No : 002/BA-2022/III/MSM-GPU

Perihal : Berita Acara Exca Loading PT. MSM

Lampiran : -

Berita Acara Exca Loading MSM

Pada tanggal 2 Maret 2022, di shift siang telah dilakukan loading Batubara ke Dump Truck (DT) Hauling PT. Gorby Putra Utama (GPU)
Untuk ke Port/Km.64 sebanyak 10 unit atas permintaan pengawas produksi PT. GPU (Bpk AY Pratanda) dikarenakan di CCP tidak ada unit
yang bergerak untuk loading, maka Exca PT. MSM di rental untuk pengisian unit DT Hauling GPU ke KM 64 langsung di front Batubara
PT. MSM . Adapun Exca yang digunakan :

No Nama unit No. Unit HM Awal HM Akhir Total HM

1 Excavator PC - 303 7,669 7,671 2 jam

Dump Truck Hauling PT. Gorby Putra Utama (GPU)

DT No. Jam Berat
No Retase
Hauling Lambung Loading (WIB) Muatan (Ton)
1 Hanvan 9069 15:00 38.09 1
2 Hanvan 9099 15:00 38.09 1
3 Hanvan 9029 16:00 38.09 1
4 Hanvan 9019 16:00 38.09 1
5 Hanvan 9049 17:00 38.09 1
6 Mitsubishi 4269 17:00 27.48 1
7 Mitsubishi 4409 16:00 27.48 1
8 Hino 4239 16:00 27.48 1
9 Hino 4619 16:00 27.48 1
10 Hino 4229 16:00 27.48 1
Total 327.85

Beringin Makmur II, Maret 2022

Pemberi Tugas Penerima Tugas Diketahui Oleh,

AY Pratanda Harianto Rusdiansyah

PT. GPU PT. MSM Pjs. PJO
Date Owned Unit Merk Model No Unit Start HM/Km Finished HM/Km Sub Total Unit2
1 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
2 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
3 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
4 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
5 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
6 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
7 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
8 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
9 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
10 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
11 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
12 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
13 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01 5,543.00 5,546.00 3.00 Hour
14 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
15 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
16 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
17 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
18 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
19 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
20 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
21 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
21 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
22 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
23 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
24 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
25 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
26 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
27 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
28 MSM Fuel Truck Hino Jumbo Ranger E-2 FT-01
3.00
9

Total 0

Michael Widjaja Ananto Setyo Adi

Supervisor Engineering Superintendent Engineering
 #REF!
Average Jarak Overburden dari front ke disposal 895,04 M

Jika Actual Jarak

disepakati bersama hasil pengukuran overburden
jarak Periode kurang
01 s/d dari kesepakatan
15 Februari 2022 antarapada kontrak, maka akan di bebankan pada bulan selanjutnya
PT Multi Service Mining dengan PT. Gorby Putra Utama meliputi :
Demikian Berita Acara ini agar dapat dipergunakan sebagai mestinya.

Beringin Makmur, 21 Februari 2022

Prepared by
PT. Multi Service Mining
MSM Michael Widjaja 0
MSM Engineering MSM 0

Approve by
0

Zainal Abidin Ananto Setyo Adi Ferry Juanda

Surveyor GPU Engineering GPU KTT GPU
ARA PENGUKURAN JARAK COAL HAULING PT. MSM
No.03/BA-JS/MSM-GPU/II/2022
Jarak Coal Hauling dari front Pit 1 ke CPP : 3082,25 M Vol 18,150.410

Pada hari ini, Senin 21 Febuari 2022, telah disepakati bersama hasil pengukuran jarak Periode 01 s/d 15 Februari 2022
ant Demikian Berita Acara ini agar dapat dipergunakan sebagai mestinya.

MT
Beringin Makmur, 21 Februari 2022

Prepared by
PT. Multi Service Mining MSM Michael Widjaja 0
MSM Engineering MSM 0

Approve by Zainal Abidin Ananto Setyo Adi Ferry Juanda

PT. Gorby Putra Utama Surveyor GPU Engineering GPU KTT GPU
MINING & COAL HAULING PERIODE FEBRUARI 2022 PT. MSM
No.03/BA-JS/MSM-GPU/II/2022
Peralatan muat menggunakan :
a. Berita Acara Coal Mining
No Unit Ton
Pada hari
1 ini, Senin
PC21 Febuari 2022,
300 telah diadakan rekonsiliasi Coal Getting dan Coal Hauling Periode 1 s/d 15 Februari 2022
16,476.359
2022 antara PT. Multi Service Mining dengan PT. Gorby Putra Utama meliputi :
Peralatan Hauler menggunakan :
B. Berita Acara Coal Hauling From PIT to CCP
No Unit Ton
1 CWB 45 16,476.359

Dengan rincian sebagai berikut :

Rincian A:
DAY NIGHT
No. Tanggal Tonage Tonage Total Tonage
1 1-Feb-22 784.440 100.300 884.740
2 2-Feb-22 - 349.040 349.040
3 3-Feb-22 629.650 199.120 828.770
4 4-Feb-22 84.000 0.000 84.000
5 5-Feb-22 504.000 945.000 1,449.000
6 6-Feb-22 1,084.140 1,008.000 2,092.140
7 7-Feb-22 463.570 105.000 568.570
8 8-Feb-22 987.000 1,071.000 2,058.000
9 9-Feb-22 861.000 882.000 1,743.000
10 10-Feb-22 416.580 512.700 929.280
11 11-Feb-22 985.740 598.470 1,584.210
12 12-Feb-22 281.850 1,267.160 1,549.010
13 13-Feb-22 348.560 1,144.320 1,492.880
14 14-Feb-22 743.080 773.170 1,516.250
15 15-Feb-22 528.310 493.210 1,021.520
18,150.410

No Unit Tonage
1 PC 300 18,150.410
18,150.410

Rincian B:
TANGGAL DAY (TON) NIGTH (TON) HAULER
TOTAL
ALL UNIT
1-Feb-22 712.099 91.049 NISSAN CWB 803.148
2-Feb-22 0.000 316.829 NISSAN CWB 316.829
 3-Feb-22 571.576 180.755 NISSAN CWB 752.331
4-Feb-22 76.253 0.000 NISSAN CWB 76.253
5-Feb-22 457.515 857.841 NISSAN CWB 1,315.356
6-Feb-22 984.147 915.030 NISSAN CWB 1,899.177
7-Feb-22 420.814 95.316 NISSAN CWB 516.130
8-Feb-22 895.967 972.219 NISSAN CWB 1,868.186
9-Feb-22 781.588 800.651 NISSAN CWB 1,582.239
10-Feb-22 378.158 465.413 NISSAN CWB 843.571
11-Feb-22 894.823 543.272 NISSAN CWB 1,438.095
12-Feb-22 255.854 1,150.287 NISSAN CWB 1,406.142
13-Feb-22 316.412 1,038.777 NISSAN CWB 1,355.188
14-Feb-22 674.544 701.859 NISSAN CWB 1,376.403
15-Feb-22 479.592 447.720 NISSAN CWB 927.312
16,476.359

Beringin Makmur, 21 Februari 2022

MSM Michael Widjaja

Prepared by MSM Engineering MSM
PT. Multi Service Mining

Approve by Zainal Abidin Ananto Setyo Adi

PT. Gorby Putra Utama Surveyor GPU Engineering GPU
 PT. MULTI SERVICE MINING
MINE OPERATION: PT GORBY PUTRA UTAMA
SOUTH SUMATRA

No : No 03/BA-JS/MSM-GPU/I/2022
Subject : Certificate of Work Progress Join Survey Februari 2022
Attachment : Inpit OB Removal Calculation

PERIODE : 1/02/2022 - 15/02/2022

MONTH : Mid Month Februari 2022

PROJECT : PT. Gorby Putra Utama

1 Inpit Volume
1.1 Inpit Removal Volume A 56,811.980 bcm
1.2 Coal Removal Volume B 13,118.120 bcm
1.3 Overcut of Boundary Design Volume C - bcm
1.4 Pending Volume D - bcm
1.5 Top Soil removal Volume E - bcm
1.6 Mud removal Volume F - bcm
Inpit OB Removal Volume G=A-B-C-D+E 43,693.860 bcm

TOTAL OB & TOPSOIL Join Survey H=G 43,693.860 bcm

OB Distance 892.749 m

Beringin Makmur, 21 Februari 2022

Prepared By Approved By
PT Multi Service Mining PT. Gorby Putra Utama

Budiono Zainal Abidin

Surveyor Mine Surveyor
Date: 21 Februari 2022 Date: 21 Februari 2022

`
 PT. MULTI SERVICE MINING
MINE OPERATION: PT GORBY PUTRA UTAMA
SOUTH SUMATRA

INPIT OVERBURDEN REMOVAL ORIGINAL TO SURFACE

Owner : PT. Gorby Putra Utama Year : 2022

Location : PIT GPU 1 - Block South Progress : Mid Month Februari

Date Of Joint Survey : 16 Februari 2022

Instrument : Nikon TS Nivo 2.C
Software : Surpac 6.3.2
Top DTM : 150222_ori.dtm
Bottom DTM : 150222_prog.dtm
Design : pit_gpu_2022.str

NO DESCRIPTION QUANTITY ( BCM ) QUANTITY ( TON ) REMARK

I * OB Removal
* Void Januari A 95,549.300
* Cutting Out EoM Mid Month Februari B 152,686.970
* Fill C 325.690
* Void EoM Mid Month Februari D=B-C 152,361.280
* Material Removal E=D-A 56,811.980
* Mud Removal F -
* Topsoil Removal G -
* Volume Of Coal H 13,118.120 16,476.359
* S40U_1 F1 3,534.498 4,439.329
* S40U_2 F2 9,583.622 12,037.029
* S40L_1 F3 - -
* S40L_2 F4 - -
* Pending Volume I -
* Overcut of Boundary Design J -
* OB Removal Non Topsoil Mid Month Februari K=E-G-H-I-J 43,693.860

Beringin Makmur, 21 Februari 2022

Prepared by, Approved by,

PT. Multi Service Mining PT. Gorby Putra Utama

Budiono Zainal Abidin

Surveyor Mine Surveyor
Date: 21 Februari 2022 Date: 21 Februari 2022
 Haul Distance OB
Feb-22
Volume Overburden (bcm) Haul Distance (meter)

Date Waste (bcm)-PC 300-303 Waste (bcm)-PC 400-402 Waste (bcm)-PC 400-405 Waste (bcm)-PC 400-409 PC 300-303 PC 400-402 PC 400-405 PC 400-409

DS NS DS NS DS NS DS NS DS NS DS NS DS NS DS NS
01-Feb-22 1,229.20 91.62 129.79 832.19 891.45 891.45 - 884.98 884.98
02-Feb-22 282.49 603.15 458.09 519.17 786.69 786.69 - 817.85 817.85
03-Feb-22 1,015.43 549.70 1,023.06 648.96 795.97 795.97 - 826.90 826.90
04-Feb-22 145.06 - 882.99
05-Feb-22 480.99 1,038.33 412.28 992.52 875.66 875.66 - 834.20 834.20
06-Feb-22 626.05 771.11 1,259.74 1,381.90 890.80 890.80 - 800.42 800.42
07-Feb-22 626.05 954.35 442.82 912.38 - 970.35 970.35
08-Feb-22 702.40 900.90 496.26 984.89 940.41 940.41 - 967.69 967.69
09-Feb-22 717.67 1,282.64 549.70 1,404.80 936.74 936.74 - 961.95 961.95
10-Feb-22 977.25 1,275.01 763.48 931.59 - 967.80 967.80
11-Feb-22 1,053.60 1,160.49 - 927.12 927.12
12-Feb-22 1,038.33 1,007.79 1,129.95 832.19 905.94 905.94 - 930.53 930.53
13-Feb-22 519.17 564.97 244.31 1,053.60 946.71 1,442.97 916.95 916.95 - 920.31 920.31 845.54 845.54
14-Feb-22 221.41 748.21 1,023.06 870.37 903.59 - 913.57 913.57 903.59
15-Feb-22 297.76 1,076.50 664.23 580.24 648.96 799.83 - 949.01 949.01 914.17 914.17
-
Total 7,535.53 7,787.48 221.41 - 10,681.06 12,001.88 2,504.21 2,962.30 877.53 887.22 903.59 - 906.75 905.19 881.92 887.76

Summary PT. Multi Service Mining Beringin Makmur, 21 Februari 2022

Unit OB JS 43,693.86
Dist (M) Vol
OB OB TC 51,507.00
PC 300-303 882.374 15,323.008 OB 0.848
PC 400-402 451.793 221.409
PC 400-405 905.968 22,682.939
PC 400-409 884.842 5,466.504 BCM Budiono Micahel Widjaja
Total Volume 43,693.860 M Surveyor MSM Engineering MSM
Weight Average Dist 892.749

Approve by
PT. Gorby Putra Utama

Zainal Abidin Ananto Setyo Adi

Surveyor GPU Engineering GPU
 Haul Distance Mud
Nov-21
Production by Survey Haul Distance (meter)
Waste (bcm)- Waste (bcm)- Waste (bcm)- Waste (bcm)- Waste (bcm)-
Date XEXSY500014 XEXSY500015 XEXSY500016 XEXSY500017 XEXSY500018
XEXSY500014 XEXSY500015 XEXSY500016 XEXSY500017 XEXSY500018
DS NS DS NS DS NS DS NS DS NS DS NS DS NS DS NS DS NS DS NS
01-Nov-21 - - - - - - - - - -
02-Nov-21 - - - - - - - - - -
03-Nov-21 - - - - - - - - - -
04-Nov-21 - - - - - - - - - -
05-Nov-21 - - - - - - - - - -
06-Nov-21 536.800 308.000 299.200 448.800 325.600 594.727 - 583.895 583.895 603.297 603.297 - - - -
07-Nov-21 774.000 1,091.200 950.400 - - - - - - - - - -
08-Nov-21 176.000 - - - - - - - - - -
09-Nov-21 871.000 - - - - - - - - - -
10-Nov-21 - - - - - - - - - -
11-Nov-21 - - - - - - - - - -
12-Nov-21 - - - - - - - - - -
13-Nov-21 228.800 - - - - - - - - - -
14-Nov-21 - - - - - - - - - -
15-Nov-21 - - - - - - - - - -
16-Nov-21 516.924 - - - - - - - - 453.576 -
17-Nov-21 1,047.200 - - - - - - - - - -
18-Nov-21 704.000 1,029.600 - - - - - - - - - -
19-Nov-21 - - - - - - - - 388.749
20-Nov-21 26.400 686.400 - - - - 389.945 396.523 - - - -
21-Nov-21 35.200 - - - - - - - -
22-Nov-21 - 1,469.600 695.200 1,330.777 - - - - 403.746 356.812 - - - -
23-Nov-21 - 396.000 382.155 - - - - - - 355.869 - - -
24-Nov-21 8.800 - - - - - - - - - -
25-Nov-21 - - - - - - - - - -
26-Nov-21 237.600 - - - - - - 425.834 - - -
27-Nov-21 724.664 - 407.734 - - - - - - - -
28-Nov-21 - - - - - - - - - -
29-Nov-21 - - - - - - - - - -
30-Nov-21 - - - - - - - - - -

Total 3,836.988 1,469.600 1,795.200 299.200 3,036.000 1,656.377 382.155 - 2,138.400 686.400 594.727 407.734 583.895 583.895 465.663 452.211 390.852 - 421.163 -

Beringin Makmur, 21 Februari 2022

Summary
Unit Prepared by
Dist (M) Vol
OB PT. Anugerah Covindo Indonesia
XEXSY500014 501.231 5,306.588
XEXSY500015 583.895 2,094.400
XEXSY500016 458.937 4,692.377
XEXSY500017 390.852 382.155 Roni Rustana B. Jonckgi Brillianto
XEXSY500018 421.163 2,824.800 Sr. Surveyor ACI Engineering ACI
Total Volume 15,300.320 BCM
Weight Average Dist 482.036 M

Approve by
PT. Gorby Putra Utama

Hangger Aqiim M.P Anantyo Setyo Adi

Surveyor GPU Engineering GPU
 Haul Distance Coal
Feb-22
Volume Coal (Ton) Haul Distance (Meter)

Date PC 300-301 PC 400-402 PC 300-301 PC 400-402

DS NS DS NS DS NS DS NS
01-Feb-22 784.440 100.300 - - 3,114.784 3,114.784 - -
02-Feb-22 - 349.040 - - 3,012.940 - -
03-Feb-22 629.650 199.120 - - 3,021.871 3,021.871 - -
04-Feb-22 84.000 - - - 3,029.418 - -
05-Feb-22 504.000 945.000 - - 3,034.463 3,034.463 - -
06-Feb-22 1,084.140 1,008.000 - - 3,050.100 3,050.100 - -
07-Feb-22 463.570 105.000 - - 3,024.838 3,024.838 - -
08-Feb-22 987.000 1,071.000 - - 2,998.510 2,998.510 - -
09-Feb-22 861.000 882.000 - - 3,106.975 3,106.975 - -
10-Feb-22 416.580 512.700 - - 3,176.123 3,176.123 - -
11-Feb-22 985.740 598.470 - - 3,140.239 3,140.239 - -
12-Feb-22 281.850 1,267.160 - - 3,124.533 3,124.533 - -
13-Feb-22 348.560 1,144.320 - - 3,022.120 3,022.120 - -
14-Feb-22 743.080 773.170 - - 3,181.610 3,181.610 - -
15-Feb-22 528.310 493.210 - - 3,134.155 3,134.155 - -

Total 8,701.920 9,448.490 - - 3,082.839 3,081.662 - -

Summary Beringin Makmur, 21 Februari 2022

Unit Coal JS 16,476.359 Prepared by
Dist (M) Vol
OB Coal TC 18,150.410 PT. Multi Service Mining
PC 300-301 3,082.250 18,150.410 0.908 `
PC 400-402 - -
Total Volume 18,150.410 Ton
Weight Average Dist 3,082.250 M

Budiono Michael Widjaja

Surveyor MSM Engineering MSM

Approve by
PT. Gorby Putra Utama

Zainal Abidin Ananto Setyo Adi

Surveyor GPU Engineering GPU