PT. Wiraswasta Gemilang Indonesia BERITA ACARA. PENERIMAAN BARANG (Waste Receipt Report No. @Qy /BA-PBYENGIY) 2021 Katies 10 uni 204 Jenis Barang (00; Paces? Perusahaan penghasi Fr pln (Pree? (Pa Carer - Jaber ‘Alamat Perusahaan Vb Poy Congeran. 20 10 Garer -DABAR aoe PF pana waninecar. penkaca Alamat Transporter Petar DEKAS BMAF, NEKAY , Dahan, Padahar ini 2021, telah terima Dengan Perincian Sebagai Berikut Terie Kauig , lo yuri 2021 No. Polis 8.964)-yu. Suman Ot Muri 5 Clinard brn No. Manifest N- 00 2662 Jurnlah Oli Kontaminasi S Cliwa > Spoon No. Manifest R)- 002) 663 Vemian'toen 10 Cpt. §> dren Keterangan Bice a a) Ge Tse Tee Sever AL, 10 De i spon asec rt Pe estinya “pe Yang menyerahan, Peering LN (Perso) Dis Jabar K.A, Gudang Head Office: The city Tower, 5® Floor IRMA !thamrin No. 81 ‘akarta 10310, Indonesia Tol. (021) 3199 6245 (Hunting) Fox.(021} 3199 6045 Head Geo Collect Plane ite & Operation km. 28, Clkarang 320A, Jawa Barat, ndone! ") 883 1241 (Hunting) Fax. (021) 668 0068 45 vwreew ptwal.eomBERITA ACARA PEMERIKSAAN TRAVO OFF Ser ares Te ee] — ee —-4 a — fee ea = a = - fe & = of Me ia Me Te rimningrms | Set hay anccatte ead, hes endweKEMENTERIAN PERHUBUNGAN + ie DIREKTORAT JENDERAL PERHUBUNGAN DARAT * as | ox gyn KARTU PENGAWASAN IZIN PENYELENGGARAAN ANGKUTAN BARANG BERBAHAYA (83) NOMOR = SK.00360/A,J.309/1/0JPD/2018/100001827-00004 ‘Bexiasarkan Keputesan Oedur Jndorl Prtubungan Dorat No. SK.0OSENALI0B//0JPOV2018 tango 02-48-2018 tontang ‘an penjelenasaran Argkvsn BARANG BERBAHAYA (83), kopada : PT, RANA MANUNGGAL PERKASA Yang dsimpin coh ‘CHRISTOPEL AGUSTINUS SIMAMORA shorn kar pengswatan un mangangkt barangberbanays (3) 10 Prusaean ‘00001827 sa" Retomendas KLM: S184/VPLBUPPLESPLA.332019 Bershy Sampat oban2aos -Retomendas ESD Bera Samp Jens Masta SLUDGE NINYAK, PELLMIAS QEKAS, GOLVENTITHINNER BEXAS, MINYAK KOTOR, LIVBAW HCL, LUvbat Sant SULFAT, RESIDU, TRAIP OL! 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Kendoran 000 -Nomor Ul Kendarean : BKS-192641 denis Kendaraen TRUCK BAK TERBUKA = Kendaraan| 7450 “Tahun 2013 Nomar Ranga MrovF Tae AOKOOSTA -Mereheris MaTSUBISH: Nomar Metin 4 94Ts31956 -Konf.gumtu 42 etal Samp 26-082001 -1BtTempeen ° Dhetapkand : JAKARTA Pada Tergoal_: 26 Agus 2020 ‘AnDIREITUR JENDERAL PERMUBUNGAN DARAT DIREKTUR ANGKUTAN JALAN B3.16.025.185NOWOR Swat Keputusan Ri 0021662 Kopala Badan Pengendatan Dampak ingkangan | No Rep 2Bapesa00/885 | SET TangulsSoptoer 185 i dengan cat a (HAZARDOUS WASTE MANIFEST) | AUN ANG HAR DLENGCP GLB ENGI PENGUNPUL LMA TH ECTON MET OE COMPLETED BY OvERATOR COLEZTOR) | Ucar teed ee mag Ate) Str meg samen eran Fm PT.PLN(PERSERO) UPS GARUT MC Pec baepisa, 316 WOU Vila. Rel a aT) oes Tesco E seisenes a ecto Cramuamimen © pons eran TES) ee ance)? FE. 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FLN(PERSERO) UP3 GARUT a : re MO Peclbaepura, AOS Gott, Dion. area ( HAZARDOUS WASTE MANIFEST ) LASS fear leaner 2 eka Penn la btata canara paeataan (Sher oon | None Poche Gane aptavon TOT SR oes Nees): TREN an), hme Sate. i CAL CU OLI BEEAS _- MUDAH i : fects BATA ahCreer rd TSR. PR Tae) eek me Is Bay Ten Cetenyer nectiay} Nomor (No) #29641. YU | ISLC Bimay pO Wer estatie Ex | ERR SRR SOS RTMLSRTN GARANG WUDAN MENTyLa JAUKUA DART APEC DRUA Gy Ie votra) passes ha dn kernpgeyereaiay. CERTAKAN DENGAN HATI“WATI PERNATIKAN SOP 1 Tenner sas tna Ae tani) 021~55095830 ‘Tan peraanohtan ke (Shbsing purpose fo) P< WGT_ 17 Pengo (cleo) argu (Paces) [Peansat (spat) (isan Noda pages orm aca arpa tan Sain ebatan rar pre mh gibt ak Gag et pan alnan ‘stan nan yng Gm peanat epee pay Rg ins fom lor clr te es a re enorsarnne on So arte ara no parc ep) era sob Du unr se et) Paya rts phat /engu ian Es ergy manasa baal arg rnin sal dongs pee pode ar oen a] Fair sta caro lo da ern pt pn ar ‘ltd oar econ ea oro i @ Naa (Na RUS Tal] 10. hMATSRRRANER © ASTI (a) =c5 ps Gay | TORROOO DT gon al | TG oO Wis ame COnL (Ts ETON COMPLETED TT TRARSORTER) i i | Seas ER eT A aenareneran ee eameen a) ioasteaean aa Geegarimanceunommenmris, | arava i ne 6 4 Nn ee [Phan Wo) waz 052 sna Gone ar) 96 = a = or | sgl es 18: Nana (Hse) P Teatidian | 7 Nana oerataan See (papa repstaton Na) 47 Metis erausn [vende Ganay) ue aaa ae Si "Nomar Truk (Truck No es ice ECS ha } ses ea +r naes (Ser gl ea a agua aban) Salant meaneredsiar ia conser geen aE pepe eos? a 18. 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Tanda tangan ( Signatira > ‘20, Jabatan (Tito) "Tar parang (Sepang ae rece ame z = Srna SN LOPE Ew ESL SR / Nana nla pean Phun lFeranar mia] Nera eepoa PisRa] i (eanariiee Sacer rey ! = 23. None Doda apt (Bap atc No) | re ere TS Seep] Teuereee rican semana oar peice tee ee ee ae i 77 Nava He) Ato Soe ~] 20stena (Dae = aerate eee i Sareea, ey nae Saar eae yantemiimemes Jumiah (Quantly) ia 5 old es 38 Nomar Pavan Bop (Biel eg. Na) Cae ang ak a