No. UPEPP27 01.02
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PT. UNILAB PERDANA f
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ead Otten» GEDUNG UNILAB J Clap Raya Ne 10, Cal Kebay
Represeiaove Otis: ko Secon One Omon Port & Calis, Ka
ra Jakara 12200 Top (02) 7253822 Faring) Far (021) 7258823 ema unlabpedana@cerin oti
Raya Ronghat nut No.1 Surabaya Tol, O3-8478838 ermal: marketing. soy@unooperdana com
LAPORAN HASIL PENGUJIAN
‘Nomor : LPUPO0693
Nama pelanggan : PT. GRAHA KSATRIA ENVIROTAMA
Alamat 4. Rungkut Industri Vill No, 4 Surabaya
No. identifikasi contoh 00693
Uraian contoh Emisi
‘Sumber emisi . _ ‘Incenerator Rumah Sakit Bergerak Badau
Diameter cerobong
- Diameter cerobong 20,45 m
- Tinggi cerobong 216,10
-Jumiah lubang sampling: 1
-Posisilubang sampling: 2D- 8D
Bahan bakar : Solar
Koordinat S 0° 59! 42,84" E 111952’ 28,86"
Metode pengambilan contoh : KEP. 205/BAPEDAL/07/1996
Lokasi : Rumah Sakit Bergerak Badau
Keruak, Badau, Kapuas Hulu, Kalimantan Barat 78767
‘Tanggal pengambilan 217 Februari 2024
‘Tanggal diterima di lab. 25 Februari 2021
Tanggal penguiian : 25 Februari 2021 sampai 02 Maret 2021
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