Exhibit A.3_Room Data Matrix.xlsx
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Project Info
Program For Design
MADISON COUNTY VA CLINIC
ESTABLISH A NEW SITE OF CARE IN MADISON COUNTY FOR PRIMARY CARE AND ASSOCIATED OTHER SERVICES.
MADISON COUNTY, IL
This is an PFD Update from the original to capture the latest TIL requirements.
Projected Year: 2027 Midpoint Year: 2032
VISN: 15 State: MO Station ID: 657 Station: St Louis, John Cochran Divisio Installation: St Louis-John Cochran Division
Project Created: 27 Oct 2025 08:18AM ET by Christopher Keuss Space Plan Last Edited: 27 Oct 2025 02:57PM ET by Christopher Keuss
Report Generated: 27 Oct 2025 11:52AM ET
Room Requirements GENERAL Architectural (visit https://vatilms.va.gov/vatilms/reports/PG-18-14 for code definitions) Electrical & Communications Mechanical tc={F100E2F1-E870-4212-95FC-6E1B77C0B082}: [Threaded comment]
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| No piped medical gases. Use bottle/portable service for procedure room. | Plumbing | Space Planning | ||||||||||||||||||||||||||
| Department | Functional Area | Room | Room Code | Agency Code | Qty | Unit Area | Total Net Area | Unit Staff | Total Staff | Const Phase | Const Type | Blue Print Number | Room Notes | Dept Notes | FA Notes | Master Room Name | Default Area | Default Staff | NFPA99 | Noise Level Max, STC | Floor | Base | Wall | Wain | Ceiling | Ceiling Height | Door |
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See details at: https://www.cfm.va.gov/til/rTemplate/sDetail-SD080000-01-02.pdf HW Nr POWER tc={0171EAB9-8320-471F-AA6B-CFE815D2EA92}: [Threaded comment]
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Comment:
Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Power Requirements. No Emergency Power required for this project.
For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf LIGHTING tc={818DEDFB-9222-44BA-B367-F6A5F0089B94}: [Threaded comment]
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Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spacesfor General and Specific Lighting Requirements.
For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf Nurse Call TV tc={F85B7300-C532-4C08-B0DD-4D9F4C318F55}: [Threaded comment]
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CC: Wall backing, power, Network Cable Communications tc={8A267552-5567-443A-A81C-81E14B741C68}: [Threaded comment]
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| Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Communication Requirements. Duress buttons are VV wireless installations. | Indoor Design Temperature Cooling F | Indoor Design Temperature Cooling C | Indoor Design Temperature Heating F | Indoor Design Temperature Heating C | Indoor Relative Humidity % RH MAX | Indoor Relative Humidity % RH MIN | Minimum Total ACH | Minimum OA ACH | Room Air Return Exhaust G Exhaust S | Maximum Noise Level NC | Room Air Balance | Individual Room Control Temp | Individual Room Control Flow | Unoccupied ACH | Note 1 | Note 2 | Note 3 | Floor Drain | Domestic Cold Water | Domestic Hot Water | Department NTG Factor | NTG Circulation | NTG Electrical | NTG Flexible Areas | NTG Half Areas | NTG Mechanical | SCIP | NTG Walls | Bldg NTG Factor | ||||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY CLINIC | Exam, Audiometric Booth | PEHS4 | V | 1 | 375 | 375 | 1 | 1 | 1 | 0 | Exam, Audiometric Booth | 375 | 0 | 60 | m:PRE- FAB [63] | 0 | m:PRE-FAB | NA | m:PRE-FAB | 9'-0" | t:PRE-FAB | hw:N/A | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY CLINIC | Hearing Aid Fitting Room | HAFR1 | V | 1 | 125 | 125 | 0 | 0 | 1 | 0 | Hearing Aid Fitting Room | 200 | 0 | 60 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:V | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Ancillary/Diagnostic | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | CLINIC MANAGEMENT | Office, CMO | OFA09 | V | 1 | 100 | 100 | 1 | 1 | 1 | 0 | Office, CMO | 100 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Individual Room Temperature Control. See Chapter 2 for individual room temperature control requirements. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | CLINIC MANAGEMENT | Shared Office, MSA Supervisor & Lead | SS209 | V | 1 | 120 | 120 | 2 | 2 | 1 | 0 | Shared Office, Stff Sprt | 120 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Individual Room Temperature Control. See Chapter 2 for individual room temperature control requirements. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | IMAGING SERVICE | Dressing Room | DR001 | V | 1 | 60 | 60 | 0 | 0 | 1 | 0 | Dressing Room | 60 | 0 | 35 | m:LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 s:U t:OPEN | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 72 | 22 | 82 | 28 | 60 | 30 | 6 | 2 | Return | 40 | (o) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | IMAGING SERVICE | Office, Shared, Radiology Techs | OFDR1 | V | 1 | 100 | 100 | 2 | 2 | 1 | 0 | Office, Radiology | 120 | 0 | 35 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Individual Room Temperature Control. See Chapter 2 for individual room temperature control requirements. | |||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | IMAGING SERVICE | Radiology Room, General Purpose | XDR01 | V | 1 | 300 | 300 | 0 | 0 | 1 | 0 | Class 1 Imaging Room - no piped medical gases; NFPA 99 CAT 3; General X-Ray | Radiology Room, General Purpose | 300 | 0 | 40 | m:RES | m:RES h:4" | m:GWB [64] f:SC | NA | m:AT f:SP | 9'-0" | m:Wood t:17 dl:LEAD s:X | hw:12L | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | CV | |||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | IMAGING SERVICE | Sub-Waiting, Diagnostic Patient | WTG02 | V | 1 | 45 | 45 | 0 | 0 | 1 | 0 | Sub-Waiting, Diagnostic Patient | 45 | 0 | 35 | m:LVT | m:PRB [8] | m:GWB [5] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:3 s:U | hw:1 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 35 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Ancillary/Diagnostic | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | IMAGING SERVICE | Ultrasound Room | XDUS1 | V | 1 | 180 | 180 | 0 | 0 | 1 | 0 | Class 1 Imaging Room - no piped medical gases; NFPA 99 CAT 3 | Ultrasound Room | 180 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:S | hw:11 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 8 | 2 | Return | 35 | (o) | Yes | CV | Note 1 - Air Balance. Maintain negative room air balance in adjoining toilet by 100% exhaust of toilet at 10 ACH. | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Alcove, Wheelchair | SRLW1 | V | 1 | 75 | 75 | 0 | 0 | 1 | 0 | Alcove, Wheelchair | 90 | 0 | NA | m:LVT | m:RB h:4" | m:GWB [54] | |||||||||||||||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | t:OPEN | hw:N/A | See Comment | See Comment | No | 0 | See Comment | 78 | 26 | 70 | 21 | NA | NA | 6 | NA | Exhaust (G) | 40 | NA | Yes | CV | Note 1 - Exhaust System. Transfer air from the adjoining spaces to maintain negative air balance. | Note 2 - Room Temperature Control. Individual room temperature control is optional. The room can be served by a common air terminal unit with similar load characteristics. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Lactation Room | LAC01 | V | 1 | 50 | 50 | 0 | 0 | 1 | 0 | Lactation Room | 75 | 0 | 35 | m:LVT | m:PRB [8] | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:S | hw:11 | See Comment | Dimmable lighting | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Reception | RCP03 | V | 1 | 385 | 385 | 4 | 4 | 1 | 0 | 3 Work stations customer facing, at least one at ADA height, 4th workstation set back for MSA to make scheduling phone calls | Reception | 385 | 0 | NA | m:LVT | m:PRB [8] | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 s:S | hw:12 | See Comment | See Comment | Head End Unit | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 35 | (o) | Yes | VAV | |||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Toilet, Female | TNPF1 | V | 1 | 200 | 200 | 0 | 0 | 1 | 0 | Toilet, Female | 205 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7]
| h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:S | HW: 1 | ||||||||||||||||||||||||||||||
| See ASR | See Comment | See Comment | Each stall | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Toilet, Male | TNPM1 | V | 1 | 200 | 200 | 0 | 0 | 1 | 0 | Toilet, Male | 205 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7]
| h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:S | HW: 1 | |||||||||||||||||||||||||||||||||||||||||||||
| See ASR | See Comment | See Comment | Each stall/ urinal | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Vestibule | LOB02 | V | 1 | 200 | 200 | 0 | 0 | 1 | 0 | Vestibule | 200 | 0 | NA | m: LVT | m:PRB [8] | m:GWB f:P | NA | m:GWB f:P m:AT | 9'-0" | m:Wood t:1 dg:T s:X | hw:850; see ASR | See Comment | See Comment | No | 0 | See Comment | NA | NA | 50 | 10 | NA | NA | NA | NA | NA | 40 | (+) | Yes | CV | Note 1 - Heating. Provide a thermostatically-controlled terminal heater. Coordinate heater type and location with the architectural discipline. Floor-mounted cabinet unit heaters with bottom horizontal supply and top return have proven effective in counter-acting cold air settling at the floor level. Heating for vestibules and for air curtains with integral heating shall include automatic controls capable of and configured to shut off the heating system when outdoor air temperatures are above 45°F. | Note 2 - Space Pressurization. Supply 1.0 cfm/sf [5.1 L/s/m2] air under positive pressure from an adjoining air terminal unit serving the lobby to maintain positive air pressure by allowing air to ex-filtrate outdoors. | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Waiting, PACT 1 | WTPC1 | V | 1 | 1260 | 1260 | 0 | 0 | 1 | 0 | Waiting, PACT 1 | 1260 | 0 | 35 | m:LVT | m:PRB [8] | m:GWB [5] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:3 dg:T s:U | hw:121; see ASR | See Comment | See Comment | No | 2 |
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CC: Wall backing, power, Network Cable VV: TV, Mounting Bracket tc={F100E2F1-E870-4212-95FC-6E1B77C0B082}: [Threaded comment]
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No piped medical gases. Use bottle/portable service for procedure room.
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| Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Communication Requirements. Duress buttons are VV wireless installations. | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 35 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Waiting, PACT Family | WTF03 | V | 1 | 105 | 105 | 0 | 0 | 1 | 0 | In same open area as main waiting | Waiting, PACT Family | 225 | 0 | 35 | m:LVT | m:PRB [8] | m:GWB [5] | |||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:3 s:U | hw:121; see ASR | See Comment | See Comment | No | 1 |
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| See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 35 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOBBY / RECEPTION AREA | Workstation, Patient Education | CLSC2 | V | 1 | 30 | 30 | 0 | 0 | 1 | 0 | Workstation, Patient Education | 30 | 0 | NA | m: LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | t:OPEN | hw:N/A | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 35 | (o) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOGISTICS SERVICE | Receiving and Issue | BSRB1 | V | 1 | 120 | 120 | 0 | 0 | 1 | 0 | Dock Access | Receiving and Issue | 100 | 0 | NA | m:WSF | m:WSF h:4" | m:GWB f:P | NA | m:AT | 9'-0" | t:OPEN | hw:N/A | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | |||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOGISTICS SERVICE | Storage, Equipment | STEQ1 | V | 1 | 140 | 140 | 0 | 0 | 1 | 0 | Storage, Equipment | 80 | 0 | 35 | m:VT | m:RB h:4" | m:GWB [54] | |||||||||||||||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 s:V | hw:14M | dress | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Support | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | LOGISTICS SERVICE | Storage, Medical Gas | SRGC1 | V | 1 | 60 | 60 | 0 | 0 | 1 | 0 | Storage, Medical Gas | 200 | 0 | NA | m:RES | m:RES h:4" | m:CMU f:P f:SC | NA | m:GWB f:SC | 9'-0" | m:Steel t:8 dr:45 min s:V | |||||||||||||||||||||||||||
| m:Wood t:11 dr:45 min s:V | hw:14M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Support | 7 | 1.35 | ||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MENTAL HEALTH CLINIC | Consult Room, Mental Health | OFDC1 | V | 2 | 125 | 250 | 1 | 2 | 1 | 0 | Room layout should have staff member between Veteran and door. | Consult Room, Mental Health | 125 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB f:P | NA | m:GWB f:P m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The space types listed in this manual reflect the terminology and functions used in the Department of Veterans Affairs, Cardiovascular laboratory Service Design Guide dated November 29, 2011. | Note 2 - Air Handling Unit. If the size and / or arrangement of a specific cardiovascular laboratory service warrants it, a separate air handling unit may be provided for this function, in general, however, any air handling unit meeting the minimum requirements of the Cardiovascular Laboratory AHU sheet and space requirements in the room data sheets (RDS) may be used. | |||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MENTAL HEALTH CLINIC | Storage, General | SRS01 | V | 1 | 40 | 40 | 0 | 0 | 1 | 0 | Storage, General | 120 | 0 | NA | m:VT | m:RB h:4" | m:GWB [54] | |||||||||||||||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 dg:F s:V | |||||||||||||||||||||||||||||||||||||||||||||
| m:Steel t:12 dg:F s:V | hw:14 | See Comment | See Comment | No | 0 | See Comment | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | (o) | NA | NA | Note 1 - General. Space includes a pantry not requiring HVAC. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Mental Health | 7 | 1.35 | |||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MULTI-SPECIALTY CLINIC | CBOC Chiropractic Patient Care Room, PMR Svc | CT236 | V | 1 | 140 | 140 | 1 | 1 | 1 | 0 | CBOC Chiropractic Patient Care Room, PMR Svc | 140 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | "9'-0"" - 10'-0" | m:Wood t:19 s:U | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Note 1 | VAV | Note 1 - Temperature Control. If a single exam room is provided it shall have local temperature control. If more than one exam room see applicable sections of Chapter 2. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Specialty Care | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MULTI-SPECIALTY CLINIC | Consult Room, Multi-Specialty | OFDC2 | V | 1 | 125 | 125 | 1 | 1 | 1 | 0 | Whole Health Coach | Consult Room, Multi-Specialty | 125 | 0 | 40 | m: SVT; ALT m: LVT | m:PRB; [8] | m:GWB [5,; 64] f:P | NA | m:AT | 9'-0" | m:Wood t:19 dg:T; s:U | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The space types listed in this manual reflect the terminology and functions used in the Department of Veterans Affairs, Cardiovascular laboratory Service Design Guide dated November 29, 2011. | Note 2 - Air Handling Unit. If the size and / or arrangement of a specific cardiovascular laboratory service warrants it, a separate air handling unit may be provided for this function, in general, however, any air handling unit meeting the minimum requirements of the Cardiovascular Laboratory AHU sheet and space requirements in the room data sheets (RDS) may be used. | |||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MULTI-SPECIALTY CLINIC | Exam Room, Multi-Specialty | EXPA1 | V | 2 | 130 | 260 | 1 | 2 | 1 | 0 | Exam Room, Multi-Specialty | 130 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | Sliding dr & hw set | HW: 11P | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Specialty Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | MULTI-SPECIALTY CLINIC | Exam Room, Podiatry | EXP01 | V | 1 | 120 | 120 | 0 | 0 | 1 | 0 | Exam Room, Podiatry | 120 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:V | HW: 11P | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Specialty Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE | Blood Specimen Collection Room | LBVP1 | V | 2 | 80 | 160 | 0 | 0 | 1 | 0 | Blood Specimen Collection Room | 80 | 0 | 40 | m:WSF | m:WSF h:4" | m:GWB f:SC | NA | m:AT f:SP | 9'-0" | m:Wood t:1 dg:T s:V | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE | Laboratory, General | LBGM1 | V | 1 | 150 | 150 | 1 | 1 | 1 | 0 | Laboratory, General | 150 | 0 | 35 | m:WSF | m:WSF h:4" | m:GWB f:SC | NA | m:AT f:SP | 9'-0" | m:Wood t:1 s:V | hw:12M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Exhaust (G) | 40 | (-) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE | Toilet, Specimen Collection | TPSP1 | V | 1 | 60 | 60 | 0 | 0 | 1 | 0 | Toilet, Specimen Collection | 60 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7]
| h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:S | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Ancillary/Diagnostic | 7 | 1.35 | ||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Alcove, AED | RCA01 | V | 1 | 5 | 5 | 0 | 0 | 1 | 0 | Alcove, AED | 30 | 0 | NA | m:LVT | m:RB h:4" | m:GWB [54] | |||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | t:OPEN | hw:N/A | See Comment | See Comment | No | 0 | See Comment | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | No | NA | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Alcove, Height / Weight Accessible Station | PEHW2 | V | 1 | 40 | 40 | 0 | 0 | 1 | 0 | Alcove, Height / Weight Accessible Station | 40 | 0 | NA | m:LVT | m:RB h:4" | m:GWB [54] | |||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:U | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 40 | (o) | No | NA | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Conference Room | CFR01 | V | 1 | 240 | 240 | 0 | 0 | 1 | 0 | Conference Room | 240 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [42, | |||||||||||||||||||
| 64] f:P | NA | m:AT | 9'-0" | m:Wood t:19 dg:T s:U | hw:13 | See Comment | See Comment | No | 1 |
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CC: Wall backing, power, Network Cable, HDMI to workstation
| VV: TV, Mounting Bracket | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Energy Conservation Initiative. Provide a carbon-dioxide (CO2) and/or occupancy sensor to conserve energy during light occupancy. The control sequence shall be project-specific. Follow ASHRAE 62.1 requirements. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Consult Room, Patient Aligned Care Team (PACT) | OFDC2 | V | 4 | 125 | 500 | 1 | 4 | 1 | 0 | Dietician, Pharmacist, Social Worker, Psychologist. Room layout should have staff member between Veteran and door. | Consult Room, Patient Aligned Care Team (PACT) | 125 | 0 | 40 | m: SVT; ALT m: LVT | m:PRB; [8] | m:GWB [5,; 64] f:P | NA | m:AT | 9'-0" | m:Wood t:19 dg:T; s:U | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The space types listed in this manual reflect the terminology and functions used in the Department of Veterans Affairs, Cardiovascular laboratory Service Design Guide dated November 29, 2011. | Note 2 - Air Handling Unit. If the size and / or arrangement of a specific cardiovascular laboratory service warrants it, a separate air handling unit may be provided for this function, in general, however, any air handling unit meeting the minimum requirements of the Cardiovascular Laboratory AHU sheet and space requirements in the room data sheets (RDS) may be used. | |||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Exam Room, Patient Aligned Care Team (PACT) | EXPA1 | V | 8 | 125 | 1000 | 0 | 0 | 1 | 0 | 4 PACTS | Exam Room, Patient Aligned Care Team (PACT) | 130 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB [64] | ||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | Sliding dr & hw set | HW: 11P | ||||||||||||||||||||||||||||||||||||||||||||
| HW: 11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Exam Room, Women's Health | EXW01 | V | 1 | 125 | 125 | 0 | 0 | 1 | 0 | Exam Room, Women's Health | 125 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:U | HW: 11P | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Group Room / Whole Health | CLSC4 | V | 1 | 300 | 300 | 0 | 0 | 1 | 0 | Shared Medical Appointment Room | 240 | 0 | 40 | m:LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Medication Room | SV583 | V | 1 | 80 | 80 | 0 | 0 | 1 | 0 | Medication Room, Phrm Svc | 80 | 0 | 35 | m:WSF | m:WSF h:4" | m:GWB [54] | |||||||||||||||||||||||||||||||
| f:P | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:1 s:S | hw:34 with cypher lock digital pad | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (+) | Yes | VAV | Note 1 - Maintain Temperature, Humidity and Air Balance during unoccupied hours | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Procedure Room, General | TRPR1 | V | 1 | 180 | 180 | 0 | 0 | 1 | 0 | Procedure Room, General | 180 | 0 | 35 | m:WSF | m:WSF h:4" | m:GWB [64] f:SC | NA | m:AT f:SP | 9'-0" | m:Wood t:19 da:YES dg:T s:SS m:Wood t:19 da:YES dg:T s:X | hw:12 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (+) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Storage, Medical Equipment | SRE01 | V | 1 | 120 | 120 | 0 | 0 | 1 | 0 | Storage, Medical Equipment | 100 | 0 | NA | m:VT | m:RB h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 dg:F s:U | hw:14M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Teamwork Area | WRTM1 | V | 1 | 240 | 240 | 0 | 0 | 1 | 0 | Shared teamlet meeting area between the 4 PACTs. Can be a segragated area within WKTM3; seats four, one docking stations with large monitor for collaboration | Teamwork Area | 240 | 0 | 35 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [42, | ||||||||||||||||||||||||||||||
| 64] f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:S | hw:13 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Tele-Health Room | WRTM2 | V | 1 | 125 | 125 | 1 | 1 | 1 | 0 | Tele-Health Room | 125 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Tele-Retinal Room | WRTM3 | V | 1 | 125 | 125 | 0 | 0 | 1 | 0 | Tele-Retinal Room | 125 | 0 | 40 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:19 s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 35 | (o) | Yes | VAV | Note 1 - General. The design parameters are applicable to all examination rooms not involving treatment and/or procedures. | Note 2 - Individual Room Temperature Control. Refer to Chapter 2 for the guidelines on the individual room temperature control. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Toilet, General Procedure Room Patient | TPB01 | V | 1 | 75 | 75 | 0 | 0 | 1 | 0 | Toilet, General Procedure Room Patient | 75 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7] h:4'-0" m:S [7, 44] h:4'-
| 0" | m:AT | 9'-0" | m:Wood t:19 s:U | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Toilet, PACT Patient | TPG01 | V | 2 | 60 | 120 | 0 | 0 | 1 | 0 | Toilet, PACT Patient | 60 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7] h:4'-0" m:S [7, 44] h:4'-
| 0" | m:AT | 9'-0" | m:Wood t:19 s:U | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Toilet, Staff | TNPG1 | V | 2 | 60 | 120 | 0 | 0 | 1 | 0 | Toilet, Staff | 60 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7]
| h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:S | hw:11 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Toilet, Women's Health Exam Room Patient | TPG01 | V | 1 | 60 | 60 | 0 | 0 | 1 | 0 | Accessed via EXW01 only. | Toilet, Women's Health Exam Room Patient | 60 | 0 | 40 | m:PT m:RES [74] | m:PT |
[7] h:4" m:RES
| [7] h:4" | m:GWB [7, |
| 64] f:P | m:PT [7] |
h:4'-0" m:CT [7]
| h:4'-0" | m:AT | 9'-0" | m:Wood t:19 s:U | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 10 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Transfer supply air to the toilets and showers. Maintain locker rooms under negative air balance with respect to the adjoining spaces. | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Utility Room, Clean | UCCL1 | V | 1 | 180 | 180 | 0 | 0 | 1 | 0 | Shared with HBPC | Utility Room, Clean | 60 | 0 | 35 | m:WSF | m:WSF h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT f:SP | 9'-0" | m:Wood t:11 dg:F dr:45 min ds:YES s:V | hw:34 with cypher lock digital pad | See Comment | See Comment | No | 0 | See Comment | 66 | 19 | 72 | 22 | 60 | 30 | 4 | 2 | Return | 40 | (+) | Yes | CV | Note 1 - Sterile Storage. Room cannot include a sink and be considered sterile storage. | Note 2 - Maintain Temperature, Humidity and Air Balance during unoccupied hours | |||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Utility Room, Soiled | CSUS1 | V | 1 | 40 | 40 | 0 | 0 | 1 | 0 | Contents from RC USCL1 | Utility Room, Soiled | 40 | 0 | 35 | m:WSF | m:WSF h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT [9] f:SP | 9'-0" | m:Wood t:11 dg:F dr:45 min ds:YES s:V | hw:34 with cypher lock digital pad | See Comment | See Comment | No | 0 | See Comment | NA | NA | NA | NA | NA | NA | 10 | NA | Exhaust (G) | 40 | (- -) | No | CV | |||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 | Workroom, Patient Aligned Care Team (PACT) | WKTM3 | V | 1 | 1850 | 1850 | 18 | 18 | 1 | 0 | 4 PACTs = 12 workstations (Provider, LPN, RN) |
Float = 3 workstations
| HBPC = 6 workstations | Workroom, Patient Aligned Care Team (PACT) | 240 | 0 | 35 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Individual Room Temperature Control. See Chapter 2 for individual room temperature control requirements. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC | Storage, Equipment | SRE01 | V | 1 | 100 | 100 | 0 | 0 | 1 | 0 | Storage, Equipment | 100 | 0 | NA | m:VT | m:RB h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 dg:F s:U | hw:14M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | ||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC | Treatment Exercise Area | PTEA1 | V | 1 | 300 | 300 | 1 | 1 | 1 | 0 | Treatment Exercise Area | 220 | 0 | 40 | m:RF m:LVT | m:PRB [8] | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:GWB f:P m:AT | 9'-0" | m:Wood t:19 dg:T s:SS | hw:11 | See Comment | See Comment | Yes | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Exhaust (G) | 35 | (-) | Yes | VAV | Note 1 - Exhaust. Maintain minimum required exhaust per ASHRAE Standard 62.1 and ensure space is minimum 15% negative under all load conditions. | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Ancillary/Diagnostic | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | POLICE SERVICE | Office, Police Service | OFA09 | V | 1 | 80 | 80 | 1 | 1 | 1 | 0 | Place in/near lobby, can double as float office for volunteer/others | Office, Police Service | 100 | 0 | 35 | m: SVT; ALT m: LVT | m:RB h:4" | m:GWB [64] | ||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | Note 1 - Individual Room Temperature Control. See Chapter 2 for individual room temperature control requirements. | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Support | 7 | 1.35 | |||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | STAFF SUPPORT AREA | Copy Room / Mail Distribution, Lgstcs Svc | SB658 | V | 1 | 100 | 100 | 0 | 0 | 1 | 0 | Copy Room / Mail Distribution, Lgstcs Svc | 100 | 0 | NA | m:VT | m:RB h:4" | m:GWB [64] | |||||||||||||||||||||||||||||||
| f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 40 | (o) | No | NA | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Common/Swing/Construction | 7 | 1.35 | ||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | STAFF SUPPORT AREA | Locker, Staff Personal Property | LR001 | V | 1 | 80 | 80 | 0 | 0 | 1 | 0 | Supports 36 FTE | Locker, Staff Personal Property | 30 | 0 | NA | m:PT | m:PT h:4" | m:GWB f:SC | NA | m:AT | 9'-0" | m:Wood t:1 s:S | hw:12 | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | NA | Exhaust (G) | 40 | (-) | Yes | CV | Note 1 - Room Air Balance. Maintain locker rooms under negative air balance with respect to the adjoining spaces if a separate rooms versus alcove. | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | STAFF SUPPORT AREA | Lounge, Staff | SL001 | V | 1 | 370 | 370 | 0 | 0 | 1 | 0 | Lounge, Staff | 120 | 0 | 35 | m:SVT | m:RB h:4" | m:GWB f:P | NA | m:AT | 9'-0" | m:Wood t:1 dg:T s:S | hw:12 | See Comment | See Comment | No | 1 |
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CC: Wall backing, power, Network Cable VV: TV, Mounting Bracket tc={D1A57D61-2409-44F9-8CB6-207F6133B3C8}: [Threaded comment]
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See details at: https://www.cfm.va.gov/til/rTemplate/sDetail-SD080000-01-02.pdf tc={0171EAB9-8320-471F-AA6B-CFE815D2EA92}: [Threaded comment]
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Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Power Requirements. No Emergency Power required for this project.
For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf tc={818DEDFB-9222-44BA-B367-F6A5F0089B94}: [Threaded comment]
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Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spacesfor General and Specific Lighting Requirements.
| For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 6 | 2 | Return | 40 | (o) | Yes | VAV | No | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Common/Swing/Construction | 7 | 1.35 | |||||||||||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | STAFF SUPPORT AREA | Storage, Equipment | SRE01 | V | 1 | 100 | 100 | 0 | 0 | 1 | 0 | Storage, Equipment | 100 | 0 | NA | m:VT | m:RB h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 dg:F s:U | hw:14M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | No | No | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | STAFF SUPPORT AREA | Storage, Equipment | SRE01 | V | 1 | 80 | 80 | 0 | 0 | 1 | 0 | Storage, Equipment | 100 | 0 | NA | m:VT | m:RB h:4" | m:GWB [54] f:SC | m:RWC h:4'-0" | m:AT | 9'-0" | m:Wood t:11 dg:F s:U | hw:14M | See Comment | See Comment | No | 0 | See Comment | 75 | 24 | 70 | 21 | 60 | 30 | 4 | 2 | Return | 40 | (o) | Yes | VAV | No | No | ||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | SUPPORT AREA | Housekeeping Aides Closet - HAC | JANC1 | V | 1 | 80 | 80 | 0 | 0 | 1 | 0 | Non-RSF | Housekeeping Aides Closet - HAC | 60 | 0 | 35 | m:QT | m:QT | |||||||||||||||||||||||||||||||
| [7] h:4" | m:GWB f:SC | m:CT [7] | |||||||||||||||||||||||||||||||||||||||||||||||
| h:4'-0" | m:AT f:SP | 9'-0" | m:Wood t:1 s:U | hw:14M | See Comment | See Comment | No | 0 | See Comment | NA | NA | NA | NA | NA | NA | 10 | NA | Exhaust (G) | 40 | (- -) | No | CV | Yes | Yes | Yes | 1.5 | 16 | 5 | 1 | 0 | 6 | Primary Care | 7 | 1.35 | |||||||||||||||
| COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | SUPPORT AREA | Telecommunication Room | COMC1 | V | 1 | 170 | 170 | 0 | 0 | 1 | 0 | See VA Telecommunications Manual on TIL for specific requirements: https://www.cfm.va.gov/til/telecom.asp | Communications Room | 130 | 0 | See Room Notes | See Room Notes | See Room Notes | See Room Notes | See Room Notes | See Room Notes | See Room Notes | See Room Notes | Hw: 200P | |||||||||||||||||||||||||
| see ASR | See Room Notes | See Room Notes | No | 0 | See Comment | 75 | 24 | 64 | 18 | 55 | 30 | Varies | Varies | Return | 45 | (+) | Yes | VAV | Note 1 - HVAC Capacity. Each installed IT enclosure requires 5kW of cooling capacity to be available, but in aggregate 5kW per enclosure is not required. Design heat rejection capacity as follows: 1 rack TR = 5kW. 2 rack TR = 7kW. 3-rack TR = 8.5kW. 4-rack TR = 10kW. | Note 2 - Telecommunications Enclosures (TEs). Where TEs are used in lieu of TRs, the environmental conditioning for the containing space matches the requirements for the primary function of the space (e.g., administrative, warehouse, maintenance shop) subject to the more broad heating/cooling requirements allowed in TRs by the VA Infrastructure Standard for Telecommunications Spaces (41-95°F, 8-80% RH). | Note 3 - Maintain Temperature, Humidity and Air Balance during unoccupied hours | No | No | No | 1.5 | 16 | 5 | 1 | 0 | 6 | Common/Swing/Construction | 7 | 1.35 |
No piped medical gases. Use bottle/portable service for procedure room.
See details at: https://www.cfm.va.gov/til/rTemplate/sDetail-SD080000-01-02.pdf
3473307326Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Power Requirements. No Emergency Power required for this project.
For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf
3594036565Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spacesfor General and Specific Lighting Requirements.
For Imaging FA: https://vatilms.va.gov/vatilms/criteria-viewer/92967?type=application%2Fpdf&title=Imaging%20Services&name=dgImaging-2023-08-01.pdf
766291576CC: Wall backing, power, Network Cable
Refer to Room-specific information for Leasing-Outpatient PACT Clinic Template at https://vatilms.va.gov/vatilms/reports/Templates%20for%20Leased%20Spaces for General and Specific Communication Requirements. Duress buttons are VV wireless installations.
3418722309CC: Wall backing, power, Network Cable VV: TV, Mounting Bracket
CC: Wall backing, power, Network Cable
CC: Wall backing, power, Network Cable, HDMI to workstation
CC: Wall backing, power, Network Cable
Program for Design (27 Oct 2025 11:52AM ET)
Privacy Act - FOR OFFICAL USE ONLY Page &P of &N https://vatilms.va.gov/vatilms/reports/PG-18-14 Project Room Contents Department Functional Area Room Code Room Name Number Of Rooms Room Area Blueprint Number JSN Content Name Qty Acq Code Description Fund Source Unit Cost tc={B8F2ACF6-FC86-48C1-BA33-ED43806BC212}: [Threaded comment]
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| Unit cost, if available, are only estimates and should be independent confirmed. | Total QTY | Total Cost | SEPG# | EER# | 2237# | PO/UID | Status | Procurement Comments | Content Notes | Dept Notes | FA Notes | Room Notes | Equip Type | NSN | Unit Of Issue | Average Price | Price Date | Posting Date | Weight | Height | Width | Depth | Util 1 | Util 2 | Util 3 | Util 4 | Util 5 | Util 6 | Hertz | BTU Per Hour | Phase 1 | Phase 2 | Volts 1 | Volts 2 | Amps 1 | Amps 2 | Watts 1 | Watts 2 | Log Cat Description | Log Cat Comment | Agency Code | ||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | A1010 | Telecommunication Outlet | 1 | CC | Telecommunication outlet location. | TI | $ 50 | 1 | $ 50 | RPIE | 5805 | EA | 0 | 12/16/2010 | 05/07/1997 | 0 | 0 | 0 | 0 | . | . | . | . | . | T | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | A1011 | Telephone,Desk,1 Line | 1 | VV | Telephone, desk, 1 line. | OIT | $ 350 | 1 | $ 350 | PP | 5805 | EA | 0 | 04/11/2012 | 06/03/2001 | 0 | 0 | 0 | 0 | . | . | . | . | . | T | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | A5225 | Bracket,Dual Computer Monitor,Desk-Mounted | 1 | VV | Desk-mounted bracket that supports two LCD computer monitors, or laptop and monitor configuration. Extends LCD's or labtop up to 25" with an adjustment range of 18". Desk clamp attaches to edge up to 2.6" thick. Maximum combined weight supported not to exceed 50 lbs. | FES | $ 305 | 1 | $ 305 | PP | EA | 269 | 08/11/2016 | 08/11/2016 | 15 | 19 | 15 | 9 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | E0117 | Workstation,Straight,Free Standing,Height-Adjustable 48" W | 1 | VV | Stand alone desk. | FES | $ 2,867 | 1 | $ 2,867 | Ideally inset to an alcove. | PP | 6530 | EA | 2531.33 | 12/04/2011 | 09/03/2001 | 150 | 42 | 48 | 30 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | F0280 | Chair,Swivel,Low Back | 1 | VV | Low back contemporary swivel chair, 37" high X 25" wide X 31" deep with a five (5) caster swivel base, arms and foam padded seat and back upholstered with either woven textile fabric or vinyl. | FES | $ 537 | 1 | $ 537 | PP | 7110 | EA | 473.67 | 11/07/2013 | 01/03/2004 | 49 | 39 | 28 | 28 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | F2000 | Basket,Wastepaper,Fire Resistant | 1 | VV | Wastepaper basket, fire resistant, approximately 40 quart capacity. This unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. Size and shape varies depending on the application and manufacturer selected. | EMS | $ 56 | 1 | $ 56 | PP | 7520002051857 | EA | 49.67 | 12/14/2016 | 06/03/2000 | 8 | 20 | 11 | 15 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | M1800 | Monitor,Computer | 1 | VV | A high definition LED computer monitor with minimum 1920 x 1080 resolution, 4ms response time, 25 inch class display size, compatible with desk or arm mounted. Monitor is VESA compatible and Energy Star compliant. | OIT | $ 380 | 1 | $ 380 | PP | EA | 335.67 | 04/26/2017 | 04/02/2019 | 14 | 17 | 22 | 9 | . | A | . | . | . | . | 60 | 0 | 1 | 0 | 120 | 0 | 1 | |||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | CLSC2 | Workstation, Patient Education | 1 | 30 | M1801 | Computer,Microprocessing,w/Flat Panel Monitor | 1 | VV | Desk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard, mouse and speakers. The system shall have the following minimum characteristics: a 2.8 GHz Pentium processor; 512 MB memory; 80GB hard drive; 32/48x CD-ROMDVD combo; 1.44MB network interface card; video 32 MB NVIDIA; a 18 inch flat panel monitor. The computer is used throughout the facility to input, manipulate and retrieve information. | OIT | $ 1,658 | 1 | $ 1,658 | PP | 7025 | EA | 1463.33 | 02/24/2014 | 09/03/2001 | 45 | 23 | 21 | 19 | . | A | . | . | . | . | 60 | 0 | 1 | 0 | 120 | 0 | 5 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | LAC01 | Lactation Room | 1 | 50 | A1080 | Mirror,Posture,Wall Mounted | 1 | CC | Wall mounted posture mirror. Consists of a 1/4" plate glass in a sturdy corrosion resistant frame with water proof back. For educational and therapy programs. | TI | $ 390 | 1 | $ 390 | RPIE | 6530 | EA | 344.58 | 03/18/2020 | 03/15/2002 | 60 | 72 | 28 | 4 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | LAC01 | Lactation Room | 1 | 50 | A5075 | Dispenser,Soap,Disposable | 1 | CC | Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge and valve. | TI | $ 18 | 1 | $ 18 | PP | 4510 | EA | 15.67 | 02/13/2012 | 09/03/2001 | 2 | 11 | 5 | 4 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||||||||
| 1 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263) | 1 - LOBBY / RECEPTION AREA | LAC01 | Lactation Room | 1 | 50 | A5077 | Dispenser,Hand Sanitizer,Hands-Free | 1 | CC | A touch free wall-mounted hand sanitizer dispenser. For use throughout a healthcare facility. Unit does not include the sanitizing liquid. Units are battery operated. | TI | $ 50 | 1 | $ 50 | PP | EA | 44 | 07/27/2012 | 07/06/2014 | 2 | 15 | 7 | 6 | . | . | . | . | . | . | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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