CERTIFICATE OF ANALYSIS

No. 13/COA - LAB/FOOD/XI/2023

Name of Buyer : PT. Multirasa Nusantara

Product Description : Egg Roll
Type of Product : Raw Breaded
Production Code : 21113071582910
Expired Code : K.21.05.25
Date of Analysis : 21.11.2023 – 28.11.2023

Parameter Standard Unit Result Methods Reference

Physic
Taste Normal Visual Normal Organoleptic Test SNI 01-2346:2006
Appearance Normal Visual Normal Organoleptic Test SNI 01-2346:2006
Odor Normal Visual Normal Organoleptic Test SNI 01-2346:2006
Texture Normal Visual Normal Organoleptic Test SNI 01-2346:2006
Nett weight 2500 Gram 2550-2600 Electronic Balance
Contents per Pack 18 Pcs 18 Electronic Balance
Chemical
Formalin 39 Ppm Not Detected Test Kit EFSA (European
Food Safety Authority)
2014

Microbiological
Total Plate Count Max 500.000 CFU/gr 115.000 Pour Plate SNI 6163:2017
E. Coli 3,6 MPN <3.0 MPN SNI 6163:2017
Salmonella Negatif/25 Gr Negatif MPN SNI 6163:2017
Vibrio Cholera Negatif/25 Gr Negatif MPN SNI 6163:2017
S. Aureus Max 100 Gr/Cfu <100 Spread Plate SNI 6163:2017

Kendal, 28th November 2023

Analyzed by, ` Verified by,

Devi Febi Nilasari Miftachul Munif

Lab Supervisor Head of QA & LAB

Ethics Policy and Data Integrity:

The laboratory has developed an ethics policy and established procedures to educate and train personnel in their ethical and legal responsibilities. The laboratory performs routine data review to ensure the records are complete and
that they demonstrate ethical conduct. Data integrity procedures are part of this quality manual.