KALYANI LABORATORIES PRIVATE LIMITED ULR No.

DOC No. : PLOT NO-78/944, Pahala, Bhubaneswar,

Telephone : +91 9861463904 Bhubaneswar, Khordha, Odisha, India - 752101
FAX : -
E-Mail : kalyanilab@yahoo.co.in
BO Code : KKBO-I

Test REPORT AS PER : IS 14543 (2016)

QR Code/Barcode : 100000008881

REPORT NO : KKBO-I/69612/20211101/AS/3_1 DATE : 26 Nov, 2021

PART A. PARTICULARS OF SAMPLE SUBMITTED

a) Customer Name & Address : -

b) Nature of sample : AS
c) Grade/Variety/Type/Class Size etc : Variety : Packaged drinking water in 20lit PET Jar
d) Declare values, if any : --
e) Batch No. & Date of Manufacture : 01/
f) Quantity : 20Lit
g) Date of Receipt : 11 Nov, 2021
h) BIS Seal : Verified by Sample Cell
i) IO's Signature : Verified by Sample Cell
j) Any other Information / Expiry Date, If any : /15/12/2021
k) Date of Commencement of Testing : 16 Nov, 2021
l) Date of Completion of Testing : 26 Nov, 2021
m) Section Code : 21R376EP
n) Section Report No. : 21R376EP_1
o) Report Type : New
p) Reference Report No. :
q) Remarks :

ANJANEYA SWAIN
OIC SAMPLE CELL
(Authorized Signatory)
Authorized on: 26 Nov, 2021 16:13 PM

1. KALYANI LABORATORIES PRIVATE LIMITED

This is a Computer Generated Report.

Section Report No. : 21R376EP_1 IS 14543 (2016)

PART B. SUPPLEMENTARY INFORMATION

1. Reference to sampling procedure, wherever applicable. Yes

2. Supporting documents for the measurements taken and results derived like graphs, Yes
table sketches and or photographs as appropriate to test report, if any.
3. Deviation from the test methods as prescribed in relevant ISS/Work instruction, if any. No

ANJANEYA SWAIN
OIC RAL
(Authorized Signatory)
Authorized on: 26 Nov, 2021 16:02 PM

This is a Computer Generated Report.

Section Report No. : 21R376EP_1 IS 14543 (2016)

PART C. TEST RESULT

S.No. Clause No Parameter - Test Description Min Max Unit Result/

Table No. Method of test Limit Limit Observation
Sl. No

1 5.3 Table-4 i Alpha emitters Tested as per IS - - - <0.004

14194 Part 2

2 5.3 Table-4 ii Beta emitters Tested as per IS - - - <0.02

14194 Part 1

ANJANEYA SWAIN
OIC RAL
(Authorized Signatory)
Authorized on: 26 Nov, 2021 16:02 PM

This is a Computer Generated Report.

Section Report No. : 21R376EP_1 IS 14543 (2016)

PART D. REMARKS

OK

ANJANEYA SWAIN
OIC RAL
(Authorized Signatory)
Authorized on: 26 Nov, 2021 16:02 PM

This is a Computer Generated Report.