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LAPORAN HASIL UJI

( Test Report )
No. : 012/Lab/II/2012
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Nama Contoh ( Commodity ) : Belut Hidup & Belut Beku
Pengirim Contoh ( Received From ) :
Alamat ( Address ) :
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Kondisi Contoh ( Sampel Condition ) : Good
Tanggal Penerimaan Contoh ( Date of receiving sample ) : 22 Februari 2012
Tanggal Analisis ( Date of analysis ) : 22 Februari 2012
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METODA ANALISIS
Metoda Analisis Standar Analisis
No Jenis Analisis ( Analysis ) ( Method of Analysis ) Satuan ( Standard of Analysis )
1. TPC SNI01-2332.3.2006 Koloni/g 500.000
2. E. Coli / Coliform SNI01-2332.1.2006 APM/g <3
3. Vibrio Cholerae SNI01-2332.4.2006 per 25 g Negative
4. Salmonella SNI01-2332.2.2006 per 25 g Negative
5. Staphylococcus aureus SNI01-2346-2006 Koloni/g 0
6. Organoleptik SNI01-2338-1991 Angka ( 1-9 ) 7
HASIL ( Results )
Jenis Analisis ( Analysis )
Hasil ( Results )
No Nama Contoh Vibrio Salmo Organo
TPC E.Coli
Cholerae nella leptik
1. Belut Hidup 3.000 <3 Negative Negative 7
2. Belut Beku 3.000 <3 Negative Negative 7

Laporan Hasil Uji ini di keluarkan


Di ..........pada tanggal MANAGER TEKNIS
( Issued in ............on ) Kepala Seksi Pengujian Laboratorium
( 27 Februari 2012 ) ( Head of Testing Laboratory )

FAPM.2.10-1-24 Ter 1 Rev 0