Depot of Refillable Drinking Water (DAMIU) is one of the people's choices to get drinking water. Having cheap prices is the main choice, but not all DAMIU has good hygiene and sanitation. The results of the data obtained from Based on data from the Surakarta City Health Office in 2016 on the decentralized case in Puskesmas Gambirsari Surakarta. were 677, the purpose of this study was to determine the condition and cleanliness in Puskesmas Gambirsari Surakarta. This type of research is descriptive with a sample of 11 DAMIU in Puskesmas Gambirsari Surakarta. The results showed that hygiene conditions were not used at the DAMIU location which was too temporary and spatial trash too. The average building meets the requirements. Equipment that has the right conditions, but in this case there is no health check and no one has a sanitation health certificate