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Draft ROA BTB-02-II-24-SMR-280 ACHMAD FAISAL (EXPRESS)

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REPORT OF ANALYSIS

Principal : MR. ACHMAD FAISAL


Subject : Drop Off Sample Analysis
Parameter of Analysis : Total Moisture, Proximate Analysis, Total Sulphur and Gross Calorific Value
Description of Sample : Number of Sample : 1 Sample
Packing : Unsealed Bag
Date of Sample Received : February 28, 2024
SO Number : SO-XXXX
No. of Page : 1 Page

THIS IS TO REPORT that upon the request of the principal, the sample received were analyzed in the PT. TRIBHAKTI INSPEKTAMA, Samarinda Laboratory (accredited by
KAN / National Accreditation Committee - Indonesia for ISO/IEC 17025:2017 Cert. No. LP-1378-IDN) in accordance with the following standard method. The results are as
stated below :

PARAMETER OF ANALYSIS
WEIGHT TM IM ASH VM FC TS CV
NO SAMPLE CODE
(Kg) (%) (%) (%) (%) (%) (%) (kcal/kg) (kcal/kg) (kcal/kg)
Ar Adb Adb Adb Adb Adb Adb Ar Daf
1 PIT DONDANG 7.52 29.78 14.05 1.32 42.22 41.34 0.88 5,348 4,412 6,430
Note : 1. Ar (As Received Basis), Adb (Air Dried Basis), Daf (Dry Ash Free)
2. STANDARDS : TM = Total Moisture (ASTM D3302/D3302M-22a) FC = Fixed Carbon (ASTM D3172-13 (2021)e1)
IM = Moisture in the Analysis Sample (ASTM D3173-17a) TS = Total Sulphur (ASTM D4239-18e1) (Combustion Method A)
ASH = Ash Content (ASTM D3174-12 (2018)e1) CV = Gross Calorific Value (ASTM D5865/ D5865M – 19)
VM = Volatile Matter (ASTM D3175-20)
This report is prepared and issued by the Company upon request by Principal/Applicant and the analysis contain therein reflects the Company’s findings on the analysis of
sample submitted by the Principal/Applicant and/or drawn by the Company at the time and place of performing the inspection/testing only. The Company shall not be liable
to any legal consequences resulting from any business or transaction using this report.

SAMARINDA, FEBRUARY XX, 2024


Signed on behalf of
PT TRIBHAKTI INSPEKTAMA
Reported by

RIZKY FUSVA ADISTY, S.ST YUS SANTO, S.ST, M.T


MBA.025.00179 2021 Branch Manager

ROA No : BTB-2402SMR.XXX

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