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HS/LAB/F-02

FORM No. Revisi 02


REPORT OF HISTAMINE ANALYSIS Tgl. Dikeluarkan 01 Feb 2021
AMBON LAPORAN ANALISA HISTAMIN Halaman 1 dari 1

Testing Date : June 04, 2021


Report Date : June 04, 2021
Buyer Name : ANOVA
PO : HS21_04
Stage : RECEIVING

Analytical Method : BIOFISH

No. Sample Code Sampling Date Result (ppm) Notes

1 MIKA MIKA 1 02 June 3, 2021 <2.5

1
BADRI BP AWAL
2 2 02 June 3, 2021 <2.5

ADS YOS 1
3 ADS SALU 1 03 June 3, 2021 <2.5
ADS BONGSO 1
ADS ISMAN F3 1
4 ADS PARDIN M3 1 03 June 3, 2021 <2.5

1
5 WILIAN MADI 2 03 June 3, 2021 <2.5
3
WILIAN MADI 4
6 1 03 June 3, 2021 <2.5
WILIAN HAMID
2
1
7 WILIAN UDIN 2 03 June 3, 2021 <2.5
3
WILIAN UDIN 4
8 1 03 June 3, 2021 <2.5
WILIAN NYONG
2
3
WILIAN NYONG
9 4 03 June 3, 2021 <2.5

ADY NYONG 1
10 ADY LA ANYONG 1 03 June 3, 2021 <2.5
ADY LA MANDURA 1
ADY LA ANE 1
11 ADY LAJUDI 1 03 June 3, 2021 <2.5
ADY LA ONGEN 1
1
ADY LA BENY D3
12 2 03 June 3, 2021 <2.5
ADY LA JAWA D3 1
ADY LA TUA D3 1
13 ADY ADRIANSYA D3 1 03 June 3, 2021 <2.5
ADY LA AKIP D3 1
ADY LA DAHARI D3 1
14 ADY HASANUDIN D3 1 03 June 3, 2021 <2.5
ADY LA MANE D3 1

Remarks : Standard Histamine Composite (3 sample)= <16.6ppm


Standard Histamine Composite (2 sample)= <25ppm
Standard Histamine 1 sample = <50ppm

Date : June 04, 2021


Tested By Reported/Checked By

Ratna Suneth Novryanti Manuhutu


Laboratory Analyst Head of Laboratory

Dilarang memperbanyak sebagian atau seluruh isi dokumen ini tanpa izin tertulis dari PT. HARTA SAMUDRA

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