Berita Acara Pencacahan Fisik Barang (KITE BAHAN BAKU)

Nomor : BA-05.02/TFJ/2023
Tanggal : 15 Maret 2023
Lokasi Pabrik : Cianjur

NO URAIAN BARANG JUMLAH SAT KET

1 RESIN PET COLD FILL 1100 KG

Tim pendamping Perusahaan Tim Audit Bea dan Cukai

1. Andoyo 1. Ayatuhaedi Krismanto

Senior Factory Manager NIP 198701082006021001

2. Nina Agustina 2. Isma Wiyunda Renggasami

Section Head Facility NIP 199104082013101003

Halaman 1 dari 4
 Berita Acara Pencacahan Fisik Barang (KITE BAHAN BARANG JADI)
Nomor : BA-05.03/TFJ/2023
Tanggal : 15 Maret 2023
Lokasi Pabrik : Cianjur

NO URAIAN BARANG JUMLAH SAT KET

1 LE MINERALE 4X5 PH 258 KAR
2 LE MINERALE 24X330 GSK 26 KAR
3 LE MINERALE 24X600 GSK 8524 KAR
4 LE MINERALE 12X1500 GSK 4270 KAR
5 LE MINERALE 12X1500 PH 1474 KAR
6 LE MINERALE 24X600 PH 2662 KAR
7 LE MINERALE 24X330 PH 7140 KAR

Tim pendamping Perusahaan Tim Audit Bea dan Cukai

1. Andoyo 1. Ayatuhaedi Krismanto

Senior Factory Manager NIP 198701082006021001

2. Nina Agustina 2. Isma Wiyunda Renggasami

Section Head Facility NIP 199104082013101003

Halaman 2 dari 4
 Berita Acara Pencacahan Fisik Barang (BKPM MESIN)
Nomor : BA-05.01/TFJ/2023
Tanggal : 16 Maret 2023
Lokasi Pabrik : Cianjur

245/PABEAN/PMDN/2018
NO NO PIB TGL PIB URAIAN BARANG JML SAT KET
AIR COMPRESSOR, MANUFACTURER : GARDNER DENVER. LTD; TYPE : WH40H3N,
1 000277 02-Jan-19 2 SET
CAPACITY: 2300 M3/HR FAD
201315 22-Apr-19 INJECTION MACHINE, MANUFACTURER: HUSKY INJECTION MOLDING SYSTEMS; TYPE :
2 2 SET
251276 14-May-19 HUSKY HYCAP225 3.0 RS50/50, CAVITY 48, CAPACITY : 57.600 PCS PER HOUR
235191 31-Jul-19
3 MOLD, MANUFACTURER: HUSKY INJECTION MOLDING SYSTEMS; TYPE 48 CAVITY 2 SET
217404 16-Jul-19
IMDVISTA VISION INSPECTION SYSTEM WITH INOX VACUUM CONVEYOR, MANUFACTURER:
4 089069 21-Mar-19 HUSKY INJECTION MOLDING SYSTEMS, TYPE : CLOSURE INSPECTION SYSTMES IMDVISTA 2 NIU
CSIX HS, SPEED : 4000 CAPS PER MINUTE

11/PABEAN-PB/PMDN/2019
NO NO PIB TGL PIB URAIAN BARANG JML SAT KET
DOWNSTREAM PACKAGING SYSTEM, MANUFACTURER : JIANGSU NEWAMSTAR PACKAGING
01 096645 21-Feb-19 MACHINERY CO.,LTD, CAPACITY : 40.000BPH 600ML & 330ML; TYPE : DOWNSTREAM 1 SET
PACKAGING SYSTEM WATER COMBI LINE
DOWNSTREAM PACKAGING SYSTEM, MANUFACTURER : JIANGSU NEWAMSTAR PACKAGING
02 096646 21-Feb-19 MACHINERY CO.,LTD, CAPACITY : 40.000BPH (600ML) TYPE : DOWNSTREAM PACKAGING 1 SET
SYSTEM WATER COMBI LINE
FULL BOTTLE INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY
03 154594 26-Mar-19 CO., LTD; CAPACITY : 40.000BPH, TYPE : FULL BOTTLE INSPECTION MACHINE FOR WATER 2 NIU
LINE
LABEL INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY CO., LTD;
04 154594 26-Mar-19 4 NIU
CAPACITY : 24.000 BPH, TYPE : LABEL INSPECTION MACHINE FOR WATER LINE
BOTTLE LABELER, MANUFACTURER : SIDEL BLOWING & SERVICES, CAPACITY : 23.000 BPH,
05 184269 10-Apr-19 2 NIU
TYPE : ROLLQUATTRO F15E FOR 600 ML & 330ML
BOTTLE LABELER, MANUFACTURER : SIDEL BLOWING & SERVICES, CAPACITY : 23.000 BPH,
06 184270 10-Apr-19 2 NIU
TYPE : ROLLQUATTRO F15E FOR 600 ML
170391 04-Apr-19 PREFORM SYSTEM, MANUFACTURER : SIPA SPA, TYPE : XFORM 350 GEN3 XP P105 EE120
07 EQUIPPED WITH 96 CAVITIES MOULD + COLD HALF FOR 350 ML AND 600ML PREFORM, 1 SET
232878 06-May-19
CAPACITY : 43.200 PPH
283063 13-Jun-19 PREFORM SYSTEM, MANUFACTURER : SIPA SPA, TYPE : XFORM 350 GEN3 XP P105 EE120
08 1 SET
208218 23-Apr-19 EQUIPPED WITH 96 CAVITIES MOULD FOR 600ML PREFORM, CAPACITY : 43.200 PPH
BLOWING & FILLING, MANUFACTURER : SIPA SPA, TYPE : SINCRO WITH SFR 20-
09 170387 04-Apr-19 FLEXTRONICS S 70-20 SMW AND 40.000 BPH ON 600 ML AND 40.000 BPH ON 350 ML, 1 SET
CAPACITY : 40.000 BPH
184264 10-Apr-19 BLOWING & FILLING, MANUFACTURER : SIPA SPA, TYPE : SINCRO WITH SFR 20-
10 1 SET
232885 06-May-19 FLEXTRONICS S 70-20 SMW AND 40.000 BPH, CAPACITY : 40.000 BPH

58/PABEAN-PB/PMDN/2019
NO NO PIB TGL PIB URAIAN BARANG JML SAT KET
PREFORM SYSTEM, MANUFACTURER : SIPA SPA, TYPE : XFORM 350 GEN3 XP P105 EE120
07 160710 21-May-19 EQUIPPED WITH 96 CAVITIES MOULD + COLD HALF FOR 350 ML AND 600ML PREFORM,
CAPACITY : 43.200 PPH
PREFORM SYSTEM,(PARTIAL SHIPMENT OF ITEM NO.7 PREFORM SYSTEM, MANUFACTURER
11 160710 21-May-19 : SIPA SPA, TYPE : XFORM 350 GEN3 XP P105 EE120 EQUIPPED WITH 96 CAVITIES MOULD + 1 SET
COLD HALF FOR 350 ML AND 600ML PREFORM, CAPACITY : 43.200 PPH

76/PABEAN/PMDN/2020
NO NO PIB TGL PIB URAIAN BARANG JML SAT KET
AIR COMPRESSOR, MANUFACTURER : GARDNER DENVER LTD , TYPE : WH40H3N,
01 214178 30-Apr-20 3 SET
CAPACITY: 2300 M3/HR FAD
233625 13-May-20 INJECTION MACHINE, MANUFACTURER : HUSKY INJECTION MOLDING SYSTEMS; TYPE :
02 1 SET
274608 16-Jun-20 HUSKY HYCAP225 3.0 RS50/50, CAVITY 16, CYCLE TIME 4.2 SEC
233621 13-May-20
233626 13-May-20 INJECTION MACHINE, MANUFACTURER : HUSKY INJECTION MOLDING SYSTEMS; TYPE:
03 2 SET
274607 16-Jun-20 HUSKY HYCAP225 3.0-RS50/50, CAVITY 48, CYCLE TIME 3.6 SEC
274609 16-Jun-20
272094 15-Jun-20
PREFORM SYSTEM, MANUFACTURER : HUSKY INJECTION MOLDING SYSTEMS; TYPE: HUSKY
04 292609 29-Jun-20 1 SET
HYPET400_5E P120/130 EE140, CAVITY 128, CYCLE TIME 6.7 SEC
303515 07-Jul-20
274591 16-Jun-20
PREFORM SYSTEM, MANUFACTURER : HUSKY INJECTION MOLDING SYSTEMS; TYPE: HUSKY
05 292234 29-Jun-20 1 SET
HYPET300_5E P100/130 EE120, CAVITY 72, CYCLE TIME 8.2 SEC
303516 07-Jul-20
249850 02-Jun-20 BLOWING & FILLING, MANUFACTURER : SIDEL BEIJING MACHINERY, SIDEL SPA AND CTA,
06 1 SET
289568 26-Jun-20 CAPACITY : 72,000 BPH , TYPE : FOR WATER PET 0.6L
249851 02-Jun-20 BLOWING & FILLING, MANUFACTURER : SIDEL BEIJING MACHINERY, SIDEL SPA AND CTA,
07 TYPE : FOR WATER PET 0.6L, CAPACITY : 40,000 BPH, TYPE FOR WATER PET 1.5L, 1 SET
249852 02-Jun-20 CAPACITY : 25,000 BPH
BOTTLE LABELLER, MANUFACTURER : SIDEL MANTOVA, CAPACITY : 36,000 BPH , TYPE :
08 222710 06-May-20 2 SET
FOR WATER PET 0.6L
BOTTLE LABELLER, MANUFACTURER : SIDEL MANTOVA , CAPACITY : 20,000 BPH , TYPE :
09 191939 20-Apr-20 2 SET
FOR WATER PET 0.6L, CAPACITY : 12,500 BPH , TYPE : FOR WATER PET 1.5L
PREFFORM INJECTION MACHINE, MANUFACTURER : GUANGZHOU HUAYAN PRECISION
10 233621 13-May-20 MACHINERY CO.,LTD, TYPE : EPIONEER-400 / 140E.PET VI, CAVITY : 48 CYCLE TIME : 24 SEC, 1 NIU
CAPACITY : 7200 PCS/H
HANDLE GRIP INJECTION MACHINE, MANUFACTURER : GUANGZHOU HUAYAN PRECISION
11 233621 13-May-20 MACHINERY CO.,LTD, TYPE : SYSTEC 350/720-1450 C SP, CAVITY : 24 CYCLE TIME : 13 SEC, 1 NIU
CAPACITY : 6.646 PCS/H
282614 22-Jun-20 DOWNSTREAM PACKAGING MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY
12 CO., LTD; CAPACITY: 40,000 BPH; TYPE: DOWNSTREAM PACKING LINE FOR 40.000 BPH PET 1 SET
282615 22-Jun-20 WATER FILLING LINE

Halaman 3 dari 4
 FULL BOTTLE INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY
13 273274 16-Jun-20 CO., LTD; TYPE : FULL BOTTLE INSPECTION MACHINE FOR WATER LINE, CAPACITY : 40.000 1 NIU
BPH
FULL BOTTLE INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY
14 273274 16-Jun-20 CO., LTD, TYPE : FULL BOTTLE INSPECTION MACHINE FOR WATER LINE, CAPACITY : 72.000 1 NIU
BPH
LABEL INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY CO., LTD,
15 273274 16-Jun-20 2 NIU
TYPE : LABEL INSPECTION MACHINE FOR WATER LINE, CAPACITY : 30.000 BPH
LABEL INSPECTION MACHINE, MANUFACTURER : SUZHOU MINGSON MACHINERY CO., LTD,
16 273274 16-Jun-20 2 NIU
TYPE : LABEL INSPECTION MACHINE FOR WATER LINE, CAPACITY : 40.000 BPH
MOLD, MANUFACTURER : HUSKY INJECTION MOLDING SYSTEMS; TYPE: FOR 5000ML TYPE
17 191677 17-Jul-20 1 SET
16 CAVITY TYPE : HYCAP 3.1 COMPLETE MOLD
INSPECTION SYSTEM, MANUFACTURER: HUSKY INJECTION MOLDING SYSTEMS; TYPE :
18 134588 13-May-20 1 NIU
HUSKY HYCAP225 3.0-RS50/50 WITH INOX VACUUM CONVEYOR
189365 15-Jul-20 MOLD, MANUFACTURER: HUSKY INJECTION MOLDING SYSTEMS; FOR 1500ML & 600 ML 48
19 2 SET
194704 21-Jul-20 CAVITY, TYPE : HYCAP 3.1 COMPLETE MOLD
134589 13-May-20 INSPECTION SYSTEM, MANUFACTURER: HUSKY INJECTION MOLDING SYSTEMS; TYPE:
20 2 NIU
134590 13-May-20 HUSKY HYCAP225 3.0-RS50/50 WITH INOX VACUUM CONVEYOR
WATER BLOWING MACHINE, MANUFACTURER : JIANGSU NEWAMSTAR PACKAGING
21 272094 15-Jun-20 1 NIU
MACHINERY CO.,LTD. , TYPE : WATER BLOWING MACHINE, CAPACITY : 6000 BPH (5000ML)
WATER LINE DOWNSTREAM PACKAGING MACHINE, MANUFACTURER : JIANGSU
22 272094 15-Jun-20 NEWAMSTAR PACKAGING MACHINERY CO.,LTD, TYPE : WATER LINE DOWNSTREAM, 1 NIU
CAPACITY : 72000 BPH (600ML)

59/PABEAN-PB/PMDN/2020
NO NO PIB TGL PIB URAIAN BARANG JML SAT KET
387593 01-Sep-20 PREFORM INJECTION MACHINE, MANUFACTURER : GUANGZHOU HUAYAN PRECISION
10 MACHINERY CO.,LTD, TYPE : EPIONEER-400 / 140E.PET VI, CAVITY : 48 CYCLE TIME : 24 SEC, 1 SET
389682 02-Sep-20 CAPACITY : 7200 PCS/H
387593 01-Sep-20 HANDLE GRIP INJECTION MACHINE, MANUFACTURER : GUANGZHOU HUAYAN PRECISION
11 MACHINERY CO.,LTD, TYPE :SYSTEC 350/ 720-1450 C SP, CAVITY : 24, CYCLE TIME : 13 SEC, 1 SET
389682 02-Sep-20 CAPACITY : 6.646 PCS/H
WATER BLOWING MACHINE, MANUFACTURER : JIANGSU NEWAMSTAR PACKAGING
21 378189 26-Aug-20 1 SET
MACHINERY CO.,LTD, TYPE : WATER BLOWING MACHINE, CAPACITY : 6000 BPH (5000ML)

360777 13-Aug-20 WATER LINE DOWNSTREAM PACKAGING MACHINE, MANUFACTURER : JIANGSU

22 NEWAMSTAR PACKAGING MACHINERY CO.,LTD, TYPE : WATER LINE DOWNSTREAM, 1 SET
362371 14-Aug-20 CAPACITY : 72000 BPH (600ML)
WATER LINE DOWNSTREAM PACKAGING MACHINE, MANUFACTURER : JIANGSU
23 378190 26-Aug-20 NEWAMSTAR PACKAGING MACHINERY CO.,LTD, TYPE : WATER LINE DOWNSTREAM, 1 SET
CAPACITY : 6000 BPH (5000ML)

Tim pendamping Perusahaan Tim Audit Bea dan Cukai

1. Andoyo 1. Ayatuhaedi Krismanto

Senior Factory Manager NIP 198701082006021001

2. Nina Agustina 2. Isma Wiyunda Renggasami

Section Head Facility NIP 199104082013101003

Halaman 4 dari 4