ROAR TAVA C1 IG IND TAN YAO TRUONG CV. TANJUNG INDAH JAY. Jl. P, Tirtayasa, Perum Antasari Permal Blok C No.12 Sukabumi - Bandar Lampung 35134 Telp. (0721) 781161, e-mail : tanjungindahjaya@gmail.com ‘Member of indonesian Pest Control Company Association ‘Member of Association of Indonesia Independent Surveyors (AIS!) Recognized by The Goverment of indonesia HEAD OFFICE: INSPECTOR, SURVEYOR, Bilatong. ee ice ‘SUPERITENDENT, CLAIN- "Bandar Lampung INVESTIGATOR, FUMIGATOR Langkapure Talp: (0721795604100 DRAFT SURVEY FUMIGATION REPORT CONSIGNMENT 2 24.6 MT INDONESIA ROBUSTA COFFEE SHIPPER > Messrs. PT, SURYA BUMI SENTOSA JL. IR. SUTAMI KM. 7 NO. 22 BANDAR LAMPUNG - INDONESIA, PLAT NO. BE 9364 CF THIS IS TO CERTIFY, that upon request received from shippers, we have carried out fumigation oF th above mentioned consignment and report as follows : DATE AND PLACE OF : July 21, 2022 at shippers warehouse of PT. SURYA BUMI SENTOSA. SAMPLING lI. Sutami, Km: 7 No. 22 Bandar Lampung - Indonesia METHOD OF Tent Fumigation in truck FUMIGATION FUMIGANT Phostoxin Tablet (PH), 65 tabletftruck EXPOSURE PERIOD — : 1 x 24 hours after completion of gassing THIS CERTIFICATE refer to FUMIGATION only and does not deal with any other matter. It is issued without prejudice. r CV. TANJUNG INDAH JAYA Bandar Lampung, July 21, 2022 Bandar Lampung Ref No.: 444/TIJ-LPG/VIV/22. Ir Ai “This report recs our fining forme and place ofinspecton any and hereby giana the best of ous krowedge end Col, or abit of any party eoncemed. v RGTNGAN VA Cu TANTUNGINDAH