LABORATORY CERTIFICATE OF ANALYSIS

UNIT #3&4 - MONITORING SHEET

No Environment Aspect Sampling Point

Effluent Permit
1 Effluent Water DP1
2 Effluent Water DP2a&c
3 Effluent Water DP2b&d
4 Effluent Water DP2f
5 Effluent Water STP Domestic Waste
6 Sea Water AL0
7 Sea Water AL1
8 Sea Water AL2
9 Sea Water AL3
10 Sea Water AL4
11 Sea Water AL5
12 Sea Water AL6
13 Sea Water AL7
14 Sea Water AL8
15 Sea Water Plankton Tidak Blooming AL1
16 Sea Water Plankton Tidak Blooming AL2
17 Sea Water Plankton Tidak Blooming AL3
18 Sea Water Plankton Tidak Blooming AL4
19 Sea Water Plankton Tidak Blooming AL5
20 Sea Water Plankton Tidak Blooming AL6
21 Sea Water Plankton Tidak Blooming AL7
22 Sea Water Plankton Tidak Blooming AL8
23 Sea Water Patogen AL1
24 Sea Water Patogen AL2
25 Sea Water Patogen AL3
26 Sea Water Patogen AL4
27 Sea Water Patogen AL5
28 Sea Water Patogen AL6
29 Sea Water Patogen AL7
30 Sea Water Patogen AL8

RKL-RPL
1 Waste Water S1
2 Waste Water S2
1 Ground Water AT3
2 Ground Water AT4
3 Ground Water AT5
4 Ground Water AT6
5 Ground Water AT7
6 Ground Water AT8
7 Ground Water DS-MW1
8 Ground Water DS-MW2
9 Ground Water DS-MW3
10 Ground Water DS-MW4
11 Ground Water DS-MW5
12 Ground Water DS-MW6
1 Ambient Air U1
2 Ambient Air U2
3 Ambient Air U3
4 Ambient Air U4
5 Ambient Air U5
6 Ambient Air U6
7 Ambient Air U7
8 Ambient Air U8
9 Ambient Air U9
10 Ambient Air U10
11 Ambient Air U11
12 Ambient Air U12
13 Ambient Air U13
14 Ambient Air U14
1 Noise B1
2 Noise B2
3 Noise B3
4 Noise B4
5 Noise B5
6 Noise B6
7 Noise B7
8 Noise B8
9 Noise B9
10 Noise B10
1 Air Emission Stack U#3
2 Air Emission Stack U#4
1 Sea Water AL1
2 Sea Water AL2
3 Sea Water AL3
4 Sea Water AL4
5 Sea Water AL5
6 Sea Water AL6
7 Sea Water AL7
8 Sea Water AL8
1 Aquatic Biota BP1
2 Aquatic Biota BP2
3 Aquatic Biota BP3
4 Aquatic Biota BP4
5 Aquatic Biota BP5
6 Aquatic Biota BP6
7 Aquatic Biota BP7
8 Aquatic Biota BP8
1 Surface Water AP1
2 Surface Water AP2
1 Surface Biota BS1
2 Surface Biota BS2
JBIC
1 Waste Water Inlet WWTP
2 Waste Water DP1
3 Sea Water AL1
4 Sea Water AL5
5 Sea Water AL6
 6 Air Ambient U1
7 Air Ambient U2
8 Air Ambient U7
9 Ground Water AT7
10 Ground Water AT8
11 Ground Water DS-MW2
12 Ground Water US-MW4
LANDFILL PERMIT
1 Ground Water DS-MW1
2 Ground Water DS-MW2
3 Ground Water DS-MW3
4 Ground Water US-MW4
5 Ground Water US-MW5
6 Ground Water DS-MW6
7 Leachate Collecting Pit New Landfill BK3
8 Leakage Detection Well BK4 -1
9 Leakage Detection Well BK4 -2
10 Leakage Detection Well BK4 -3
11 Leakage Detection Well BK4 -4
12 Leakage Detection Well Ash Run Off Pond LDW AROP
13 Leachate Collecting Pit Existing Ash Yard BPL EAY
14 Waste Water WWTP Outlet Unit 1&2
 Standard / Regulation Frequency

Monthly

Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Ijin IPLC Nomor : SK Quarterly
94/MenLHK/Setjen/PKL.1/2/2017 Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

Perda Jateng No 5 Tahun 2012 Monthly

Monthly
Permenkes No 32 Tahun 2017 Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
 Monthly
Monthly
PerGub Jateng No 8 Tahun 2001 Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
KepMen LH No 48 / 11/1996 Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
PerMen LH No 21 Tahun 2008 ( Semesterly
Lampiran IA) Semesterly
KepMen LH 51 Tahun 2004 Semesterly
(Lampiran I Perairan Pelabuhan) Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
N/A Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
Semesterly
PP No 82 Tahun 2001 Kategori III Semesterly
Semesterly
N/A Semesterly
N/A Semesterly

N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly

KepMenLHK Nomor : Monthly

SK.268/Menlhk/Setjen/PLB.3/6/2017 Monthly
Lampiran VI + Sulfida Monthly
Monthly
Monthly
Monthly
Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
N/A Quarterly
KepMenLHK Nomor : Quarterly
SK.420/Menlhk/Setjen/PLB.3/6/2016 Quarterly
 Parameter Laboratory
Jan-19 Feb-19

All parameter Sucofindo FINAL FINAL

Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
ph , Salinity Sucofindo FINAL
All parameter Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Plankton Blooming Non Blooming Unibraw
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL
Patogen Unibraw FINAL

Ph , TSS , Minyak & Lemak , free Chlorine , Chrom Total , Cu , Fe, Zn

Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
All parameter Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
 Sucofindo FINAL FINAL
Sucofindo FINAL FINAL
TSP , SO2, NO2, PM10, PM2,5 Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
All parameter Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
Sucofindo FINAL
All parameter Sucofindo
All parameter Sucofindo
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
All parameter Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
Plankton . Benthos Sucofindo FINAL
All Parameter Sucofindo FINAL
All Parameter Sucofindo FINAL
Plankton . Benthos Unibraw FINAL
Plankton . Benthos Unibraw FINAL

Temperature, TSS , ph , Fe , Cr , Cu , Zn , Phospat , Sucofindo FINAL

Phosporus Sucofindo FINAL
COD , DO , Chlorine , Salinity Sucofindo FINAL
COD , DO , Chlorine , Salinity Sucofindo FINAL
COD , DO , Chlorine , Salinity Sucofindo FINAL
PM10 Sucofindo FINAL
PM10 Sucofindo FINAL
PM10 Sucofindo FINAL
Hydrocarbon Sucofindo FINAL
Hydrocarbon Sucofindo FINAL
Hydrocarbon Sucofindo FINAL
Hydrocarbon Sucofindo FINAL

All parameter + Sulfida Sucofindo FINAL FINAL

All parameter + Sulfida Sucofindo FINAL FINAL
All parameter + Sulfida Sucofindo FINAL FINAL
All parameter + Sulfida Sucofindo FINAL FINAL
All parameter + Sulfida Sucofindo FINAL FINAL
All parameter + Sulfida Sucofindo FINAL FINAL
All parameter + Sulfida Sucofindo FINAL
Note : lokasi ini harus dalam keadaan kering , jika terdapat genangan Sucofindo FINAL
air maka terdeteksi kebocoran di penampungan ash yard dan Sucofindo FINAL
mengacu kepada peraturan yang sama dengan baku mutu sumur Sucofindo FINAL
pantau KepMenLHK Nomor : SK.268/Menlhk/Setjen/PLB.3/6/2017 Sucofindo FINAL
Lampiran IV + Sulfida Sucofindo BELUM
All parameter + Sulfida Sucofindo BELUM
All parameter + Sulfida Sucofindo BELUM
 PERIOD
Mar-19 Apr-19 Mei-19 Jun-19 Jul-19 Agu-19 Sep-19 Okt-19 Nov-19

FINAL FINAL FINAL FINAL FINAL

FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL Draft
FINAL
FINAL Draft
FINAL Draft
FINAL Draft
FINAL Draft
FINAL Draft
FINAL Draft
FINAL Draft
FINAL Draft
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL
FINAL

FINAL FINAL FINAL FINAL FINAL

FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL FINAL FINAL Draft
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL Draft
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL
FINAL
Draft
Draft
Draft
Draft
Draft
Draft
Draft
Draft

Draft
Draft

FINAL
FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
 FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL
FINAL FINAL

FINAL FINAL FINAL FINAL FINAL

FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL FINAL FINAL FINAL FINAL
FINAL
SUMUR KERING
SUMUR KERING
SUMUR KERING
SUMUR KERING
FINAL
BELUM
BELUM
Des-19