Section 1 of 1
RESPON CEPAT PEMELIHARAAN JALAN DAN JEMBATAN ( RESEP PEJANTAN )
1. JALAN NASIONAL
2. JALAN PROVINSI
3. JALAN KABUPATEN KOTA
4. JALAN DESA / LINGKUNGAN
5. JALAN PERTANIAN / JALAN KEBUN.
6. PROYEK
7. DAN LAINNYA ...
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NAMA ANDA .
NAMA ANDA .
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NO. KONTAK / HP
NO. KONTAK / HP
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NAMA JALAN
NAMA JALAN
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STATUS JALAN
STATUS JALAN
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1.
JALAN NASIONAL
2.
JALAN PROVINSI
3.
JALAN KABUPATEN
4.
JALAN KOTA
5.
JALAN KOMPLEKS / PERUMAHAN
6.
JALAN DESA
7.
JALAN USAHA TANI
8.
JALAN PERKEBUNAN
9.
TIDAK TAHU
10.
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LOKASI DI KABUPATEN / KOTA
LOKASI DI KABUPATEN / KOTA
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1.
01. ASAHAN
2.
02. BATUBARA
3.
03. DAIRI
4.
04. DELI SERDANG
5.
05. HUMBAHAS
6.
06. KARO
7.
07. LABUHAN BATU
8.
08. LABUHAN BATU SELATAN
9.
09. LABUHAN BATU UTARA
10.
10. LANGKAT
11.
11. MADINA
12.
12. NIAS
13.
13. NIAS BARAT
14.
14. NIAS SELATAN
15.
15. NIAS UTARA
16.
16. PADANG LAWAS
17.
17. PADANG LAWAS UTARA
18.
18. PAKPAK BHARAT
19.
19. SAMOSIR
20.
20. SERDANG BEDAGAI
21.
21. SIMALUNGUN
22.
22. TAPANULI SELATAN
23.
23. TAPANULI TENGAH
24.
24. TAPANULI UTARA
25.
25. TOBA SAMOSIR
26.
26. KOTA BINJAI
27.
27. KOTA GN SITOLI
28.
28. KOTA MEDAN
29.
29. KOTA P SIDEMPUAN
30.
30. KOTA P SIANTAR
31.
31. KOTA SIBOLGA
32.
32. KOTA TJ BALAI
33.
33. KOTA TEBING TINGGI
34.
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JENIS KERUSAKAN .
JENIS KERUSAKAN .
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BANJIR
LONGSOR
JALAN BERLUBANG
ASPAL RETAK RETAK
JALAN SEMAK
DRAINASE RUSAK
BAHU JALAN RUSAK
JEMBATAN RUSAK
RAMBU JALAN RUSAK
PEKERJAAN / PROYEK
KERUSAKAN LAINNYA
Other:
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KETERANGAN / DESCRIPSI KERUSAKAN / LAPORAN ( dapat di isi keterangan dalam bentuk kalimat panjang berbentuk paragraf ) .
KETERANGAN / DESCRIPSI KERUSAKAN / LAPORAN ( dapat di isi keterangan dalam bentuk kalimat panjang berbentuk paragraf ) .
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UPLOAD PHOTO 1 ( wajib , harus di upload )
UPLOAD PHOTO 1 ( wajib , harus di upload )
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PHOTO KE 2 .
PHOTO KE 2 .
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PHOTO KE 3 . ( HASIL SCREEN SHOOT PETA GOOGLE MAPS )
PHOTO KE 3 . ( HASIL SCREEN SHOOT PETA GOOGLE MAPS )
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TANGGAL / WAKTU PELAPORAN
TANGGAL / WAKTU PELAPORAN
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CATATAN / PESAN / KETERANGAN LAIN .
CATATAN / PESAN / KETERANGAN LAIN .
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