W Certificate No.

02352/FOBOAL
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Laboratorium panguji lssuing Office:
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LP-O2E.IDN Jl. Jend. A. Yani. No.315 Surabaya 60234, lndonesia

Phone/Facs: +62 31 847 0547/8470563
Email: labsurabaya@sucofi ndo.co.id

REPORT OF ANALYSIS
CLIENT : PT. DUTA MAXPIL INDONESIA
Jl. LUmbang Chayun No. 2 RT. 016 RW. 003
Besuk, Besuk Tempeh
Kab. Lumajang - Jawa Timur

THE FOLLOWING SAMPLE (S) WEREA/VAS SUBMITTED AND IDENTIFIED BY CLIENT AS :

TYPE OF SAMPLE Clean Water

TEST REOUIRED Bacteriological,Physical and Chemical analysis

*) Decree from Ministry of Health Republic lndonesia
No. 416/MENKES/PER/lX/1990 for Clean Water

SAMPLE IDENTIFICATION T_he Following statement was stated by Client and not verified by SUCOFINDO

DATE OF RECEIVED February 05,2018

DESCRIPTION OF SAMPLE Form : Liquid

WeighWolume :3 L
Packing : Plastic Bottle

PERIOD OF ANALYSIS February 05 up to 20,2018

RESULT OF ANALYSIS Please refer to attachment

The Attachment available is an integral part of this certificate.

The test result related to the submitted samptes onty and the report/certificate can not be reproduced
ln anyway, except in full context and with prior approval in writing from Sucofindo Laboratory

This Certificate/report is issued under our General Terms and Conditions, copy of which is available upon request or may be accessed at www.sucofindo.co.id

Dept. of & Eco-Framework

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Attachment
To Certificate No. 02352/FOBOAL
Date: February 20,2018
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SUCc,FINDO
lssuing Office:
Nasionat Jend. A. Yani. No. 315 Surabaya 60234, lndonesia
Page 1 of LaDoralorium penauii
LP-028_|DN -' Phone/Facs: + 62 31 847 0547 I 847 0563
Email: labsurabaya@sucofi ndo.co.id

REPORT OF ANALYSIS
Type of Sample Clean Water
Sample ldentification
Date Received , i"orrrry 05, 201B
Period of Analysis : February 05 up to 20,2018
We have tested the submitted and the results were obtained
Parameters Unit Test Results Limit Test Methods

BACTERIOLOGICAL :
. Coliform .) MPN / 100 ml 30 10/50 **) Sftff Of -ZASZ -1992ltem2.2

PHYSICAL and CHEMICALS :

. Colour (Pt-Co Scale) < 0.33 50 max PO/ENV.AIR/55
. Odour Odourless Odourless SNI 01-3554-2006 ltem 2,2.1
. pH*) 7.29 6.50 - 9.00 4500-H+-B #)
. Taste Tasteless Tasteless SNI 01-3554-2006 ltem 2.2.1
. Turbidity NTU 1.87 25 max 2130 B #)
. Total lron (Fe) mg/L 0.025 1.0 max 3120 B#)
. Manganese (Mn) mg/L < 0.0'l 0.5 max 3120 B #)
. Zinc (zn) mg/L 0.012 15 max 3120 B #)
. Chloride (ct) mg/L 33.7 600 max 4500-cr-B #)
r Fluoride (F) mg/L 0.34 1.5 max 4500-F D #)
r Nitrate (NO3 N) mg/L 6.0 10 max 4500-NO3-B #)
. Nitrite (NOr_N) mg/L 0.010 1.0 max 4500-NO2-B #)
. Sulphate (SO+ ) mg/L 68.3 400 max 4500-so4'z E #)
. Arsenic (As) mg/L < 0.001 0.05 max 3114 B #)
. Cadmium (Cd) mg/L < 0.003 0.005 max 3120 B #)
. Cyanide (CN) mg/L < 0.03 0.1 max 4500-cN E #)
. Chrom Hexavalent mg/L < 0.003 0.05 max 3500-Cr-B #)
. Lead (Pb) mg/L < 0.004 0.05 max 3120 B#)
. Mercury (HS) mgiL < 0.001 0.001 max 3112 B #)
. Selenium (Se) mg/L < 0.001 0.01 max 3114 B #)
Organic Matter (By KMnOa ) mg/L 1.1 10 max sNt 06-6989.22-2004
. Surfactans Anionic as MBAS mg/L < 0.05 0.5 max 5540 C #)
. Dissolved Solid mgil 685 1500 max 2540 C #)
. Total Hardness, CaCO: mg/L 154 500 max 2340 C #)
#) 2012 )10= for pipe line water.
APHA-AWWA.WEF 50= for not pipe line water.
.) pH analyzed at Sucofindo Laboratory .) Excluded parameters accredited
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