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Solusi Bangun Indonesia Laboratory

..............................(Site) Tel. .............................. Logo KAN jika


............................(Alamat) Fax. .............................. laboratorium
Logo Solusi Bangun Indonesia atau logo SIG .............................  
pengujian sudah
PO BOX ........
terakreditasi

CERTIFICATE OF ANALYSIS
Type : ………………………………
Brand : ………………………………
Certificate No : ………………………………
Date Produced : ………………………………

………………………………(Tipe Semen)
QUALITY PARAMETERS comply to ……………………………..
I. CHEMICAL COMPOSITION : UNIT TESTING METHOD TEST RESULT SPECIFICATION

II. PHYSICAL PROPERTIES :

We certifying that the cement described above is compliance with specification of …………………………………………….
Note :

*) Additional Chemical Requirements


**) Additional Physical Requirements
***) Excluded KAN Accreditation Scope

PT. Solusi Bangun Indonesia Tbk

Technical Dept. Manager


…………………….(date)

SF 1521
14-Sep-2020 Ver 1.3
Solusi Bangun Indonesia Laboratory
..............................(Site) Tel. .............................. Logo KAN jika
............................(Alamat) Fax. .............................. laboratorium
Logo Solusi Bangun Indonesia atau logo SIG .............................  
pengujian sudah
PO BOX ........
terakreditasi

CERTIFICATE OF ANALYSIS
PT SOLUSI BANGUN INDONESIA (RESEARCH CENTER)
Certificate No :……

Registration No : ………
No. Registrasi
Customer : ………
Pelanggan
Sample Name : ………
Nama sample
Sample Code : ………
Kode sampel
Sample Type :……..
Jenis sample
Date Received :……..
Tanggal penerimaan
Date of Analyzed : ……..
Tanggal analisa
Date of issued : …….
Tanggal pembuatan laporan

………………………………(Tipe Semen)
QUALITY PARAMETERS comply to ……………………………..
I. CHEMICAL COMPOSITION : UNIT TESTING METHOD TEST RESULT SPECIFICATION

II. PHYSICAL PROPERTIES :

We certifying that the cement described above is compliance with specification of …………………………………………….
Note :

*) Additional Chemical Requirements


**) Additional Physical Requirements
***) Excluded KAN Accreditation Scope

PT. Solusi Bangun Indonesia Tbk

Technical Excellence & Laboratory


…………………….(date)

SF 1521
14-Sep-2020 Ver 1.3

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