No : SIG.CL.IV.2024.

03153250 Bogor, 03 April 2024

Lamp : 1 Halaman
Perihal : Laporan Hasil Uji Laboratorium

Kepada Yth.
PT. Ersia Cita Rasa
Jl. Kepu Timur No. 125 Kemayoran, Jakarta Pusat DKI Jakarta

Dengan hormat,
Berdasarkan surat order marketing nomor : SIG.MARK.F.III.2024.010552, maka bersama ini kami sampaikan hasil uji
analisis laboratorium

Demikian surat ini kami sampaikan semoga dapat dipergunakan sebagaimana mestinya.
Atas kerjasamanya yang baik kami mengucapkan terima kasih.

Hormat Kami,
PT. Saraswanti Indo Genetech

RB Ernesto Arya
GM
Sales & Marketing

PT SARASWANTI INDO GENETECH

Graha SIG Jl. Rasamala No. 20 Taman Yasmin Bogor 16113
Tel. +62 251 7532 348 Hotline. +62 821 11 516 516
www.siglaboratory.com
 28.1/F-PP Revisi 4

RESULT OF ANALYSIS / LAPORAN HASIL UJI

I. Number / Nomor
1.1. Order No. / No. Order : SIG.MARK.F.III.2024.010552
1.2. Certificate No. / No. sertifikat : SIG.LHP.IV.2024.031532501
II. Principal / Pelanggan
2.1. Name / Nama : PT. Ersia Cita Rasa
2.2. Address / Alamat : Jl. Kepu Timur No. 125 Kemayoran, Jakarta
Pusat DKI Jakarta
2.3. Phone / Telepon : +6281222123451
2.4. Contact Person / Personil Penghubung : Reza
III. Sample / Contoh Uji
3.1. Sample Code / Kode Sampel : -
3.2. Batch Number / No Batch : -
3.3. Lot Number / No Lot : -
3.4. Packaging / Kemasan : -
3.5. Production Date / Tanggal Produksi : -
3.6. Expire Date / Tanggal Kadaluarsa : -
3.7. Factory Name / Nama Pabrik : -
3.8. Factory Address / Alamat Pabrik : -
3.9. Trade Mark / Nama Dagang : -
3.10. Sample Name / Nama Sample : Egg Chicken Roll
3.11. Other Information / Keterangan Lain : -
3.12. Date of Sampling / Tanggal Sampling : -
3.13. Sampling Location / Lokasi Sampling : -
3.14. Method Sampling / Metode Sampling : -
3.15. Personnel Sampling / Personil Sampling : -
3.16. Environmental Conditions / Kondisi Lingkungan : -
3.17. Date of Acceptance / Diterima : 27 Maret 2024
3.18. Date of Analysis / Tanggal Uji : 27 Maret 2024 - 03 April 2024
3.19. Type of Analysis / Jenis Uji : Terlampir
IV. Result / Hasil Uji

Result Of Analysis | Page 1 of 3

PT SARASWANTI INDO GENETECH The results of these tests relate only to the sample(s) submitted.
Graha SIG Jl. Rasamala No. 20 Taman Yasmin Bogor 16113 This report shall not be reproduced except in full context,
Tel. +62 251 7532 348 Hotline. +62 821 11 516 516 without the written approval of PT. Saraswanti Indo Genetech
www.siglaboratory.com
 28.1/F-PP Revisi 4

No Parameter n c Result m M Unit Method

1 Angka Lempeng Total (ALT) 1 3 1.6x105 104 106 colony ISO 4833-1:2013
/g Amd 1:2022
2 Angka Lempeng Total (ALT) 2 3 1.7x105 104 106 colony ISO 4833-1:2013
/g Amd 1:2022
3 Angka Lempeng Total (ALT) 3 3 5.2x105 104 106 colony ISO 4833-1:2013
/g Amd 1:2022
4 Angka Lempeng Total (ALT) 4 3 2.8x105 104 106 colony ISO 4833-1:2013
/g Amd 1:2022
5 Angka Lempeng Total (ALT) 5 3 1.1x105 104 106 colony ISO 4833-1:2013
/g Amd 1:2022
6 Enterobacteriaceae 1 2 4.5x102 10 102 colony SNI ISO
/g 21528-2:2017
7 Enterobacteriaceae 2 2 1.8x102 10 102 colony SNI ISO
/g 21528-2:2017
8 Enterobacteriaceae 3 2 1.1x102 10 102 colony SNI ISO
/g 21528-2:2017
9 Enterobacteriaceae 4 2 1.8x102 10 102 colony SNI ISO
/g 21528-2:2017
10 Enterobacteriaceae 5 2 1.4x102 10 102 colony SNI ISO
/g 21528-2:2017
11 Salmonella sp. 1 0 Negative Negati NA / 25 g ISO 6579-1:2017/
ve Amd 1:2020
12 Salmonella sp. 2 0 Negative Negati NA / 25 g ISO 6579-1:2017/
ve Amd 1:2020
13 Salmonella sp. 3 0 Negative Negati NA / 25 g ISO 6579-1:2017/
ve Amd 1:2020
14 Salmonella sp. 4 0 Negative Negati NA / 25 g ISO 6579-1:2017/
ve Amd 1:2020
15 Salmonella sp. 5 0 Negative Negati NA / 25 g ISO 6579-1:2017/
ve Amd 1:2020
16 Staphylococcus aureus 1 1 <10 102 2x102 colony ISO 6888-1:2021/
/g Amd 1:2023
17 Staphylococcus aureus 2 1 <10 102 2x102 colony ISO 6888-1:2021/
/g Amd 1:2023
18 Staphylococcus aureus 3 1 <10 102 2x102 colony ISO 6888-1:2021/
/g Amd 1:2023
19 Staphylococcus aureus 4 1 <10 102 2x102 colony ISO 6888-1:2021/
/g Amd 1:2023
20 Staphylococcus aureus 5 1 <10 102 2x102 colony ISO 6888-1:2021/
/g Amd 1:2023
21 Listeria monocytogenes 1 0 Negative Negati NA / 25 g ISO 11290-1:2017
ve

Result Of Analysis | Page 2 of 3

PT SARASWANTI INDO GENETECH The results of these tests relate only to the sample(s) submitted.
Graha SIG Jl. Rasamala No. 20 Taman Yasmin Bogor 16113 This report shall not be reproduced except in full context,
Tel. +62 251 7532 348 Hotline. +62 821 11 516 516 without the written approval of PT. Saraswanti Indo Genetech
www.siglaboratory.com
 28.1/F-PP Revisi 4

22 Listeria monocytogenes 2 0 Negative Negati NA / 25 g ISO 11290-1:2017

ve
23 Listeria monocytogenes 3 0 Negative Negati NA / 25 g ISO 11290-1:2017
ve
24 Listeria monocytogenes 4 0 Negative Negati NA / 25 g ISO 11290-1:2017
ve
25 Listeria monocytogenes 5 0 Negative Negati NA / 25 g ISO 11290-1:2017
ve

n = Jumlah sampel yang diambil dan dianalisis

m, M = Batas mikroba
c = Jumlah yang boleh melampaui batas mikroba untuk menentukan keberterimaan suatu produk pangan

Sesuai Peraturan Kepala Badan Pengawas Obat dan Makanan RI No 13 Tahun 2019.

Bogor, 03 April 2024

PT. Saraswanti Indo Genetech

Dwi Yulianto Laksono, S.Si

General Laboratory Manager

Result Of Analysis | Page 3 of 3

PT SARASWANTI INDO GENETECH The results of these tests relate only to the sample(s) submitted.
Graha SIG Jl. Rasamala No. 20 Taman Yasmin Bogor 16113 This report shall not be reproduced except in full context,
Tel. +62 251 7532 348 Hotline. +62 821 11 516 516 without the written approval of PT. Saraswanti Indo Genetech
www.siglaboratory.com