PT NESIA PAN PACIFIC CLOTHING Reviewed by

Pengawas Spesialis
Chemical In Charge Acknowledge by
Compliance HR&GA Manager Lingkungan Kerja

CHEMICAL INVENTORY LIST (PRODUCTION)

GALUH HAPPY KRISTIATMOJO JH LEE SADAKHIR MURYITO, SKM, M.Si

NIP. 19650711 198803 1 014
Updated : April 2020
Documents Provided by Supplier
Concentration (MSDS, Possitive List & Conformance
Consump Quantity Stock Quality Chem.
No Name Of Material Hazard ID Number CAS Number MRSL Label Company Product Supplier
Certificate) SDS Function Dept. Used LOT Purchase Exp date Remark
of Substances tion / Regular Storage
Product Composition Classification P/H/E Compliance Presence Number Date
(w/w%) Month Check Location
Test
Yes No Total Vol
Required

Diethanolamine 111-42-2 0.1 - 1.5 %

Magnesium oxide 0 physic : non 1309-48-4 1-5%

PIC :
Sabun Sun 1 0 flamable, health: PT. Unilever Indonesia Swalayan JAYA Need to Storage cleaning oil Spot Sugiarno
1 eye irritation, OK Y TBK Jl. Jababeka Raya Jl. Buluh Sulur 175, v 3 20 pack OK Yes SN0004P 8-Apr-20 - 400ml
Light
Ethyl alcohol 0 environment : 64-17-5 1-5% Blok O Cikarang Bekasi Ngadirojo be tested Room stains Cleaning (Chief
Finishing)
non hazardous
Dodecylbenzene
sulfonic acid 68584-22-5 20 - 30 %

Sodium lauryl ether

sulfate 9004-82-4 10 -20%

Dl- Camphor 21368-68-3 1.20%

I-Menthol 2216-51-5 5.70%

Methyl Salicylate 119-36-8 6.30%

'physic : non PT. Hisamitsu Pharma
flamable, health: Indonesia PIC :
Salonpas 0 Jl. HR. Moch. Swalayan JAYA Need to Storage cleaning Spot Sugiarno 1 botle =
2 Thymol eye irritation, 89-83-8 OK Y Jl. Bulusulur 175, v 23 32 bottle OK Yes SN0004P 8-Apr-20 12/21
Cair 1 0 environment :
Mangundiprojo.
Ngadirojo be tested Room ink stains Cleaning (Chief 30 ml
Buduran, Sidoarjo Finishing)
0 non hazardous 61252 Jawa Timur
Metha oil 68917-18-0

Tocopherol acetate 58-95-7

Nonylic acid
vanillamide 618-92-8

Hydrogen peroxide 7722-84-1 5 ~ 15%

physic : non PT. Reckitt Benckiser
0 flamable, health: Indonesia PIC :
Toserba BARU
3 Vanish Nonionic surfactants 2 0 eye&skin iritation, 1338-43-8 OK Y 5 ~ 15% Gedung Artha Graha Need to 2 15 Pack OK Yes Storage cleaning Spot VN0004P 8-Apr-20 08/20 Sugiarno
Liquid Lt.11, Jl.Jend Sudirman Jl. Jend Sudirman, v
be tested Room stains Cleaning (Chief 100 ml
0 environment : Kav 52-53, Jakarta Wonogiri Finishing)
non hazardous Selatan
Perfume 21145-77-7 0.05%

Dimethylpolysiloxane 67762-90-7 10 mg/m3

physic : non CV Citra Jaya PIC :
0 flamable, health: Jl. Jl. Raya Solo cleaning Komarudin
Silikon Baru Blok B No.7, Need to be Mechanic cutting (QA),
4
Emulsi 1 0 eye&skin iritation, OK Y Langenharjo,
v
tested 1 9 bottle OK Yes
Room machine
Cutting QC SE0003P 3-Mar-20 - Sariyanto
1000 ml
environment :
0 non hazardous
Grogol, Sukoharjo, fusing (Chief
Jawa Tengah Cutting)
Inert N/A N/A
 PT NESIA PAN PACIFIC CLOTHING
Reviewed by Pengawas Spesialis
Chemical In Charge Acknowledge by
Compliance HR&GA Manager Lingkungan Kerja

CHEMICAL INVENTORY LIST (UTILITY)

GALUH HAPPY KRISTIATMOJO JH LEE SADAKHIR MURYITO, SKM, M.Si
NIP. 19650711 198803 1 014
Updated : April 2020
Quantity Stock
Documents Provided by Supplier
(MSDS, Possitive List & Conformance
ID Number Concentration Certificate) Quality
Material MRSL Consumptio SDS Chem. Storage Exp
No Name Of Product Hazard Classification CAS Number of Substances Regular
Composition Compliance Label Company Product Supplier n / Month Presence Location Function Dept. Used LOT Number Puchase Date date Remark
P/H/E (w/w%) Total Vol Check
Test
Yes No
Required

2
Cat Kayu & Besi Alkyd resyn 1 0 physic : non
63148-69-6
PT. NIPSEA PAINT AND PIC :
(Nippon Paint Bee 0 flamable, health: CHEMICHALS Jl. Ancol Utama Paint Jl. Need to be Chemical panting wood Mechanic 1 can =
1 Brand Junior 66, eye iritation, OK Y 100% Barat I/A5/C No.12 Jend Sudirman 287 v tested 11 5 Can OK Yes Mechanic NP0004U 8-Apr-20 Adm. 0,94 l
environment : non Jakarta Telp: Semarang Storage and iron
Varaco, Dana Paint, (Dhesrina)
dll) hazardous (021)6900546

Aromatic 64742-95-6
Petrolium Solvent

PT. Mikatasa Agung

4 physic : flamable, JL. Rungkut
v
health: eye and skin PIC :
Organopolysiloxan 2 0 iritation,
Industri II/2-4, Utama Paint Jl.
Need to be Chemical gluing Mechanic 1 can =
2 Lem Fox 9003-18-3 OK Y 100% Surabaya, East Java, Jend Sudirman 287 24 34 Can OK Yes Mechanic LF0002U 25-Feb-20
e mixture 0 environment : 60293, Indonesia Semarang tested Storage melamine Adm. 1000 gr
water Phone:+62 31 (Dhesrina)
contamination 5845785

UD.JATI MULYA
2 'physic : flamable, PIC :
health: eye iritation,
3 Thinner 2,2 Diklorovinil dimetil fosfat 2 0 corrotion,
62-73-7
OK Y 100%
PT. Impala Thenner Jatimerto,
v
Need to be
10 2 Can OK Yes Mechanic Room paint mixture Mechanic TN0004U 14-Apr-20 Mechanic 1 can=
Production Kerjo Lor, tested Adm. 1000 ml
0 environment :
hazardous
Ngadirojo (Dhesrina)
08122614381

Chevron Products
'physic : flamable, Company a division of Resmi Jaya
health: eye and skin Chevron U.S.A. Inc. PIC :
1 iritation, 6001 Bollinger Canyon Jl. Mangga No. 6 Need to be Chemical sewing Mechanic 1 drum=
4 White Oil White mineral oil
environment : 8042- 47-5 OK Y 100% Road San Ramon, CA Perum Kuncen Baru v tested 73 257 Liters OK Yes Mechanic WO0005U 13-May-19 - Chief ±220 L
0 Storage machine oil
0 water 94583 United States Ungaran Telp : 024- (Abdul)
76910996. Fax:
0 contamination of America
024-76911172

2 physic : flamable, PT. SHA SOLO.

health: eye and skin PT. Pertamina Jl. Solar Tank PIC :
5 Solar / Diesel Fuel Hydrocarbon 1 1 iritation,
68334-30-5 OK Y 100%
(Persero) Jl. Medan Yosodipuro 21,
v
Need to be
0 3500 Liters OK Yes Chemical, generator fuel Mechanic SO0001U Jan-20 - Mechanic
13000
environment : Merdeka Timur No. 1A Surakarta 57131, tested Chief
0 water Jakarta Pusat 10110 Genset room (Abdul)
0271 644987
contamination

UD.PURWO
physic : flamable,
1 health: eye and skin
Jl. Raya
PIC :
6 Lem Kaca Organopolysiloxane mixture 1 0 iritation,
9003-18-3 OK Y 100% GS Soligen Jerman Ngadirojo Wonogiri v
Need to be
1 6 bottle OK Yes Mechanic Room gluing glass Mechanic LK0002U 7-Feb-20 Mechanic
300 ml
0 environment :
water no.20, Timur Garasi
tested Chief
(Abdul)
contamination Timbul Jaya. 0273
5327116

Aliphatic Hydrocarbon 64742-47-8 -

UD.PURWO
Petroleum Base Oil 2 physic : flamable, 64742-53-6 < 25 % WD-40 Company 1061 Jl. Raya PIC :
7 WD-40 2 0 health: eye and skin
OK Y
Cudahy Place (92110) Ngadirojo Wonogiri
v
Need to be
4 3 bottle OK Yes Mechanic Room rust cleaner Mechanic WD0003U 17-Mar-20 - Mechanic 1 bottle
irritation, P.O. Box 80607 San no.20, Timur Garasi tested Adm. = 333 ml
LVP Aliphatic Hydrocarbon 0 environment : N/A 124-38-9 12-18 % Diego, California, USA Timbul Jaya. 0273 (Dhesrina)
5327115

Non-Hazardous Ingredients Mixture 2-3 %

 Quantity Stock
Documents Provided by Supplier
(MSDS, Possitive List & Conformance
ID Number Concentration Certificate) Quality
Material MRSL Consumptio SDS Chem. Storage Exp
No Name Of Product Hazard Classification CAS Number Label of Substances Company Product Supplier Regular Function Dept. Used LOT Number Puchase Date Remark
Composition Compliance n / Month Presence Location date
P/H/E (w/w%) Total Vol Check

1 'physic : flamable,
PT.Kunyoung
Hydrotreated(mild)Heavy Indonesia Jaya, PIC :
Paraffinic distillate 1 0 health: eye and skin 64742-54-7
Jln.Raya Cikarang, Mechanic 1
iritation, PT.KYUNGWON Need to Compressor Engine
8 Air Lube 0 environment : OK Y 15% MACHINERY.CO.,Ltd
blok C-11 V
be tested
1 0 pail OK Yes
Room Lubricant
Mechanic AL0012U Dec-19 - Adm. Pail=20
Kav.125,Sertajaya (Dhesrina, Kg
water Suci)
contamination ,Cikarang
Timur,Bekasi

1-Decene, homopolymer,
hydrogenated 68037-01-4

Paraffin 8002-74-2 90%

Mizho Chemical CV. MYUNG SEONG
physic : flamable, Co.,Ltd. 3473 Ikebe- MACHINERY PIC :
Dimethylpolysiloxane 0 health: eye and skin 9002-88-4 9% cho, Tsuzuki-ku, Jl. Raya Cibening Need to be crust cleaners Mechanic 1 bottle=
9 Rolax 2 0 irritation, OK v Yokohama 224-0053 RT17/04 Sadang, V tested 9 5 bottle OK Yes Mechanic Room
for iron
Mechanic RL0010U Oct-19 Adm.
(Dhesrina,
320 gr
0 environment : N/A Japan Purwakarta
export@mizho-c.jp 0264 8288772 Suci)
Polyethylene 63148-62-9 1%

1 CV. MYUNG
0 SEONG
1 health, inhaltaion,
3M Center St. Paul,
MACHINERY
Need to yarn pull
PIC :
Mechanic
1
10 Silikon Benang ALUMINOBOROSILIC skin contact, eye 12788-79-3 OK v Jl. Raya Cibening v 0 1 ml OK Yes Mechanic Room Mechanic SB0011U 11/1/2019 bottle=
0 MN 55144-1000 be tested stabilizer Adm.
ATE FIBERS contact, RT17/04 Sadang, (Risky) 80 ml
Purwakarta
0264 8288772

Defoamer 9004-62-0 2%

SAMYUK SPECIAL B & K Enterprise

Amino 102-71-6
1 OIL COPP Co., Ltd
Alamat : 29, 379-6
1 0 health, inhaltaion, GIMHAE-DAERO Soouyoung-Ri
Need to PIC : happy 1
11 W - 100 S skin contact, eye OK v 2567 BEON-GL, Bongdaum-Eup v 2 0 Liters OK Yes Mechanic Room Lubricant Mechanic WS0010U 10/5/2019 ( Complian bottle=
0 be tested ce)
Agen Antinoda contact, 67401-50-7 GIMHAE-SI, Hwaseong 20 l
GYEONSANGNAM- Gyeonggi-Do
DO South Korea

Dyhydrogen Oxide 7732-18-5 20%

Petroleum Distillate
(Stoddard Solvent) 8052-41-3 25-30%

Desulfurized Petroleum
30-35%
Reckitt Benckiser Toko Jatayu
64742-81-0
Distillate North America, Inc. Wonogiri, Jln
Morris Corporate Jend. Sudirman,
Center IV Giritirto,
Silica, Crystaline health, inhaltaion, 14808-60-7 9-12% 1
399 Interpace Wonogiri, Kec. Need to PIC : Risky
12 Brasso Polish skin contact, eye OK v v 0 1 Liters OK Yes Mechanic Room clean and polish Mechanic BP0012U 12/24/2019 ( Mekanik ) bottle=
Parkway (P.O. Box Wonogiri, be tested
contact, 200 Ml
225) Kabupaten
Kaolin 1332-58-7 10-15%
Parsippany, N.J. Wonogiri, Jawa
07054-0225 Tengah 57611,
Oleic Acid 112-80-1 7-10% Indonesia

Ammonium hydroxide 1336-21-6 2-3%

 PT NESIA PAN PACIFIC CLOTHING
Reviewed by Pengawas Spesialis
Chemical In Charge Acknowledge by
Compliance HR&GA Manager Lingkungan Kerja

CHEMICAL INVENTORY LIST (LAB)

GALUH HAPPY KRISTIATMOJO JH LEE SADAKHIR MURYITO, SKM, M.Si

NIP. 19650711 198803 1 014

Updated : April 2020

Documents Provided by Supplier

Quantity Stock
ID Number (MSDS, Possitive List & Conformance Consum Quality Chem.
Name Of Hazard MRSL Concentration Company Certificate) SDS Dept. Puchase
No Material Composition CAS Number Label of Substances Supplier ption / Regular Storage Function LOT Number Exp date Remark
Product Classification P/H/E Compliance (w/w%) Product Month Check Presence Location Used Date
Total Vol
Test
Yes No
Required
Potassium hydrogen
phthalate 877­24­7 0-10 %
Persada Sembilan
physic : non (Supplier Testing
Potassium hydroxide 0 flamable, health : 1310-58-3 0-10 % Eqp) Jl. 1 bottle
1 Buffer pH 4.01 1 0 eye irritation,skin
OK Y Thermo Cisaranten Wetan
v
Need to be
350 100 ml OK Yes
Lab. pH meter
Lab SVS4 2-Dec-19 Aug-19 PICLab
: QC =
irritation, 915-67-3 Scientific Orion® III No.6 tested Room calibration 475 ml
Amaranth Red No. 27 0 environment : non 0-10 % Bandung, Jawa
hazardous Barat
7732­18­ 085220154654
Water 5 90-100 %

Persada Sembilan
physic : non (Supplier Testing
0 flamable, health : Eqp) Jl.
2 DpH Cleaner Sodium lauryl sulfate 1 0 eye irritation,skin 151-21-3 OK Y 0-10 % Thermo Cisaranten Wetan
v
Need to be
0 220 ml OK Yes
Lab. pH meter
Lab TW1 2-Dec-19 Jan-20 PICLab
: QC 1 bottle
irritation, Scientific Orion® III No.6 tested Room calibration = 60 ml
0 environment : non Bandung, Jawa
hazardous Barat
085220154654

7732­18­
Water 5 90-100 % Persada Sembilan
physic : non (Supplier Testing
flamable, health : 7778-77-0 Eqp) Jl. 1 bottle
3 Buffer pH 7.00 Potasium Phospate, 0 eye irritation,skin
OK Y 0-10 % Thermo Cisaranten Wetan v
Need to be
350 25 ml OK Yes
Lab. pH meter
Lab SVS8 2-Dec-19 Aug-19 PICLab
: QC =
Monobasic irritation, Scientific Orion® III No.6 tested Room calibration
1 0 environment : non Bandung, Jawa 475 ml
Barat
0 hazardous
085220154654
Sodium Hydroxide 1310-73-2 0-10 %

physic : non
Water flamable, health : 7732-18-5 90-100 %
eye irritation,skin
Sodium carbonate irritation, 497-19-8 0-10 % Persada Sembilan
(Supplier Testing
0 environment : non
hazardous Eqp) Jl. 1 bottle
Lab. pH meter
4 Buffer pH 10.01 Sodium Bicarbonate
1 0 144-55-8 OK Y 0-10 % Thermo
Scientific Orion®
Cisaranten Wetan
III No.6
v
Need to be
tested 350 125 ml OK Yes Room calibration Lab SVS3 2-Dec-19 Aug-19 PICLab
: QC =
475 ml
Methylparaben 0 99-76-3 0-10 %
Bandung, Jawa
Barat
085220154654
FD & C Blue #1 3844-45-9 0-10 %

0 physic : non PT. Brataco PT. Brataco

flamable, health: Chemika Chemika
5 Aquabides water 0 0 non hazardous 7732-18-5 OK Y 100% Jl. Dr. Radjiman Jl. Dr. Radjiman
v
Need to be
0,75 1,25
jerry
OK Yes
Lab.
pH test Lab AB0012L 19-Dec-19 - PIC : QC 20 L
environment : non
No.457 Bumi, No.457 Bumi, tested can Room Lab
Laweyan Laweyan
0 hazardous Surakarta Surakarta

Potassium hydrogen 877-24-7 <1

phthalate
Persada Sembilan
0 (Supplier Testing
Eqp) Jl.
6 Ross Storage Potassium chloride (KCL) 1 0 physic : non 7447-40-7 OK Y 22 Thermo
Cisaranten Wetan v
Need to be
0 550 ml OK Yes
Lab. neutralize pH
Lab SVS3 2-Dec-19 Aug-19 PICLab
: QC 1 bottle
Scientific Orion®
III No.6
tested Room concentration = 475 ml
0 flamable, health :
Bandung, Jawa
eye irritation,skin
irritation, 085220154654
Deionized water environment : non 7732-18-5 77
hazardous
Water 7732-18-5 70 - 80%

Potassium Nitrate physic : non 7757-79-1 10 - 20% Persada Sembilan

(Supplier Testing
ROSS Reference Potassium Chloride 0 flamable, health : 7447-40-7 0 - 10% Eqp) Jl. v filling pH
eye irritation,skin Lab.
7 Electrode Filling 1 0 irritation,
OK Thermo
Scientific Orion®
Cisaranten Wetan
Need to be
tested 0 180 ml OK Yes Room
tube for pH Lab TV1 2-Jan-19 Aug-19 PICLab
: QC 1 bottle
= 120 ml
Solution Sodium Chloride 7647-14-5 0 - 10% III No.6 test
0 environment : non Bandung, Jawa
hazardous 085220154654
Silver Chloride 7783-90-6 0 - 10%

TritonÒ X-100 9002-93-1 0 - 10%

PT. Procter & Persada Sembilan

Ethyl alcohol 0 physic : non 64-17-5 < 10 % Gamble (Supplier Testing
1 0 flamable, health: Indonesia Tbk., Eqp) Jl.
8 Tide (Detergent) 0 eye iritasion, OK Y Daan Mogot Cisaranten Wetan Need to be
0 1460 Pack OK Yes
Lab. washing
Lab TD0003L 30-Mar-20 - PIC : QC 566 g
environment : no
km.14 III No.6 tested Room shrinkage Lab
Jakarta Barat. Bandung, Jawa
2 - Aminoethanol hazardous 141-43-5 1.70% Telp.021- Barat
5021577 085220154654
 Documents Provided by Supplier
Quantity Stock
ID Number Concentration (MSDS, Possitive List & Conformance Consum Quality Chem.
Name Of Hazard MRSL Company Certificate)
ption / Regular SDS Storage Dept. Puchase
No Product Material Composition Classification CAS Number Compliance Label
of Substances
Product Supplier Presence Function Used LOT Number Date Exp date Remark
P/H/E (w/w%) Month Total Vol Check Location

Persada Sembilan
(Supplier Testing
0 health: eye Merck KGaA,
64271
Eqp) Jl.
Pottasium iritasion, Cisaranten Wetan v Need to be Lab. PIC : QC
9 Chloride
Pottasiumchloride 1 0 environment : no 7447-40-7 OK Y 100% Darmstadt III No.6 tested 0 1 kg OK Yes Room Reagent Lab PC0002L 12-Feb-20 - Lab 1 kg
Germany. EMD Bandung, Jawa
0 hazardous milipore Barat
Corporation 290 085220154654
Concord Road,
Billerica MA
01821

Persada Sembilan
HQ. Hanna
(Supplier Testing
Hanna 0 health: eye Instrument, Inc. Eqp) Jl.
instrumen iritasion, Highland v Lab. Cleaning PIC : QC
Cisaranten Wetan Need to be
10 electrode
Hydrocholic Acid 1 0 environment : no 7647-01-0 OK Y 100% Industrial Park.
III No.6 tested 0 500 ml OK Yes Room Solution Lab HC0002L 12-Feb-20 - Lab 500 ml
584 Park East
Bandung, Jawa
cleaning solution 0 hazardous Drive
Barat
Manufactoring
085220154654
 PT NESIA PAN PACIFIC CLOTHING
Reviewed by Pengawas Spesialis
Chemical In Charge Acknowledge by
Compliance HR&GA Manager Lingkungan Kerja

CHEMICAL INVENTORY LIST (CLEANING SERVICE)

GALUH HAPPY KRISTIATMOJO JH LEE SADAKHIR MURYITO, SKM, M.Si
NIP. 19650711 198803 1 014
Updated : April 2020
Quantity
Documents Provided by Supplier Stock
(MSDS, Possitive List & Conformance
Hazard ID Number MRSL Concentration Company Certificate) Consum Quality SDS Chem. Dept. LOT Purchase Exp
No Name Of Product Material Composition CAS Number Label of Substances Supplier Regular Storage Function Remark
Classification P/H/E Compliance (w/w%) Product ption Check Presence Location Used Number Date date
Total Vol
Test
Yes No Required

Diethanolamine 111-42-2 0.1 - 1.5%

Magnesium oxide 1309-48-4 1 - 5%

physic : non PT. Unilever
0 flamable, health: Indonesia TBK Jl. Toserba BARU Need to be Storage cleaning PIC : will be controlled
1 Sabun Sun Light Ethyl alcohol
1 0 eye iritation, 64-17-5 OK Y 1 - 5% Jababeka Raya Jl. Jend.Sudirman, v 49 16 pack OK Yes dishes in the KBS SL0004CS 27-Apr-20 - KBS 200 ml confidentially
environment : Blok O Cikarang Wonogiri tested Room pantry (Siti) against higg audit
Dodecylbenzene sulfonic 0 non hazardous
68584-22-5 20 - 30%
Bekasi
acid
Sodium lauryl ether 9004-82-4 10 - 20%
sulfate

Benzalkonium chloride 0 physic : non 68424-85-1 1.5% PT. Unilever

flamable, health: Indonesia TBK Jl. Toserba BARU PIC : will be controlled
2 Super Pell 1 0 eye iritation, OK Y Jababeka Raya Jl. Jend.Sudirman, v Need to be
42 25 Pack OK Yes
Storage mopping the
KBS SP0004CS 27-Apr-20 - KBS 800 ml confidentially
environment : Blok O Cikarang Wonogiri
tested Room floor (Siti) against higg audit
Alcohol ethoxylate
0 non hazardous - 1% Bekasi

Pine Oil 8002-09-3 0.5%

0 physic : non
flamable, health:
PT. Unilever
Indonesia TBK Jl. Toserba BARU PIC : will be controlled
1 0 Need to be Storage cleaning the
3 Wipol eye iritation, OK Y Jababeka Raya Jl. Jend.Sudirman, v tested 59 38 Pack OK Yes Room toilets KBS WP0004CS 27-Apr-20 - KBS 450 ml confidentially
0 environment : Blok O Cikarang Wonogiri (Siti) against higg audit
Benzalkonium chloride non hazardous 68424-85-1 0.75% Bekasi
 PT NESIA PAN PACIFIC CLOTHING
Reviewed by Pengawas Spesialis
Chemical In Charge Acknowledge by
Compliance HR&GA Manager Lingkungan Kerja

CHEMICAL INVENTORY LIST (Prohibited or N/A)

GALUH HAPPY KRISTIATMOJO JH LEE SADAKHIR MURYITO, SKM, M.Si
NIP. 19650711 198803 1 014
1. Production
Quantity Stock
Documents Provided by Supplier
ID Number MRSL Concentration
(MSDS, Possitive List & Conformance
Quality Chem.
Name Of Material CAS Company Certificate) Consump SDS Dept. LOT
No Product Composition Hazard Classification Number Complian Label of Substances Product Supplier tion Regular Presence Storage Function Used Number Purchase Date Exp date Remark
ce (w/w%) Total Vol Check Location
P/H/E
Test
Yes No
Required

Sodium alkil benzena physic : not 9012-54-8

sulfonat 16% Graha Unilever
flamable, Jl. Jend. Gatot
health: eye Subroto kav.15 Same function
0 and skin Jakarta – 12930 Swalayan JAYA Jl. Pack
PIC :
with others
1 Rinso Cair Sodium lauril eter
irritation, 9088-43-1 Not OK Y 6% Need to 7 21 refill/ OK Yes Storage cleaning Spot RN0004P 8-Apr-20 - Sugiarno 400 ml and
sulfat 1 0 +6221-5299
5299
Buluh Sulur 175,
Ngadirojo
v
be tested Room stains Cleaning (Chief
environment : bottle Finishing) recommended
0 water www.unilever.co to remove
contaminatio .id
Alkohol Etoksilat n 7732-18-5 2%

Glycol distearate 627-83-8

physic : non Graha Unilever
flamable, Jl. Jend. Gatot Same function
0 health: eye Subroto kav.15 PIC : with others
Lifebuoy Jakarta – 12930 Swalayan JAYA Jl. Need to Storage cleaning Spot Sugiarno
2 Sodium chloride 0 irritation, 7647-14-5 Not OK Y Bulusulur 175, v 11 17 Pack OK Yes LB0004P 8-Apr-20 08/21 85 gr and
Sabun 1 environment :
+6221-5299
Ngadirojo be tested Room stains Cleaning (Chief
recommended
5299 Finishing)
0 non www.unilever.co to remove
hazardous .id

citric acid 77-92-9

Hydrofluoric acid 7664-39-3 12% approx

phisical : non
0 flamable, Same function
health: eye HK Tenseng CV Citra Jaya Jl.
2 0 International, Raya Solo Baru Blok B
PIC : with others
Amonium Bifluoride irritation, 1341-49-7 16% approx Need to Chemical cleaning Spot Sugiarno 1 bottle =
3 Rust Go 0 strong odor, Not OK Y Guangdong, No.7, Langenharjo, v
be tested 0 12 bottle OK Yes Storage rust stains Cleaning RG0003P 3-Mar-20 - (Chief 60 ml and
China +86-20- Grogol, Sukoharjo, Finishing) recommended
environment : 86361991 Jawa Tengah to remove
non
Water hazardous 7732-18-5

2. CLEANING SERVICE
Quantity Stock
Documents Provided by Supplier
ID Number (MSDS, Possitive List & Conformance
Name Of Material CAS MRSL Concentration Company Certificate) Consump Quality SDS Chem. Dept. LOT
No Hazard Classification Complian Label of Substances Supplier Regular Storage Function Purchase Date Exp date Remark
Product Composition Number Product tion Presence Used Number
ce (w/w%) Total Vol Check Location
P/H/E
Test
Yes No
Required

HYDROCLORITE ACID 7647-01-0

1
physic : non
SODIUM HYDROXIDE 1 0 flamable, 1310-73-2 UD.PURWO Same function
health: PT. Joenoes Jl. Raya Ngadirojo with others
1
0 Corrosive and Not OK Y Ikamulya No.43 Wonogiri no.20, Timur v Need to be
20 20 Bottle OK Yes Storage cleaning KBS PT0004CS 27-Apr-20 - PIC : KBS 1000 ml and
PORSTEX Kawasan Industri Garasi Timbul Jaya. tested Room the toilets (Siti)
iritation, recommended
environment : Pulogadung 0273 5327115 to remove
OXALIC ACID hazardous 6153-56-6
DEHYDRATE
 Code of LOT NUMBER

No Code Remark No Code Remark

1 SL Sunlight 1 P Production
2 RG Rust Go 2 U Utility
3 RN Rinso 3 L LAB
4 SN Salonpas 4 CS Cleaning Service
5 LB Lifeboy
6 VN Vanish
7 SE Silikon Emulsi
8 NP Nippont Paint
9 LF Lem Fox
10 TN Thinner
11 WO White Oil
12 SO Solar
13 LK Lem Kaca
14 WD WD 40
15 AL Airlube
16 RL Rolax
17 SB Silikon Benang
18 WS W-100 S
19 BP Brasso Polsih
20 SP Super Pell
21 WP Wipol
Example :

month of item arrived

SL0003CS

place of chemical use

Code of chemical
name