Page 2)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 0 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: LOB02 - Vestibule Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A6046 Artwork,Decorative,With Frame 1 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 90
Room: SRLW1 - Alcove, Wheelchair Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M4705 Wheelchair,Patient Transport,Folding 1 EA VV
M4710 Wheelchair,Patient,Bariatric,Transport,Folding 1 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 220
Room: WTF03 - Waiting, CBOC Family - 1 child table w 4 chairs 1 bookbin 2 std chair 1 bari chair 1 access space 1 end table Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A6046 Artwork,Decorative,With Frame 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV F0215 Chair,Child's 4 EA VV
F0305 Chair,Waiting Room,Single 2 EA VV
F0760 Table,Child's 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F2300 Rack,Magazine,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
FOR OFFICIAL USE ONLY (Page 3)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 100
Room: LAC01 - Lactation Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
C0035 Rail,Apron,4x24x1 2 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
CS040 Sink,SS,Single Compartment,7.5x14x14 ID 1 EA CC D
CT020 Countertop,Solid Surface 6 LF CC F0255 Chair,Easy 1 EA VV
F0740 Table,Occasional,Lamp 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
R6200 Refrigerator,U/C or F/S,5 Cu Ft 1 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 85
Room: NCWD4 - Alcove, Volunteer Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
CB020 Cabinet,W/H,2 Shelf,1 DO,Sloping Top,38x24x13 1 EA CC CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT030 Countertop,High Pressure Laminate 1 LF CC
FOR OFFICIAL USE ONLY (Page 4)
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3025 Board,Bulletin,Wood Framed 1 EA CC
K1552 Brewer,Coffee,Auto,Elect,3 Burner,Front/Back 1 EA VV J A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 30
Room: CLSC2 - Workstation, Patient Education (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
F0280 Chair,Swivel,Low Back 1 EA VV F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 80
Room: TNPFM - Toilet, Family (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
FOR OFFICIAL USE ONLY (Page 5)
P3000 Lavatory,Vitreous China,Straight Back 1 EA CC D
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 370
Room: WTPC2 - Waiting, CBOC - 18 people - 14 std 2 bariatric 2 access space 3 end tables (x 5) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 2 EA VV
A5220 Bracket,Television,Wall Backing 2 EA CC
A6046 Artwork,Decorative,With Frame 4 EA VV F0206 Chair,Side,Bariatric,With Arms 18 EA VV
F0305 Chair,Waiting Room,Single 146 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F2300 Rack,Magazine,Wall Mounted 1 EA VV
M0512 Television,HDTV,Large Screen,60" 3 EA VV . A
Room: TNPM2 - Toilet, Male Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC A5075 Dispenser,Soap,Disposable 2 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 2 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 2 EA CC
FOR OFFICIAL USE ONLY (Page 6)
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 2 EA CC
CT020 Countertop,Solid Surface 1 LF CC
F2015 Basket,Wastepaper,Metal/Plastic,2 Swinging Doors 1 EA VV P3070 Lavatory,Vitreous China,Under or Counter Top Mtd 2 EA CC D
P8150 Urinal,Wall Hung 1 EA CC B
P9050 Toilet,Wall Hung,Siphon Jet 2 EA CC B
Room: TNPF2 - Toilet, Female Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 2 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 2 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 2 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 2 EA CC A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 3 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 2 EA CC
CT020 Countertop,Solid Surface 1 LF CC
F2015 Basket,Wastepaper,Metal/Plastic,2 Swinging Doors 2 EA VV
P3070 Lavatory,Vitreous China,Under or Counter Top Mtd 2 EA CC D P9050 Toilet,Wall Hung,Siphon Jet 3 EA CC B
Room: SB131 - Information Desk, Bldg Sprt Blueprint #:
FOR OFFICIAL USE ONLY (Page 7)
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A6105 Counter,Reception Control,Built-In 1 EA CC . A
F0275 Chair,Swivel,High Back 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 120
Room: SC174 - Patient Interview Room, HAS Eligibility Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
F0205 Chair,Side With Arms 3 EA VV F0340 Stool,Self Adjusting 1 EA VV
F0740 Table,Occasional,Lamp 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: EXPA1 - Exam Room, Patient Aligned Care Team (PACT) (x 19) Blueprint #:
FOR OFFICIAL USE ONLY (Page 8)
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530 A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC A5180 Track,Cubicle,Surface Mounted 12 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A M9025 Table,Examination/Treatment,With Cabinet 1 EA VV . A
U5180 Curtain 2 EA VV
FOR OFFICIAL USE ONLY (Page 9)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 60 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: TPG01 - Toilet, PACT Patient (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P3000 Lavatory,Vitreous China,Straight Back 1 EA CC D
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: EXW01 - Exam Room, Women's Health (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530 A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC A5180 Track,Cubicle,Surface Mounted 12 FT CC
C04Q0 Cabinet,ADA Sink,Wall-Mounted 1 EA CC
FOR OFFICIAL USE ONLY (Page 10)
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0045 Workcenter,Computer,Free Standing,60" W 1 EA VV E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3025 Board,Bulletin,Wood Framed 1 EA CC F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 60
Room: TPG01 - Toilet, Women's Health Exam Room Patient (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
FOR OFFICIAL USE ONLY (Page 11)
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P3000 Lavatory,Vitreous China,Straight Back 1 EA CC D P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 180 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: TRPR1 - Procedure Room, PACT (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone,Desk,1 Line 1 EA VV . . . . . T 5805
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530 A1203 Lift System,Overhead,Bariatric 1 EA VV . F . . . J
Coordination with GC for ceiling plan and structural support
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5180 Track,Cubicle,Surface Mounted 22 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D CT020 Countertop,Solid Surface 1 LF CC
E0915 Locker,Supply,Medication,Wall Mtd,23"W x 20"D 1 EA VV
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3010 Board,Bulletin,48 x 48 1 EA CC
M0750 Flowmeter,Air,Connect w/50 PSI Supply 1 EA VV . . K . . . 6530
FOR OFFICIAL USE ONLY (Page 12)
M0755 Flowmeter,Oxygen,Low Flow 1 EA VV . . A . . . 6680
M0765 Regulator,Vacuum 2 EA VV . . B . . . 6515
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A M3070 Hamper,Linen,Mobile,w/Lid 1 EA VV
M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M4255 Stand,IV,Adjustable 1 EA VV M4655 Stretcher,Mobile,CRS,9 Position 1 EA VV
M7405 Light,Exam,Ceiling Mounted 1 EA CC . F
M7710 Electrocardiograph,12 Lead,Portable 1 EA VV . A
M8810 Stand,Mayo 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 75
Room: TPB01 - Toilet, PACT Procedure Room Patient (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 2 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV P3005 Lavatory,Vitreous China,Bariatric 1 EA CC D
P9056 Toilet,Floor Mounted,Bariatric 1 EA CC B
FOR OFFICIAL USE ONLY (Page 13)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: WRTM2 - Tele-Health Room, Multi-Specialty and PACT (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5180 Track,Cubicle,Surface Mounted
9 FT CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV F3025 Board,Bulletin,Wood Framed 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
M0508 Telemedicine Station,Mobile Cart 1 EA VV . A . . . T
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 14)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: WRTM3 - Tele-Retinal Room Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5180 Track,Cubicle,Surface Mounted 9 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV F3025 Board,Bulletin,Wood Framed 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A M6050 Retinal Imaging System,Fluoroscein/Indocyanine 1 SY VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 15)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 400
Room: CLSC4 - Shared Medical Appointment Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 2 EA VV
E0945 Cart,Computer,Mobile 2 EA VV F0295 Chair,Stacking 16 EA VV
F0435 Cabinet,Storage,Multi Media 1 EA VV
F0860 Table,Mobile 4 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3060 Whiteboard,Projection Screen Combination 1 EA CC
M0506 Television,Flat Screen 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 2 EA VV . A
Room: SRE01 - Storage, Shared Medical Appointments Blueprint #:
Acq
M2055 Shelving,Storage,Wire,CRS,w/Adjustable Shelves 4 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 20
Room: RCA01 - Alcove, AED (x 2) Blueprint #:
Acq
M7660 Defibrillator/Monitor/Recorder,Portable 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 16)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 240
Room: WRTM1 - Teamwork Area (x 8) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 2 EA VV . . . . . T 5805 A5225 Bracket,Dual Computer Monitor,Desk-Mounted 4 EA VV
E0123 Workstation,Straight,Free Standing,72" W 4 EA VV . A
F0275 Chair,Swivel,High Back 4 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 2 EA VV
F2000 Basket,Wastepaper,Fire Resistant 4 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV M1800 Monitor,Computer 4 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 4 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 56
Room: OFA07 - Workstation, Extended Team (x 8) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0123 Workstation,Straight,Free Standing,72" W 1 EA VV . A
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
FOR OFFICIAL USE ONLY (Page 17)
Room: WKTM3 - Workroom, Patient Aligned Care Team (PACT) (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone,Desk,1 Line 1 EA VV . . . . . T 5805
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 2 EA VV
A6046 Artwork,Decorative,With Frame 1 EA VV
E0120 Workstation,Straight,Free Standing,60" W 2 EA VV . A F0275 Chair,Swivel,High Back 2 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 2 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 56
Room: OFA07 - Workstation, Administrative (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV E0123 Workstation,Straight,Free Standing,72" W 1 EA VV . A
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
FOR OFFICIAL USE ONLY (Page 18)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 300
Room: CFR01 - Conference/Training Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1020 Telephone,Conferencing System 1 EA VV . A . . . T
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV F0220 Chair,Conference 8 EA VV
F0700 Table,Computer,Medium Size 1 EA VV
F0765 Table,Folding / Nesting 4 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0507 Video Teleconferencing System 1 EA VV . A M0512 Television,HDTV,Large Screen,60" 1 EA VV . A
Room: UCCL1 - Utility Room, Clean (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
E0903 Locker,Supply,w/Shelves,Wall Mtd,23"W x 20"D 2 EA VV
E0906 Locker,Supply,General,Wall Mtd,23"W x 20"D 2 EA VV
E0912 Locker,Supply,Med Surg,Wall Mtd 2 EA VV
E1500 Rail,MOD,W/MNTD,HX144XD 1 EA VV
FOR OFFICIAL USE ONLY (Page 19)
Room: SRE01 - Storage, Medical Equipment (x 2) Blueprint #:
Acq
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 220
Room: SL001 - Lounge, Staff (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5210 Bracket,Television,Wall Mounted,w/Adjust Arm 1 EA VV . . . . . J 7730 A5220 Bracket,Television,Wall Backing 1 EA CC
C02C0 Cabinet,U/C/B,1 Shelf,1 Drawer,1 DO,36x24x22 1 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
CB020 Cabinet,W/H,2 Shelf,1 DO,Sloping Top,38x24x13 2 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 7 LF CC F0225 Chair,Dining Room 4 EA VV
F0795 Table,Dining 1 EA VV
F2015 Basket,Wastepaper,Metal/Plastic,2 Swinging Doors 1 EA VV
F3065 Whiteboard/Bulletin Board,Combination 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
K1552 Brewer,Coffee,Auto,Elect,3 Burner,Front/Back 1 EA VV J A K4665 Oven,Microwave,Consumer 1 EA VV . A
M0515 Television,HD,40" Class 1 EA VV . A . . . M
FOR OFFICIAL USE ONLY (Page 20)
R7250 Refrigerator/Freezer,20 Cubic Feet 1 EA VV . A
Room: LR001 - Locker, Staff Personal Property (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker,2 Person,Over/Under 12 EA VV
A1080 Mirror,Posture,Wall Mounted 1 EA CC
Room: TNPG1 - Toilet, Staff (x 4) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P3200 Lavatory,Vitreous China,Slab Type w/Sens Op Fauc 1 EA CC D
Room: EXPA1 - Multipurpose Exam Room, Med/Surg outpatient clinic - Cardiology Blueprint #:
FOR OFFICIAL USE ONLY (Page 21)
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted 12 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0506 Television,Flat Screen 1 EA VV . A
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 22)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: EXPA1 - Multipurpose Exam Room, Med/Surg outpatient clinic - Nurse Intake (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted 12 FT CC CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 23)
U5180 Curtain 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 125 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: EXPA1 - Exam/Consult Room, Whole Health Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted 12 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 24)
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
Room: OFDC2 - Consult Room, Patient Aligned Care Team (PACT) (x 7) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CT020 Countertop,Solid Surface 1 LF CC
E0063 Workstation,L-Shaped w/Peninsula,Wall Mtd,72x72 1 EA VV . A F0205 Chair,Side With Arms 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0300 Chair,Task,Swivel,With Arms 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3065 Whiteboard/Bulletin Board,Combination 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
Room: OFDC2 - Consult Room, Whole Health Blueprint #:
FOR OFFICIAL USE ONLY (Page 25)
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC CT020 Countertop,Solid Surface 1 LF CC
E0063 Workstation,L-Shaped w/Peninsula,Wall Mtd,72x72 1 EA VV . A
F0205 Chair,Side With Arms 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0300 Chair,Task,Swivel,With Arms 1 EA VV F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3065 Whiteboard/Bulletin Board,Combination 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
Room: EXP01 - Exam, Podiatry (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
FOR OFFICIAL USE ONLY (Page 26)
A5106 Waste Disposal Unit,Sharps w/Glove Dispenser 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted 10 FT CC
CT020 Countertop,Solid Surface 1 LF CC E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0296 Chair,Folding,Wall Mounted 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 2 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4920 Chair,Exam/Treatment,Podiatry,w/Motor 1 EA VV . A
P3520 Sink,China,With Plaster Interceptor Trap 1 EA CC D
U5180 Curtain 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 80 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: SV583 - Medication Room, Phrm Svc (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1014 Telephone,Wall Mounted,1 Line,With Speaker 1 EA VV . . . . . T 5805
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
C03G0 Cabinet,U/C/B,2 Shelf,2 Door,36x30x22 1 EA CC C04Q0 Cabinet,ADA Sink,Wall-Mounted 1 EA CC
CD030 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x30x13 2 EA CC
FOR OFFICIAL USE ONLY (Page 27)
CS070 Sink,SS,Single Compartment,7.5x16x16 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0945 Cart,Computer,Mobile 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV F3050 Whiteboard,Dry Erase 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M3150 Distribution System,Medication,Automatic 1 EA VV . A . . . T 6530 With refrigerator
P1965 Eyewash,Eye/Face,Sink Mounted,Hands-free 1 EA CC A
Room: USCL1 - Utility Room, Soiled Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
CT050 Countertop,Stainless Steel 1 LF CC
F2020 Can,Trash,44 Gallon 1 EA VV
M3070 Hamper,Linen,Mobile,w/Lid 1 EA VV M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
P2000 Eyewash,Wall Mounted,Hands-Free 1 EA CC B
P2451 Valve,Mixing,Thermostatic,Eyewash 1 EA CC A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 180
Room: TRPR1 - Procedure Room, Dermatology Blueprint #:
FOR OFFICIAL USE ONLY (Page 28)
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone,Desk,1 Line 1 EA VV . . . . . T 5805
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1203 Lift System,Overhead,Bariatric 1 EA VV . F . . . J Coordination with GC for ceiling plan and structural support
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5180 Track,Cubicle,Surface Mounted 22 FT CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0915 Locker,Supply,Medication,Wall Mtd,23"W x 20"D 1 EA VV E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3010 Board,Bulletin,48 x 48 1 EA CC
F3200 Clock,Battery,12" Diameter 1 EA VV 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
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A
M3070 Hamper,Linen,Mobile,w/Lid 1 EA VV M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M4255 Stand,IV,Adjustable 1 EA VV
FOR OFFICIAL USE ONLY (Page 29)
M7405 Light,Exam,Ceiling Mounted 1 EA CC . F
M7710 Electrocardiograph,12 Lead,Portable 1 EA VV . A
M8810 Stand,Mayo 2 EA VV
M9060 Table,Minor Surgery,Pedestal,4 Section,Mobile 1 EA VV . A U5180 Curtain 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 150 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 2 Staff: 0 Room: CCD21 - Echocardiograph Room, Cardio Svc Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530 A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5106 Waste Disposal Unit,Sharps w/Glove Dispenser 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5180 Track,Cubicle,Surface Mounted 10 FT CC E0210 Worksurface,w/Overhead Cab,Wall Mtd,48" W 1 EA VV . A
E0912 Locker,Supply,Med Surg,Wall Mtd 1 EA VV
E1500 Rail,MOD,W/MNTD,HX144XD 1 EA VV
F0210 Chair,Side,Without Arms 1 EA VV
F0280 Chair,Swivel,Low Back 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV F2000 Basket,Wastepaper,Fire Resistant 2 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
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 1 EA VV . . B . . . 6515
M3070 Hamper,Linen,Mobile,w/Lid 1 EA VV
FOR OFFICIAL USE ONLY (Page 30)
M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
M4655 Stretcher,Mobile,CRS,9 Position 1 EA VV
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
X2105 Scanner,Ultrasound,Cardiac (Echo) 1 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 40
Room: SB551 - Liquid Nitrogen Cylinder Storage Room, Lgstcs Svc Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2025 Rack,Storage,Cylinder,Gas 1 EA VV
M2117 Truck,Hand,2 Wheel,Gas Cylinder 1 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 170
Room: SC183 - Reception, Primary Care - two check-in two check-out Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 3 EA VV . . . . . T 5805
A6105 Counter,Reception Control,Built-In 1 EA CC . A F0275 Chair,Swivel,High Back 3 EA VV
F0410 Cabinet,Filing,Half Height,2 Drawer 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 3 EA VV
M1800 Monitor,Computer 3 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 3 EA VV . A
M1840 Printer/Copier/Fax Combination 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 31)
Room: SC183 - Reception, Specialty Clinic - Podiatry, Dermatology, Cardiology Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A6105 Counter,Reception Control,Built-In 1 EA CC . A F0275 Chair,Swivel,High Back 1 EA VV
F0410 Cabinet,Filing,Half Height,2 Drawer 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 130 Functional Area: AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY CLINIC Staff: 0 Room: HAFR1 - Hearing Aid Lab Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1014 Telephone,Wall Mounted,1 Line,With Speaker 1 EA VV . . . . . T 5805
A5075 Dispenser,Soap,Disposable 1 EA CC A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC E0045 Workcenter,Computer,Free Standing,60" W 1 EA VV
E0906 Locker,Supply,General,Wall Mtd,23"W x 20"D 2 EA VV
E1500 Rail,MOD,W/MNTD,HX144XD 1 EA VV
F0280 Chair,Swivel,Low Back 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
FOR OFFICIAL USE ONLY (Page 32)
M0020 Hearing Aid Analyzer 1 EA VV . A
Room: EXAU1 - Exam / Consult, Audiology (x 6) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530 A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5106 Waste Disposal Unit,Sharps w/Glove Dispenser 1 EA VV A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0210 Chair,Side,Without Arms 1 EA VV
F0280 Chair,Swivel,Low Back 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0035 Analyzer,Auditory,Evoked Potential 1 EA VV . A
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4205 Otoscope/Ophthalmoscope,Desk Charger Set 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 33)
M8535 Microscope,Operating,Portable 1 EA VV . A . . . . 6515ll0002491
Room: PEHS4 - Exam, Audiometric Booth (x 2) Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone,Desk,1 Line 1 EA VV . . . . . T 5805
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0042 Workcenter,Computer,Free Standing,48" W 1 EA VV E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0205 Chair,Side With Arms 2 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0280 Chair,Swivel,Low Back 2 EA VV
F0860 Table,Mobile 1 EA VV F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0025 Audiometer,Diagnostic,Middle Ear,Impedance 1 EA VV . A
M0030 Audiometer,Diagnostic 1 EA VV . A
M0041 Booth,Audio,Double Wall,Suite 1 EA CC . F
M1800 Monitor,Computer 1 EA VV . A
M1825 Printer,Computer 1 EA VV . A
Room: SRSE1 - Storage, Equipment Blueprint #:
FOR OFFICIAL USE ONLY (Page 34)
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2055 Shelving,Storage,Wire,CRS,w/Adjustable Shelves 2 EA VV
M2070 Shelving,Storage,77hx36wx18d 2 EA VV
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 160
Room: CAS31 - Audiology Cerumen Removal Room, ASLP Svc Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC C01D0 Cabinet,U/C/B,4 Drawer,36x18x22 1 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
C04Q0 Cabinet,ADA Sink,Wall-Mounted 1 EA CC
CS090 Sink,SS,Single Compartment,7.5x19x16 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
F0205 Chair,Side With Arms 1 EA VV F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M3073 Container,Biohazard Waste,Step-on,Fire Safe 1 EA VV
M4205 Otoscope/Ophthalmoscope,Desk Charger Set 1 EA VV . A
M4210 Otoscope,Video 1 EA VV M4840 ENT Unit,w/Air,Electric Power,Suction,Pressure 1 EA VV . A H . . . 6530
M4915 Chair,Exam/Treatment,ENT,w/Adjustable Light 1 EA VV . A
M8534 Microscope,Operating,Portable,General Use 1 EA VV . A . . . . 6515ll0002491
FOR OFFICIAL USE ONLY (Page 35)
M8769 Aspirator,Resuscitation,Portable w/ Battery 1 EA VV . A
Room: SC183 - Reception, Audiology Check-in and check out Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A6105 Counter,Reception Control,Built-In 1 EA CC . A
F0275 Chair,Swivel,High Back 1 EA VV
F0410 Cabinet,Filing,Half Height,2 Drawer 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
Functional Area: EYE CLINIC Staff: 0 Room: WTG03 - Sub-Waiting, Dilation Patient Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A6046 Artwork,Decorative,With Frame 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0305 Chair,Waiting Room,Single 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F2300 Rack,Magazine,Wall Mounted 1 EA VV
FOR OFFICIAL USE ONLY (Page 36)
Department: COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) Room Area: 140
Room: EYFD1 - Fitting and Dispensing Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1014 Telephone,Wall Mounted,1 Line,With Speaker 1 EA VV . . . . . T 5805
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0078 Workstation,L-Shaped w/Peninsula,Free Std,78x72 1 EA VV . A
E0906 Locker,Supply,General,Wall Mtd,23"W x 20"D 2 EA VV
E0912 Locker,Supply,Med Surg,Wall Mtd 2 EA VV
E1500 Rail,MOD,W/MNTD,HX144XD 2 EA VV F0275 Chair,Swivel,High Back 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5520 Lensometer 1 EA VV . A
M5705 Gauge,Distance,Pupillary 1 EA VV
M5735 Warmer,Spectacle,Plastic 1 EA VV . A
Room: EYOT2 - Exam / Treatment Room (x 6) Blueprint #:
Acq
FOR OFFICIAL USE ONLY (Page 37)
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA VV
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0945 Cart,Computer,Mobile 1 EA VV F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5016 Desk,Refraction w/console,w/o Sink 1 EA VV . F
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A
M5530 Lamp,Slit,w/Applanation Tonometer 1 EA VV . A
M5535 Ophthalmoscope,Binocular,Indirect 1 EA VV . A
M5536 Ophthalmoscope,Direct 1 EA VV . A M5545 Ophthalmometer/Keratometer 1 EA VV . A
M5562 Tester,Visual Acuity,Video/Microprocessor Based 1 EA VV . A
M5575 Tonometer,Noncontact 1 EA VV . A
M5600 Unit,Exam,Eye,w/Motor Chair,Phoropter 1 EA VV . A
M5705 Gauge,Distance,Pupillary 1 EA VV
M6040 Pachymeter,Ultrasound,Corneal 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 38)
Room: EYVF1 - Visual Fields Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0210 Worksurface,w/Overhead Cab,Wall Mtd,48" W 1 EA VV . A
F0300 Chair,Task,Swivel,With Arms 1 EA VV F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 2 EA VV . A
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A M5500 Autorefractor,Ophthalmic 1 EA VV . A
M5510 Camera,Fundus,Digital 1 EA VV . A
M5520 Lensometer 1 EA VV . A
M5555 Perimeter,Automated 1 EA VV . A
M5700 Frame Set,Lens,Trial 1 EA VV M6040 Pachymeter,Ultrasound,Corneal 1 EA VV . A
Room: EYVS1 - Photography Room Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
FOR OFFICIAL USE ONLY (Page 39)
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A6046 Artwork,Decorative,With Frame 1 EA VV
E0945 Cart,Computer,Mobile 1 EA VV F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 2 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5025 Table,Instrument,Ophthalmic,Adjustable 2 EA VV . A M5027 Table,Multiple Instrument,Ophthalmic 1 EA VV . A
M5500 Autorefractor,Ophthalmic 1 EA VV . A
M5551 Tomography System,Optical Coherence (OCT) 1 EA VV . A
M5564 Microscope,Specular 1 EA VV . A
M5575 Tonometer,Noncontact 1 EA VV . A M6045 Corneal Topography Unit 1 EA VV . A
X2112 Scanner,Ultrasound,Opthalmic 1 EA VV . A
Room: WRTM1 - Teamwork Area, Eye Clinic Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 2 EA VV . . . . . T 5805
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 4 EA VV
E0123 Workstation,Straight,Free Standing,72" W 4 EA VV . A
F0275 Chair,Swivel,High Back 4 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 2 EA VV F2000 Basket,Wastepaper,Fire Resistant 4 EA VV
FOR OFFICIAL USE ONLY (Page 40)
M1800 Monitor,Computer 4 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 4 EA VV . A
Room: OFA09 - Office, Supervisor Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1015 Telephone,Desk,Multiple Line 1 EA VV . . . . . T 5805
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0090 Workstation,L-Shaped,Free Standing,72x72 1 EA VV . A F0205 Chair,Side With Arms 1 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3050 Whiteboard,Dry Erase 1 EA CC F3200 Clock,Battery,12" Diameter 1 EA VV
Room: TPG01 - Toilet, Eye Patient Blueprint #:
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
FOR OFFICIAL USE ONLY (Page 41)
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC F2010 Basket,Wastepaper,Step-On 1 EA VV
P3000 Lavatory,Vitreous China,Straight Back 1 EA CC D
Room: SC183 -…
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File details come from the government source that posted it. Updated .