CERTIFICATE OF ANALYSIS COA No : 22R1273, 22R1274 Report To: PT. Halmahera Jaya Feronikel Gedung Bank Panin Lantai 3, JI. Jend Sudirman, Kel. Gelora, Kec.Tanah Abang, Kota Adm. Jakarta Pusat, Prop. DKI Jakarta Attention: Mrs. Priscilla Andhiny Project Name Ambient Air Samples 2022 Emission Air Samples 2022 PT. WLN Indonesia Arief Rakhmadi Business Manager yl. Yos Sudarso 251 7569075 wwesas.com sin 196243 SD 1962-431 itso towed fo spy oats 0 this Roport wit Diarang manggandsten (sbeien ata serutnya) Wt Laboratory Nusantre rxyan dart War Laboratory Nusantara PrsosUMsrLA.os0Page 1 of 16 REPORT REMARKS & DESCRIPTION PT. Halmahera Jaya Feronikel REMARKS NI Standar Nasional indonesia NIOSH National Institute for Occupational Safety and Health ugien? Micro Gram per Meter C mgiNm* Milligram per Normal Meter Cubic dBA 2 Decibel A Weighting °C 2 Celcius degree % Percent mis 2 Meter pe Second mmHg 2 Millimeter Hg KVA 2 Kilo Volt Ampere UoMt 2 Unit of Measurement DL Detection Limit GRL Government Regulation Limit RemQ 1 Remarks of KAN Accredited parameters < : Less than Detection Limit indicated na 2 Not avaliable coc Chains of Custody CRM : Certified Reference Material SRM Standard Reference Material DESCRIPTIONS Blank : Blank or also known as Reagent Blank performed during analysis to determine contribution reagents and preparative analytical steps to error in the measurement, Blank result acceptance are below detection limit stated on the report (APHA,2012) % Recovery CRMISRM : CRIW/SRM performed during analysis is a reagent water samples to which a known concentration of the analytes of interest has been added. It is use to evaluate laboratory performance (APHA.2012) Detection Limit : Smallest amount that can be detected above the noise in a procedure and within stated confidence level. The confidence level are set so that the probabilities of errors are acceptably small (APHA.2012) Manado, 25 July 2022 Reviewed by. Maria Mawa Aprilia Repi Quality Manager Technical Manager SGSWLN | BogorLatorsy J Ahnad eriNo, 6E Tarah Soe Bogor 1618. Jane Brat. Indonesia 462281 su saeco Head Oice & Main Labortary J. Vos Sudereo No, 5 Pa 2, Merado $5125 Sues Ui, Indonesia 462431 BTGOHD 1162 431 tien alowed 1 coy sats of t's Report without permission Water Laboratory Nusertara Diarang meragandskan (set tay enlsny)lporen tanga persetuuan dar Water Laboratory Nusatara PrsDteHst.sonePage 2 of 15 PROJECT INFORMATION Contract No. WLNPQNo. > PQ2011016-RO PO reff WLNCOC No. 2207014 WLN Project No. 220330, 22P0331 WLNWO No. ; 22WOR3-08019 ‘SAMPLE INFORMATION Number of sample : 7 No Customer sample 1D WLN Lab ID ‘Sample Matrix Sampling Date Registration Date 1 AANP2. 2205038 Ambient Air 20-06-2022 04-07-2022 2 AANPB 2205039 Ambient Air 20-06-2022 04-07-2022 3 AAN-PPT 2205040 Ambient Air 21-06-2022 04-07-2022 4 BANGWIK: 2205041 Ambient Air 21-06-2022 04-07-2022 5 AAN-CY 2205042 Ambient Air 22-06-2022 04-07-2022 6 AES-P2 2205043 Emission Air 20-06-2022 04-07-2022 7 AES-SC 2205044 Emission Air 20-06-2022 04-07-2022 SSGSWLN | Bogat Laboratory Jl. Ahmad Yar No, 68£ Tah Sasl Bova 18181 ja 1262751 588075 wa syscom we Head Oe & Nin aboratry Yo Saar Ne 85 Ua, onesia C062 401 BTID 196241 sis not aowed to co9y (aan of his Repo wihout permission Water Laboratory Nusantara Dern menggandan abo sou slurunny) lsporen tga persenyuan car Watar Laboratory Nusentsre prso-risi4a.onePage 3 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel Customer sample: AAN-P2 WLNLabID : 2205038 ‘Sample Matrix : Ambient Air Reg. Date: (04-07-2022 ‘Sampling By : WLN Coordinates 1" 93'28.91" Sampling Date +: 20-06-2022 127" 2549.59" Sampling Climate information Temperature ((C) (0) 282 WL((D}EHS}-LA-081 (Thermohygrometer) Humidity %) (@) 248 WI(IDIEHS}LA-061 (Thermohygrometer) Weather = Sunny ‘Wind Speed (mis) 214 Wind Direction = South Barometric Pressure (mmHg) 756 Government Regulation Limit, Peraturan Pemerintah Republik Indonesia No. 22 Tahun 2024 Lampiran Vil (Baku (GRL) * Mutu Udara Ambien) Rom No Test Description om Result GRL Method Reference Pe! . = WH(1D)JEHSI-LA-204 1. Carbon Monoxide igi 000 na otean 2. Sulphur Dioxide ($0;) ugh? <20 160 SNI19-7110.7(2005) . . WHI) {EHS}-LA-043 3. Ozone (03) gh 10 150 Sonera a 4. Nitrogen Dioxide (NO.) gi? < 20 200 SNi19-7119-2(2005) Totat Suspended Particulate A 3 5. get toun) vol 7 230 SNi19-7119-3(2017) © Lead (Pb) von? < 0.05 2 WH(ID){EHS}LA072 Particulate Matter 10 , = WHIO)EHSI-LA-248 7 es hours) va a 75 (Gravimetr) Particulate Matter 2.6 3 = WHID)TEHS]LA-222 © ee hours) all ite bed (Gravimeti) Hydrocarbon g/m? < 10 va NIOSH-Method-1501 (2003) ‘Remarks : ug/m? = te consentraion ls microgram per meter cubic. Its corrected into normal atmospheric condition whichis 1 stm and 25°C WN. | Bogor Lab feed Oto BNPage 4 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT, Halmahera Jaya Feronikel Customer sample ID 2 AANP2 WLNLab ID: 2205038 ‘Sample Matrix + Ambient Air Reg. Date 04-07-2022 Sampling By WIN Coordinates: $:01733'28.91" ‘Sampling Date 20-06-2022 E127" 25' 49,69" Government Regulation Limit KepMenLH No. 48 Tahun 1996 Lamp. | tentang Baku Mutu Tingkat Kebisingan (GRL) * (industri) No Test Description Uom Result GRE Method Reference Rem 11 Noise (24 hours) BA 62 70 SNI 84272017 a Romarks : The range of noise quality standard is Set within tolerance of 3. dBA SoS WIN abortay J Ahmad Yano. 6-E Tanah Sawa, age 15161. Jawa Bara, den B8075 wanes Ww Head Otc & Rin Labeatny Ys Suto a 65 Fae 2 Manado $5129 Sua isnot atlowad 0 copy (po Diarang menagandan (sbogian sau slunsnya) sparen in tana poset praptensiin.oneCustomer sample 1D ‘Sample Matrix ‘Sampling By ‘Sampling Date Sampling Climate Information Temperature (*C) (0) Humility @) (0) Weather Wind Speed (mis) Wind Direction Barometic Pressure (mmHg) Government Regulation Limit (GRL) No Test Deseription 1 Carbon Monoxide 2. Sulphur Dioxide (SO;) 3 Ozone (02) 4 Nitrogen Dioxide (NO,) Total Suspended Particulate (24 hours) 6 Lead (Pb) Particulate Matter 10 (24 hours) Particulate Mattor 2,5, (24 hours) 9 Hydrocarbon AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel 1 AANPS WLN Lab ID: 2205039 + Ambient Air Reg.Date = 04-07-2022 : WLN Coordinates: S:01"39 62.8" + 20-06-2022 E127 25 225° 294 WH(ID}{EHS}-LA-051 (Thermohygrometer) 248 WL(D){EHS}-LA-051 (Thermohyarometer) : Sunny 218 East 2 788 Poraturan Pemerintah Republik Indonesia No. 22 Tahun 2021 Lampiran Vil (Baku * tutu Udara Ambien) ost Result grt Method Reference ° : Wi-(D{EHS}LA224 gin” 5000 nla (CO Meter) gi? < 20 160 SNI 19-7119,.7(2005) Q 3 7 WL(D){EHSHLA-043, Ca te Ae (Gpetirofomer) gim® < 20 200 ‘SNI 19-7119-2(2005) Q gin? <10 230 SNI19-7118-372017, @ ugim? < 0.05 2 WI-(ID)-[EHS]-LA-072_ 7 = WHIDHEHS}LA-246 ra : ite (Gravimets) ‘i z Wi-(D){EHS}-LA-222 oi 10 55 ope ShA pgim? < 10 na NIOSH-Method-1501 (2003) ‘Remarks = g/m? = the consentraion is microgram per meter cubis. Is corected into normal atmospheric condition whichis 1 atm and 25°C Man Lao Darang manggendatan oa ator J Atmod Yani No. ones 462251 7509073 tae, ndenesia 1482Page 6 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT, Halmahera Jaya Feronikel Customer sample ID AANPS WLN Lab ID: 2205039 ‘Sample Matrix 5 Ambient Air Reg. Date 04.07-2022 ‘Sampling By : WIN Coordinates: S:01° 3352.3" ‘Sampling Date = 20-06-2022 E127" 2522.5" Government Regulation Limit __KepMenLH No, 48 Tahun 1996 Lamp. | tentang Baku Mutu Tingkat Kebisingan (@Rt) * dust) No TeatDeserintion om Result ort Method Reference Re” 1 Nolee (24 hows) BA 6 0 suieazr2017 a Remark +The age of oe quality sandr is a iio tbrance of 3A USN | So nt 9822817007 wascon Sulawesi Utere, Indonesia +6243! 673030 +62 491 873035 iedPage 7 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel Customer sample ID + AAN-PPA WLN Lab ID: 2205040 ‘Sample Matrix = Ambient Air Reg. Date 04-07-2022 ‘Sampling By : WIN Coordinates: $:01° 3344.4" ‘Sampling Date 2 21-06-2022 E127" 25! 13.2" ‘Sampling Climate Information ‘Temperature (°C) (2) 30.0 WI/D}[EHS}-LA-081 (Thermohygrometer) Humility (%) (a) a WI((D}[EHS}-LA-061 (Thermohygrometer) Weather : Sunny Wind Speed (mis) 08 Wind Direction : West Barometric Pressure (mmHg): 759 Government Regulation Limit Peraturan Pemerintah Republik Indonesia No. 22 Tahun 2021 Lampiran Vil (Baku (GRL) * Mutu Udara Ambien) No Test Description UoM Result GRL Method Reference "eM : WH(ID)(EHSHLA-226 4. Carbon Monoxide fe 5000 ve eon 2. Sulphur Dioxide ($02) olm® < 20 180 sni19-7119.7;2005) a we 3 < WH(ID){EHS}LA-043 3. Ozone (03) a’ 10 180 “Spekrotomet) Q 4. Nitrogen Dioxide (NO) vate < 20 200 SNI19-7119-2(2005) Total Suspended Particulate ° Slaton vol 7 230 SNI19-7119-32017) 6 Lead (Pb) vol? < 0.05 2 WHID)EHS}LA-072 Paniculate Matter 10 2 : WHID}IEHSHLA246 7 4 hours) vim ug ba (Gravimeti) Particulate Matler 2.5 2 Z WH(ID)EHS]}1A-222 © ea hours) in i bas (Grevimett) @ Hydrocarbon vai? <10 na NIOSH-Method.1501 (2003) Remarks :jxyin? = the consentration is microgram per meter cubic: It is corrected into normal almaspheric cancion which is 1 atm and 25°C SGSWWLN | Bogor Lato vv p80 wy Bort Nusanare Prs-iistsa-onevi Page 8 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel ‘Customer sample ID 2 AAN-PPI WLN Lab ID: 2205040 ‘Sample Matrix : Ambient Air Reg. Date 04-07-2022 ‘Sampling By : WIN Coordinates; $:01" 33 44.4" ‘Sampling Date 21-06-2022 127" 2513.2" Government Regulation Limit __ KepMenLH No. 48 Tahun 1986 Lamp. | tentang Baku Mutu Tingkat Kebisingan (GRL) * (industri) oa Rem No Test Description UoMt Result GRL Method Reference a 1 Noise (24 hours) OBA 67 70 ‘SNI 8427:2017 Q ‘Remarks : The range of noise quality standard is set within tolerance of 3 dBA ‘SS WIN atoy J. Abad Yani No, 68E Tanah area, Bopor 16181. Jawa Barat. indonasia ++62261 7569075 ww sps.com w ‘Main Laboratory J Yos Sutarso No, 65 Paal 2, Manat 95129 Sulawesi tera, Inonasia +62 431 873030 462431 873035, tT isnot elowea to copy (parts of this Report without permission Water Laboratory Nusankara nagandakan (sebagian atau seluruhnya) laporan ni tanpa persetyjuan dar Water Laboratory Nusantara PRI ENSLA O90_SGS_ WLN = Page 9 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel Customer sample ID ANNIKA WLN Lab ID: 2205044 ‘Sample Matrix : Ambient Air Reg. Date 04-07-2022 ‘Sampling By : WIN Coordinates: $:01" 3336.9" ‘Sampling Date 21-06-2022 127° 25'00.2" ‘Sampling Climate Information Temperature ("C) (0) s2 WI-((D}[EHS}-LA-051 (Thermohygrometer) Humility (%) (a) 47 WI-(ID-{EHS}-LA-061 (Thermohygrometer) Weather : Sunny Wind Speed (mis) 13 Wind Direction : East Barometric Pressure (mmHg): 758 Government Regulation Limit, Peraturan Pemerintah Republik Indonesia No, 22 Tahun 2021 Lampiran Vil (Baku (GRL) * Mutu Udara Ambien) No Test Description vom Result RL Method Reference el ° E WHID){EHS}LA224 1 Carbon Monoxide vin 5000 nla ote 2. Sulphur Dioxide (S0;) vain? <20 150 SNI 19-7119.72005) WHIDEHSHLA043 <1 3. Ozone (03) vain 0 150 iepaiaroan a 4. Nitrogen Dioxide (NO) vai? <2 200 SNI19-7119.2(2006) Total Suspended Particulate * i 5 allio gi 2 230 sNI19-711932017) a © Lead (Pa) vain? < 005 2 WH(0){EHS}LA072 Particulate ater 10 7 WH(D)IEHSHLA-246 7 @é hours) vai aa 6 (Gravimett) Particulate Mater 2.5, a Z WHI) {EHS}LA222 © ea hours) gin e ad (Gravimett) & Hydrocarbon vai? <10 nia NIOSHeMethod-1501 (2008) Remarks : ig = the consentration Is microgram par meter cubic. Its corrected into normal almaspheric condion vhich is 1 etm and 25°C J nad Vari 62£. Tanah Soe, Bogor 1616 ndenesia 62 ratory Yos utero 65 Pal 2, Mara ses Uta tert alowed ta copy (pas ofPage 10 of 18 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel Customer sample ID 5 AANAMKA WLN Lab ID: 2205041 Sample Matrix + Ambient Air Reg, Date (04-07-2022 Sampling By : WIN Coordinates: S:01°33'36.9" Sampling Date 24-08-2022 E127" 28'00.2" Government Regulation Limit __KepMenLH No. 48 Tahun 1886 Lamp. | tentang Baku Mutu Tingkat Kebisingan (RL) * (Pemukiman) No Test Description om Result GRL ‘Method Reference ree 1. Noise (24 hours) dBA 62 55 NI 84272017 @ ‘Romarks : The range of noise quay standard is set win tolerance of 3 aBA SOSWAN | Bogor Labotry J Ahmad Yai No 6 Heed Ofee & sin above Yor . t Ta a tient towed coy (er oti Report wihou pension Welr Laboratory Nusartara israng menggandekan sebegion sau eeluniinys) lporan i tonpa preehven der Water Labertoy Mussrtre rrspsensitnon0_SGS_ WILN — Page 11 of 15 Customer sample ID ‘Sample Matrix Sarnpling By Sampling Date ‘Sampling Climate Information Temperature (°C) (2) Humidity (%) (a) Weather Wind Speed (mvs) Wind Direction Barometric Pressure (mmHg) Government Regulation Limit (GRL) No Test Description, 11 Carbon Monoxide 2. Sulphur Dioxide (S0,) 3 Ozone (05) 4. Nitrogen Dioxide (NO) ‘5 Total Suspended Particulate (24 hours) 6 Lead (Pb) Particulate Matter 10 (24 hours) a. Paticulate Matter 2.6 (24 hours) 9 Hydrocarbon AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel 2 AANCY WIN Lab ID: 2205042 + Ambient Air Reg. Date: 04-07-2022 = WLN Coordinates: §:01"39'34.57° + 22-06-2022 e127 26 4427" : 308 W-\D}{EHS}-LA.051 (Thermehyeromatet) 148 W-((D}{EHS}-LA.051 (Thermohygromater) sunny 1 + South 787 _ Peraturan Pemerintah Republik Indonesia No. 22 Tahun 2024 Lampiran Vil (Baku * atu Udara Ambien) re ee 7 E WH(O}EHS}LA224 vot 000 a mots vin? < 20 150 Sni19-7110.772005 a . e WH(ID)EHS}LA.048 vl 10 150 eee sim < 20 200 SNi19-71102@005) a vin? < 10 220 sni19-711990017) a voln? = 005 2 WHID}{EHS}LAO72 7 z WHAD}EHS}LA 246 ai ig rs (Gravimetn ° . WH) [EHS}LA-222 en am ee (Gravimetr) aim? <10 nla NIOSHeAMethad-1501 (2008) ‘Remarks : ug/m* = the consantraton is merogram per meter cubic. It is corrected into normal stmaspieric candtion whic Is 1 atm and 25°C Toran eae neces We iret owes to_SGS WLN ¥KAN Page 12 of 15 AMBIENT AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel Customer sample ID : AANCY WLN Lab ID: 2205042 ‘Sample Matrix : Ambient Air Reg. Date 04-07-2022 ‘Sampling By WLN Coordinates: $:01° 33'34.57" ‘Sampling Date 22-06-2022 : 127" 24 46.27" Government Regulation Limit KepMenLH No. 48 Tahun 1996 Lamp. | tentang Baku Mutu Tingkat Kebisingan (GRL) * (industri) fo Test Deseipton Von seus == GRL_ eto Raterence RE 1 ein 2 a) aa 7 susan a Foca angen any wirinias oSER SGSWUN J). Aberad Yani No, 68-£ Tanah Sareal, Bog Jawa Barat Indonesia t+62 251 TSEQU7S wwnv.sys.co w . Grmup 18Page 13 of 15 EMISSION AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronike Customer sample ID 2 AES-P2 WLN Lab ID; 2205043 ‘Sample Matrix : Emission Air Reg. Date: 04-07-2022 ‘Sampling By : WIN Coordinates: - ‘Sampling Date + 20-06-2022 Sampling Source Condition Engine 4 Fuel typo Diesel Capacity (VA) pe Oxygen (%) 0) 218 ‘SN19-7117.10,2005 Velocity (mvs) : 169 Government Regulation Limit PerMenLHK No. 11 Tahun 2024 Lampiran | (RL) * (Kapasitas 801 KW -1000 KW, Bahan Bakar Minyak) No Test Description vom Result GRE Method Reference 4. Carbon Monoxide malNm? 507 7 SNI19-7117.10-2008 2. Sulfur Dioxide ($0;) mgt? 70 180 SNI7#17.18-2008 rf WHID}IEHSHLA117 3 Nitrogen Oxide (NO,) mgINew' 550 1850 €l ical) Q ‘Romarks : The resis are corected with 15% oxygen based on GRL seswin iN. E Tas 251 7386075 sue sos com Los Su Swen Ue, ndoneia 1426167900 162 421 a5 ’ y tis net awed t copy ips ofthis Report with permission Waar Laboratory Musertara Diorng menggencekan cobain alu salute} epran tape person don Water Laborato Misano Prso-tensysaone_SGS WLN Page 14 of 15 Customer sample ID ‘Sample Matrix ‘Sampling By ‘Sampling Date ‘Sampling Source Condition Engine Fuel ype Capacity (kVA) Oxygen (4) a) Velocity (mis) Test Description 1. Carbon Monoxide 2 Sulfur Dioxide (S0,) 3 Nitrogen Oxide (NO) Remarks : The resuits are corected SBSYWLN | oor Laboratory Head Office & Main Laborato Darang ronggerdss V KAN Rome Atredias! Nasional Uaborstoriom Pent EMISSION AIR SAMPLING & ANALYSIS RESULTS PT. Halmahera Jaya Feronikel : AES-SC WLN Lab ID : Emission Air Reg. Date WN Coordinates: 20.06-2022 Diesel 18 SNI-49-7117.10.2005 124 PerMenLHK No. 11 Tahun 2021 Lampiran | * (Kapasitas 501 KW -1000 KW, Bahan Bakar Minyak) UoM Result GRL mg/Nen® 440 7 mg/Nen® 79 160 mg/Nm® 440 1850 with 19% oxygen based on GRL Jonesia 1462 251 Beal? Mia cory oats of is Report rsion Wetr i poset dar ate traon + m20s04e + 04-07-2022 Method Reference RO ‘SNI 19-7117.10-2005 Q SNi7117.18-2000 a WHID)[EHS}-LA-117, a (Electrochemical) 560075 won sgs.com we ry Nasartara Pri cus} no80Page 16 of 15, LABORATORY QUALITY CONTROL PT. Halmahera Jaya Feronikel No ‘Test Description owt DL Blank % Recovery CRM/SRM 1 Carbon Monexide in? 000 na wa 2 Sulphur Dioxide ($0,) vom? 20 <20 nia 3 Ozone (O;) ugim? 10 <10 nia 4 Nitrogen Dioxide (NO.) aim? 20 <2 nla Sti gin? 10 <10 na 6 Lead (Pb) gm? 005 < 0.05 na Ee areata gin? 10 ria va 3 Rite Mater 25 rie a wa wa 9 Hydrocarbon om? 10 <10 ma 10 Noise 24 hours) a8, 30 ava na 11. Carbon Monoxide maim? 1 nla la 12. Suifur Dioxide (S0,) main? 1 nia na 13. Ntrogen Oxide (NO, mgt? 10 nla nla na | ice Uinta i os Sue o£ Pal Manto S20 Showed ures verecaraae wezeniars is at lowed copy fat of i Rapa wou pamson Wate Labora tre sang manggandaan (sbagi atu sol 2) fagaran in fa persetjuan don Wstr Laboratory Meentara Prsn.ens}.a.cs0-SGS' WLN PT. Water Laberatory Nusantara indonesia Pe, CHAN OF CUSTODY [pene Se Baar CLIENT INFORMATION FOR WWVOIGING es NT z a [Site arnoerves a Sow SuReeCeWareR San ee Sea inves : — ZI wy - waste WATER, = Eu crv ten ace [ne Aveund Time Ronieaod | G¥¥ GROUND WATER sot [GaaserPasor ANBIENTAIB> eova be 5 el y es SRIPLESEY Uae TESTOR ear : Faesceaion res igo SMO, OTHERS nso Semele eva ais Tme Catered | | go [tate Bee] Aa | Same Youre mind =e [ME 7 zi : a — Bile alesis) PT WLN INDONESIA IS NOW PART OF SGS, THE WORLD'S LEADING sGs INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY.-SGS WLN PT. Water Laboratory Nusantara Indonesia ‘CHAIN OF CUSTODY ory Page, oo TiN Gcte We wo na: THEANS SHIPPED DATE SHIBPED por aquest) Tine Around ane Requesied Tama Hi 8 aba OWN roa EE [Gamat Bera ‘sna (GWY= Clean Water TSoSTonER Emel [PRESERVATION TYPES 2) Hel Mio; OTHERS. SiNas.o1_@)None Sah ee Cea < Tab ‘Date/Time Conectod maroctype | PEE TYPE lsample Volume] Customer Same ic. wa ee = (oc foie) [Tene ee [Tay ; Ar? 31 09 - ii i wa Semi peg Roa a pea Fer gt og PT WLN INDONESIA IS NOW PART OF SGS, THE WORLD'S LEADING sas INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. PRID-EHSH!WORK ORDER 7 __ WE WORK ORDER NO: 22WOR3-06013 = PE-MEGAH SURYA: PERTIWE {MSP P7--TRIMEGAH BANGUN-PERSADA-(TBP}, BH; Gane Permal Sentosa— Ls custo: peed (6?5), Helmahere Persads-Lygend{HPL] dan PT. Halmahera Jaya Feronikel (HIF) Al Address : Ratu Plaza Office Tower 24th Floor JI. Jendral Sudirman Kav 9, Jakarta 10270~ Indonesia wr Telp/Fax Project :nvironmant Monitoring Semester !~ Juni 2022 PQ number 72009029-RS, PO2009030-R5, PQ2009031-RS, PO2009032-R14, PQZ011016-R7 Sampling Date Juni ~ 4 uli 2022 lau Obi (MSP, TBP, GPS, HPL dan HIF) el Mrs. Priscilla Andhiny (084394410087) / si Herdiansyah (081394633369) liham Maulana thsan Sampling Team ‘Andee Raja (081355107174) ‘Apryudi Paulus Tiagun Muhammad Shabir Usman (082188814683) -> tim isokinetik SAMPLING TIMETABLE Date/Day Activities Note Pengiriman 2 unit HVAS ke Kantor perwaklian di = = 31 Mei 2022-07 Juni 2022 | Ternate Koeistic Masts resin: i Bogor lakarta Teratetabuha janado-Temate-Labuhe Mobilisasi Labuhe-Obt Jeorn.d dap Teaind: 03 Juni 2022 Team idan Team 2 PF-ID-[EHS|-LA-079/Rov. 2122.08.193A. Juni 2022 42 Juni 2022 433 Juni 2022 44 Juni 2022 45 Juni 2022 116 Juni 2022 WORK ORDER Karantina 1 hari dl obi ‘Sampling Udara Ambient Noise dan Emisi Non {sokinetik MSP Sampling Udara Ambient Noise dan Emisi TBP Tear 1.dan Team2 Team i dan Team2 ing Udara Ambient Notse dan Ems! Non isokinetik MSP Ms ing Udara Ambient Noise MSP Sampling Udara Ambient Noise TBP ‘Sampling Udars Ambient Noise MSP Sampling Udara Ambient Noise TBP Team idan Team2 17 Juni 2022 18 Juni 2022 19 Juni 2022 ‘Sampling Udara Ambient Noise MSP Sampling Udara Ambient Noise HIF ‘Sampling Udara Ambient Noise dan Emisi HIF isasi Ternate-labuha (Isokinetic Team) Tim isokinetic rencana akan stand by di Temate -sesudah sampling dtdaerch Halmahera ‘Sampling Udara Ambient Noise HIF ‘Team 1, Team 2, team Isokinetik ‘Team 1, Team 2, team isokinetik PFID-[EHSHLA-078/Rev.2/22.08.1920 Juni 2022 21 Juni 2022 22 Juni 2022 23 Juni 2022 WORK ORDER | Sampling Udara Ambient Noise HIF Sampling Udara Ambient Noise GPS | Quarantine day 1 site Obi (Isokinetic Tear) | Sampling Udara Ambient Noise GPS. Sampling Udara isokinetic MSP Sampling Udara Ambient Noise GPS Sampling Udara isokinetic HPL | Sampling Udara Ambient Noise HPL Sampling Udara isokinetic HPL ‘Team 1+ team isokinetic Team 2 (ambient noise) Team 1+ team isokinetic Tear 2 {embient noise) Team 1+ team isokinetic ‘Team 2 (ambient noise) Sampling Udara Ambient Noise HPI Sampling Udara ambient noise HIF Demobilstast obt-labuha (isokinetic team) ‘Team 1, Team2 2 Juni 2022 ‘Sampling Udara Ambient Noise HPL Sampling Udara ambient noise HIF Demobilsias! labuha-temate-manada (okinetle team) ‘Team 1, Team 2dan Team isokinetik PE-ID-{EHS}-LA-079/Rov.2/22.08.19WORK ORDER 26 Juni 2022 ‘Sampling Udara Ambient Noise HPL Sampling Udara ambient noise HIF ‘Sampling Udara Ambient Noise NPL ee Sampling Udara ambient noise KUF Dalasi onee Sampling udara ambient Noise HPL Sartre Penyelesaian administrast 30 Juni 2022 | Demobilisasi Obi-Labuha-Ternate Juli 2022 | Ternate-takarta-Bogor PFID{EHS]-LA-O7a/Rev.2/22.08.19WORK ORDER ‘SAMPUNG POINT INFORMATION MSP_ sampling mato ram 7 point Semple iD Parameter fegulation : 24 hous 31 30, pm 0. 2/2024 Baits irrote a TSP (24hovrs, CO, NO2, $02, 03,2, HNIC. pr 10, pm 25 PP No. 20 ~AQS-Danau Karo = AQY-Offce MSP = : eee aoe AQ Desa Kawa = AQ3: Processing Pant Kepmentit io a8 tahun 1996 ins Noise 24h ae ~ AQeWaste Dump i (Lampiran | Peruntukan Kewasen industi) ~ ANS Dana Karo |__| nar office ase Z = AQEDesa Kowa = AQB- Processing Mant Kepmenti toc Tahun 1996 in ke 2thows Sprains | -jaewaste Our beeen (tampiran| Pruntukan Kawasan Pereuldnan) ‘6-Danau Karo ~AQz.Offce MSP : Spain | ger a 5302, Particulate, NOx 2S, 2n, Nt, Opasas, erment to, 4 Tahun 2016 (tamplran Baga 8) ‘points | Fumace Re 4 point | oxt x Sg fort: NOm: Opa PermentH Ho, 4 Tahun 2018 (ampiron |, Bagian 8} ae ermenti Wo, 35 Tahun 2099 (lamopran i Gahan Pont | sacePower Plant Nox He. Total Para, $02 bakoe Satur] — a ayaa dsl NOD, CO, Total Paral 2 point ee een eee oe ee Perment Wo, 15 Tahun 2019 (Lamiran il) Pur. (Once a Year) PFID-EHS}-LA-O79/Rev.2/22.08,19WORK ORDER EE sampling Pao 2 ma sempleiD aa rps 1 - Aas tery T° ae | 4 Points ~ AQ13-MHR ‘TSP (24 hours}, C0, WO2, S02, 63, Ph, NMHC, PALO (24 PP No. 22 Tahun 2021 Dera oF oe hours), PM2.5 (24 hours) “OAM Uta - AQS-Jetty TBP cement No 48a Apoints | -AQx-MHR Noise-24hours eet eae ~AQA2-Office TBP (Lampiran | Peruntutan Kawasan industri) “OAM sa PF-ID-[EHS}-LA-073/Rev.2122.08.19WORK ORDER SAMPLING POINT INFORMATION GPS ‘Sample 1D Parameter Regulation = AQS-ETO -AQIO-EFO. ~ AQLI-NURSCRY + AQLA-MINING ~ Area Mess Nirwana ~AQS-ETO -AQI0-£FO ~ AQAI-NURSERY = AQU4-MINING = Area Mess Nirwana PP No. 22 Tahun 2021 KepmentH No 48 Tahun 1996 {Lampiran I Peruntuken Kawasan tdustil} PF-ID-[EHS}-LA.073/Rev.2/22.08.19WORK ORDER SAMPLING POINT INFORMATION HPL ‘sampling Noise-24hours ty Sample iD Parameter Reguletion Projed HPAL AG-SML Te ~~ - Office HPAL AQ-OFF 6 Points | -MHRHPAI | No, 22/2021, ving Quarter AO10, Dry Tall Area Kepmenti No 48 Tahun 1996 (Lampiran | Peruntukan Kawasan Indust) point NOx, Hg, Total Partikulat, SO2 Power Plant - PermentH No. 15 Tahun 2019 cumon Bukan Logam: Amonia (NHa), Gas Klorin (Cla), Hidrogen Klorida (HCI), Hidrogen Fluorida (HF) Opasitas (%), Partikel, Sulfur| ‘Acid Plant - PermentHK No, 4 Tahun 2014 T point cua jeredul ‘poi ‘Tereduksi (H2S) {lampiran V) Logam: Air Raksa (Hg), Arsen (As), Antimon (Sb), Kadmium eso hGs.02 5 Points, GS-03 NOx, CO, Total Particulate, SOz PermentHK No, 11 Tahun 2021 (Lampiran I) Hes-08 165-05 PEID[EHS}1A-079/Rev 2122.08.13WORK ORDER SANPLING POINT INFORMATION HIF = sampling component | “etn sample iD Parameter Regulation Sse sy Fawr i ~tpointe | Aan pe TSP (24 hours), CO, NO2, $02, 03, Pb, NMHC, pm 20, pm 25 PP No, 22/2021 ye RAN pa © Ponts 5M % 2 Z whey c : ; Pac | Anbionraie | ~ RAN JETTY oa Kepmenttt No 48 Tahun 2996 = eerie (ampiran 1 Peruntukan Kawasan industri) —— = RAN Pe “ial By oo | Apoine | Noise-2¢hours Kepmentt No 48 Tahun 2996 =| et {lampiran { Pecuntukan Kawasan Permukiman) | oe E (oii Tahun 2023 Emission {Non | 2 Points | -AeS.p2 + NOs, CO, Total Particulate, S02 renee ~ tsokinete AES. SC (tampiean PFID-{EHS}-LA07@/Rev 2122.08.19WORK ORDER NOTE/REIIARKS (SPECIAL INFORMATION ON SITE}: fan. cefly oh ua’ okron AA : a Work Order release by Work Order Applied by | Work Order Acknowledged By ‘WLN Manado Sampling Coordinator Officer WLN Manado: Customer a ff LEE a iu > SA rp i 9 Juni 2022 by Fredy Lalompoh Name/Date: Keri YopdionSo, (> gua 272 | Name/date: ial teurlewr [D8 jani LOD PF-ID{EHS}4A-079/Rev.2/22.08.19