ANALYTICAL REPORT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Customer:

PT. Citra Melati Alam Prima

Jl. Manyar Rejo IV No. 5 Surabaya

Attention : Mrs. Rahma

Signature
Name : Arif Luqman
Title : Laboratory Manager

SAMPLE INFORMATION
Date : November 28, 2014
Sampling Plan Ref
Sampling Procedure
Sampled By

Job Number : ENV- 214264N

Customer
: PT. Citra Melati Alam Prima
Attn.
: Mrs. Rahma

Job Number

Customer
Sample ID

214264N-1
214264N-2
214264N-3
214264N-4
214264N-5
214264N-6
214264N-7
214264N-8
214264N-9

Area Halaman Sebelah Timur PT. Sarana Surya Sakti

Area Halaman Sebelah Barat PT. Sarana Surya Sakti
Area Halaman Depan RPH
Ruang Produksi Balling Loop PT. Sarana Surya Sakti
Ruang Produksi Velg PT Sarana Surya Sakti
Air Permukaan
Air Sumur Masjid
Ruang Produksi Balling Loop PT. Sarana Surya Sakti
Ruang Produksi Velg Sarna Surya Sakti

Sample
Matrix

Date
Sampled

Time
Sampled

Date
Received

Time
Received

Interval
Analysis

Air & Dust

Air & Dust
Air & Dust
Air & Dust
Air & Dust
Water
Water
Noise
Noise

14/11/2014
14/11/2014
14/11/2014
14/11/2014
14/11/2014
14/11/2014
14/11/2014
14/11/2014
14/11/2014

13:35
12:20
16:10
10:30
14:40
16:40
16:35
10:30
14:40

17/11/2014
17/11/2014
17/11/2014
17/11/2014
17/11/2014
17/11/2014
17/11/2014
17/11/2014
17/11/2014

08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00

17 -26 Nov
17 -26 Nov
17 -26 Nov
17 -26 Nov
17 -26 Nov
17 -26 Nov
17 -26 Nov
17 -26 Nov

17 -26 Nov

: EI 42.003
: EI 22.009
: Mr. Rozi

Location Coodinate

S: 07 15'21.04" E : 112 43'31.02"

S: 07 15'01.03" E : 112 43'24.01"

S: 07 22'23.04" E : 112 41'21.02"

S: 07 22'11.02" E : 112 41'16.07"

-

2 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

Customer Sample ID.
Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.

TEST DESCRIPTION

Ambient Air Quality :

Nitrogen Dioxide, NO2

Sulfurdioxide, SO2

3
4
5
6
7

Ammonia, NH3
Dust**

Carbon Monoxide, CO#

Lead, Pb**
Noise#

: Area Halaman Sebelah Timur PT. Sarana Surya Sakti

: S: 07 15'21.04" E : 112 43'31.02"
Laboratory Sample ID.
: 14/11/2014
Date Received
: 13:35
Time Received
: Air & Dust
Interval Analysis
SAMPLE
RESULT

REGULATORY
LIMIT*

UNIT

<16

92.5

g/Nm3

<3

262

g/Nm

<17
0.031
<1000
<0.0002
70.7

1360
22600
-

g/Nm
mg/Nm3
g/Nm3
mg/Nm3
dBA

: 214264N-1
: 17/11/2014
: 08:00
: 17 -26 Nov

METHOD
SNI 19-7119.2-2005

SNI 19-7119.7-2005

SNI 19-7119.1-2005
SNI 19-7119.3-2005
SNI 7119.10-2011
SNI 19-7119.4-2005
EI.36.054 (Sound Level Meter)

Not Accredited
* Governor of East Java Decree No. 10/2009 for Ambient Air Standard Quality
** Based on sampling duration 60 minutes
Meteorology Data
1
2
3
4
5

Temperature
Relative Humidity
Wind Direction (to)
Wind Speed
Weather

34.7
60.3
West
0.1 - 3.1
Clear

C
%
m/s
-

3 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

Customer Sample ID.
Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.

TEST DESCRIPTION

Ambient Air Quality :

Nitrogen Dioxide, NO2

Sulfurdioxide, SO2

3
4
5
6
7

Ammonia, NH3
Dust**

Carbon Monoxide, CO#

Lead, Pb**
Noise#

: Area Halaman Sebelah Barat PT. Sarana Surya Sakti

: S: 07 15'21.04" E : 112 43'31.02"
Laboratory Sample ID.
: 14/11/2014
Date Received
: 12:20
Time Received
: Air & Dust
Interval Analysis
SAMPLE
RESULT

REGULATORY
LIMIT*

UNIT

<16

92.5

g/Nm3

<3

262

g/Nm

<17
0.039
<1000
<0.0002
74.6

1360
22600
-

g/Nm
mg/Nm3
g/Nm3
mg/Nm3
dBA

: 214264N-2
: 17/11/2014
: 08:00
: 17 -26 Nov

METHOD
SNI 19-7119.2-2005

SNI 19-7119.7-2005

SNI 19-7119.1-2005
SNI 19-7119.3-2005
SNI 7119.10-2011
SNI 19-7119.4-2005
EI.36.054 (Sound Level Meter)

Not Accredited
* Governor of East Java Decree No. 10/2009 for Ambient Air Standard Quality
** Based on sampling duration 60 minutes

Meteorology Data
1
2
3
4
5

Temperature
Relative Humidity
Wind Direction (to)
Wind Speed
Weather

34.5
61.7
West
0.1 - 2.9
Clear

C
%
m/s
-

4 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

Customer Sample ID.
Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.
1
2
3
4
5
6
7

TEST DESCRIPTION
Ambient Air Quality :
Nitrogen Dioxide, NO2
Sulfurdioxide, SO2
Ammonia, NH3
Dust**
Carbon Monoxide, CO#
Lead, Pb**
Noise#

: Area Halaman Depan PT. Sarana Surya Sakti

: S: 07 22'23.04" E : 112 41'21.02"
Laboratory Sample ID.
: 14/11/2014
Date Received
: 16:10
Time Received
: Air & Dust
Interval Analysis
SAMPLE
RESULT

REGULATORY
LIMIT*

UNIT

<16

92.5

g/Nm3

<3
<17
0.019
<1000
<0.0002
69.8

262
1360
22600
-

g/Nm
g/Nm3
mg/Nm3
g/Nm3
mg/Nm3
dBA

: 214264N-3
: 17/11/2014
: 08:00
: 17 -26 Nov

METHOD

SNI 19-7119.2-2005
SNI 19-7119.7-2005
SNI 19-7119.1-2005
SNI 19-7119.3-2005
SNI 7119.10-2011
SNI 19-7119.4-2005
EI.36.054 (Sound Level Meter)

Not Accredited
* Governor of East Java Decree No. 10/2009 for Ambient Air Standard Quality
** Based on sampling duration 60 minutes
Meteorology Data
1
2
3
4
5

Temperature
Relative Humidity
Wind Direction (to)
Wind Speed
Weather

34.5
67.6
West
0.1 - 2.5
Clear

C
%
m/s
-

5 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

: Ruang Produksi Balling Loop PT. Sarana Surya Sakti
:Laboratory Sample ID.
: 14/11/2014
Date Received
: 10:30
Time Received
: Air & Dust
Interval Analysis

Customer Sample ID.

Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.

TEST DESCRIPTION

SAMPLE
RESULT

REGULATORY
LIMIT*

UNIT

<0.005

5.60

mg/Nm3

SNI 19-7119.2-2005

mg/Nm

SNI 19-7119.7-2005

SNI 19-7119.1-2005

MASA 701
SNI 16-7058-2004
SNI 7119.10-2011

Indoor Air Quality :

Nitrogen Dioxide, NO2

Sulphur Dioxide, SO2

<0.01

Ammonia, NH3

<0.015

4
5
6

Hydrogen Sulfide, H2S

Dust, Particulate
Carbon Monoxide, CO#

: 214264N-4
: 17/11/2014
: 08:00
: 17 -26 Nov

<0.002
0.224
<1

5.2
17
1
0.15
29

mg/Nm

METHOD

mg/Nm
mg/Nm3
mg/Nm3

Not Accredited
* Indoor Air Standard Quality Regulation, Healt MInister Regulatory No. 1405/MENKES/XI/2002

Meteorology Data
1
2

Temperature
Relative Humidity

34.1
50.1

C
%

6 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

: Ruang Produksi Velg PT. Sarana Surya Sakti
:Laboratory Sample ID.
: 14/11/2014
Date Received
: 14:40
Time Received
: Air & Dust
Interval Analysis

Customer Sample ID.

Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.

TEST DESCRIPTION

Indoor Air Quality :

Nitrogen Dioxide, NO2

Sulphur Dioxide, SO2

Ammonia, NH3

4
5
6

SAMPLE
RESULT

REGULATORY
LIMIT*

UNIT

<0.005

5.60

mg/Nm3

SNI 19-7119.2-2005

mg/Nm

SNI 19-7119.7-2005

SNI 19-7119.1-2005

MASA 701
SNI 16-7058-2004
SNI 7119.10-2011

<0.01
<0.015
#

Hydrogen Sulfide, H2S

Dust, Particulate
Carbon Monoxide, CO#

: 214264N-5
: 17/11/2014
: 08:00
: 17 -26 Nov

<0.002
0.010
<1

5.2
17
1
0.15
29

mg/Nm

METHOD

mg/Nm
mg/Nm3
mg/Nm3

Not Accredited
* Indoor Air Standard Quality Regulation, Healt MInister Regulatory No. 1405/MENKES/XI/2002

Meteorology Data
1
2

Temperature
Relative Humidity

34.6
53.7

C
%

7 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

Customer Sample ID.
Location Coodinate
Date Sampled
Time Sampled
Sample Matrix
NO.

1
2
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

TEST DESCRIPTION
Physical Properties
Temperature
Total Dissolved Solids, TDS
Total Suspended Solids, TSS
Chemical Properties (Inorganic)
pH
Barium, Ba#
Iron, Fe
Boron, B#
Manganese, Mn
Copper, Cu
Zinc, Zn
Hexavalent Chromium, Cr6+
Cadmium, Cd
Mercury, Hg#
Lead, Pb
Arsenic, As#
Selenium, Se#
Cobalt, Co
Chloride, Cl
Sulfate, SO4
Cyanide, CN#
Fluoride, F
Total Posphate#
Free Chlorine, Cl2

: Air Permukaan
: S: 07 22'11.02" E : 112 41'16.07"
: 14/11/2014
: 16:40
: Water

Laboratory Sample ID.

Date Received
Time Received
Interval Analysis

: 214264N-6
: 17/11/2014
: 08:00
: 17 -26 Nov

SAMPLE
RESULT

REGULATORY
LIMIT*

29.1
1274
11

Air Temp. 3
200
400

C
mg/L
NTU

SNI 06-6989.23-2005
SNI 06-6989.27-2005
SNI 06-6989.3-2004

8.16
<0.0038
0.051
<0.0015
1.03
0.018
<0.003
0.034
<0.001
<0.000002
<0.002
<0.00004
<0.00003
<0.002
188
33
0.02
0.20
4.1
0.04

5.0 - 9.0
1
0.2
2
0.05
0.01
0.005
1
1
0.05
0.2
5.0
-

pH Unit
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L

SNI 06-6989.11-2004
SNI 06-6989.39-2005
SNI 6989.4-2009
APHA 4500 B-2005
SNI 6989.5-2009
SNI 6989.6-2009
SNI 6989.7-2009
SNI 6989.71-2009
SNI 6989.16-2009
APHA 3112 B-2005
SNI 6989.8-2009
SNI 06-6989.54-2005
APHA 3114 B-2005
SNI 6989.68-2009
SNI 6989.19-2009
SNI 6989.20-2009
SNI 6989.77-2011
SNI 06-6989.29-2005
SNI 06-6989.31-2005
EI 36.026 (Spectrophotometric)

UNIT

METHOD

21

Nitrate, NO3-N

2.7

20

mg/L

SNI 06-6964.7-2003

22

Nitrite, NO2-N

0.10

mg/L

EI 36.029 (Spectrophotometric)

23

Free Ammonium, NH3-N

0.21

mg/L

SNI 06-6986.30-2004

24
25
26
27
28
29
30

Biochemical Oxygen Demand, BOD5

Chemical Oxygen Demand, COD
Dissolved Oxygen, DO
Surfactants, MBAS#
Oil and Grease

5
11
5.7
0.16
0.8
340
900

12
100
>0
2000
10000

mg/L
mg/L
mg/L
mg/L
mg/L

SNI 6989.72-2009
SNI 6989.73-2009
SNI 06-6989.14-2004
SNI 06-6989.51-2005
SNI 06-6989.10-2004
SNI 01-3554-2006
SNI 01-3554-2006

Fecal Coli
Total Coli#

MPN/100 ml
MPN/100 ml

Not Accredited
* As per PPRI. No. 82/2001 Category IV

8 of 10

LABORATORY TEST RESULT

JOB NUMBER : ENV-214264N

Date : November 28, 2014

Attention : Mrs. Rahma

Customer : PT. Citra Melati Alam Prima

Customer Sample ID.
Location Coodinate
Date Sampled
Time Sampled
Sample Matrix

NO.

1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

1
2
1

TEST DESCRIPTION
Physical Properties
Odour#
Total Dissolved Solids, TDS
Turbidity #
Taste#
Temperature
#

Colour
Chemical Properties (Inorganic)
pH
Arsenic, As#
Iron, Fe
Fluoride, F
Cadmium, Cd
Hardness, Total as CaCO3
Chloride, ClHexavalent Chromium, Cr6+
Manganese, Mn
Nitrogen, Nitrate as N (NO3-N)
Nitrogen, Nitrite as N (NO2-N)
Mercury, Hg#
Selenium, Se#
Zinc, Zn
Cyanide, CN#
Sulfate, SO4
Lead, Pb
Organic
Surfactants, MBAS#
Total Organic Matter, KMnO4#
Bacteria
Total Coliform (Membrane Filter)#

: Air Sumur Masjid

:: 14/11/2014
: 16:35
: Water

Laboratory Sample ID.

Date Received
Time Received
Interval Analysis

SAMPLE
RESULT

REGULATORY
LIMIT*

Negatif
1039
4
Normal
28.2
13

: 214264N-7
: 17/11/2014
: 08:00
: 17 -26 Nov

UNIT

METHOD

1500
25
Normal
Water Temp. 3
50

Odour
mg/L
NTU
C
Pt/Co

SNI 06-6860-2002
SNI 06-6989.27-2005
SNI 06-6989.25-2005
SNI 06-6859-2002
SNI 06-6989.23-2005
SNI 6989.80.2-2011

8.87
<0.00004
<0.004
<0.02
<0.001
390
121
0.017
1.28
1.1
0.02
<0.000002
<0.00003
<0.003
<0.01
9
<0.002

6.5 - 9.0
0.05
1.0
1.5
0.005
500
600
0.05
0.5
10
1.0
0.001
0.01
15
0.1
400
0.05

pH Unit
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L

SNI 06-6989.11-2004
APHA 3114 B-2005
SNI 6989.4-2009
SNI 06-6989.29-2005
SNI 6989.16-2009
SNI 06-6989.12-2004
SNI 6989.19-2009
SNI 6989.71-2009
SNI 6989.5-2009
SNI 06-6964.7-2003
SNI 06-6989.9-2005
APHA 3112 B-2005
APHA 3114 B-2005
SNI 6989.7-2009
SNI 6989.77-2011
SNI 6989.20-2009
SNI 6989.8-2009

<0.025
1

0.5
10

mg/L
mg/L

SNI 06-6989.51-2005
SNI 06-6989.22-2004

10

Col./100 mL

APHA 9222 B-2005

Not Accredited
* Clean Water Standard Quality Regulation No. 416/MENKES/Per.IX/1990 State Ministry of Health Appendix II

9 of 10

NOISE TEST RESULTS

NO. LAB

SAMPEL ID.

214264N-9 Ruang Produksi Balling Loop PT. Sarana

Surya Sakti
214264N-10 Ruang Produksi Velg PT Sarana Surya Sakti

DATE

TIME

RESULT

REGULATORY
LIMIT*

UNIT

METHOD

14/11/2014

10:30

85.6

85

dBA

SNI 7231:2009

14/11/2014

14:40

71.7

85

dBA

SNI 7231:2009

* As per Minister of Manpower Circular No. 13/MENAKER/X/2011 in Working Area (< 85 dBA)

10 of 10