No. Dokumen FM.OPS.

4312a
No. Terbitan 2
No. Revisi 2
Berlaku Mulai Oktober 2021
Halaman 1 dari 1
FORMULIR KAJI ULANG PENGUJIAN LABORATORIUM

Tanggal : 05 November 2022

Nama Perusahaan : PT. RHEINCOAL SUPPLY & TRADING INDONESIA
No. Order : BTB-02/X/22/SMR/1241
No. Laboratorium : #REF! #REF!
No. Refferensi (apabila ada) : :-
Jumlah Sampel : 1

Kesiapan :

No Parameter Metode Uji ( ASTM/ Keterangan Peralatan Keterangan Personel Keterangan Ruangan Keterangan
ISO/Lainnya)
Team KMK RI No.
Total Moisture (ADL & Residual Drying Sheed Suhu = 18 - 28 oC
1 Moisture) ASTM D3302 / D3302M -19 Memenuhi dan Oven Gravimetri Preparator dan Memenuhi Kelembapan = 40 - 60 % 1405/MENKES/SK/X1/
Team Analis 2002

Suhu = 18 - 28 oC KMK RI No.

2 Moisture In Analysis ASTM D3173-17a Memenuhi Oven Gravimetri Team Analis Memenuhi 1405/MENKES/SK/X1/
Kelembapan = 40 - 60 % 2002
KMK RI No.
3 Ash Content ASTM D3174-12(2018)e1 Memenuhi Furnace Gravimetri Team Analis Memenuhi Suhu = 18 - 28 oC 1405/MENKES/SK/X1/
Kelembapan = 40 - 60 %
2002
KMK RI No.
4 Volatile Matter ASTM D3175-20 Memenuhi Furnace Gravimetri Team Analis Memenuhi Suhu = 18 - 28 oC 1405/MENKES/SK/X1/
Kelembapan = 40 - 60 %
2002
KMK RI No.
Suhu = 18 - 28 oC
5 Total Sulfur ASTM D4239-18e1 Memenuhi Leco TS Instrument Team Analis Memenuhi Kelembapan = 40 - 60 % 1405/MENKES/SK/X1/
2002
KMK RI No.
6 Calorific Value ASTM D5865-19 Memenuhi PARR Instrument Team Analis Memenuhi Suhu = 18 - 28 oC
Kelembapan = 40 - 60 % 1405/MENKES/SK/X1/
2002

Pekerjaan Dapat Dilaksanakan

Catatan Laboratorium :

Menyetujui,
05 November 2022

(Rohmasari)
Manajer Laboratorium
 No. Dokumen FM.OPS.4308
No. Terbitan 2
No. Revisi 0

Berlaku Mulai Maret 2017

Halaman 1 dari 1

SURAT PERINTAH KERJA PREPARASI

No Job Order : BTB-02/X/22/SMR/1241

Tanggal : 05 November 2022

Jumlah Sample : 1

Methode : ASTM

Parameter Pengujian *)
No. Client ID/ Lot Lab ID
TM GA HGI SIZE LAIN-LAIN

1 #REF! #REF! #REF! √ √

2 0 #REF! #REF! √ √
3 #REF! DOS/03/22/I/ #REF! √ √

4 #REF! DOS/03/22/I/ #REF! √ √

Instruksi Khusus :

Ket. *) Beri tanda √

Diserahkan, Penerima,
November 05, 2022 November 05, 2022

(Dik Dik Solihin) ( )

Koordinator Preparator Leader Preparator
 No. Dok FM.OPS.4309
No. Terbitan 02
No. Rev 00
Tgl. Terbit Maret 2017
Hal
1 dari 1

SURAT PERINTAH KERJA LABORATORIUM

No. Job Order : BTB-02/X/22/SMR/1241

Tanggal : 05 November 2022
Jumlah Sample : 1
Methode : ASTM

Parameter Pengujian
No. Lab ID Ultimate AFT ASH ANALYSIS TRACE ELEMENT
TM IM Ash VM TS CV CSN RD
C H N Red. Ox. SiO2 Al2O3 Fe2O3 CaO MgO Na2O K2O TiO2 P2O5 SO3 Mn3O4 B Se Hg F Cl As

1 #REF! ### √ √ √ √ √ √

Instruksi Khusus :

Ket. *) Coret yang tidak perlu

Diserahkan, Penerima,
05 November 2022 05 November 2022

(Rizky F. Adisty) ( )
Deputi Manager Laboratorium Analis
 Principal : BATUBARA CO., LTD. FM.OPS.4313
JO No. : BTB-02/VII/20/SMR/0581
SO No. : SO-07965
Method : ASTM
Date of Sample Received : 27/7/20 12.30
Date of Reporting : 28/7/20 8.00
TAT : 20 Hours

ADL RM TM Moisture Ash VM FC TS Calorific Value

Weight (%) (%) (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code Lab. Id Remark
(kg)
(ar) (ar) ar adb adb adb adb adb adb arb daf
1 BMS DOS/03/20/VII/ 209 7.995 5.25 10.33 15.04 10.72 6.93 39.8 42.55 0.99 6,022 5,731 7,313

7.995 5.25 10.33 15.04 10.72 6.86 39.8 42.62 0.99 6,022 5,731 7,306 Re ash

2 BMS I DOS/03/20/VII/ 210 7.837 9.25 10.20 18.51 10.53 9.83 41.03 38.61 1.80 5,772 5,257 7,248

7.837 9.25 10.20 18.51 10.53 9.61 41.03 38.83 1.80 5,772 5,257 7,228 Re ash
Ash Fusion Temperatures / 209 Reducing Atm. Oxidizing Atm.
Deformation deg.C. 1370 -
Sphere deg.C. 1400 -
Hemisphere deg.C. 1420 -
Flow deg.C. 1440 -

Ash Fusion Temperatures / 210 Reducing Atm. Oxidizing Atm.

Deformation deg.C. 1310 -
Sphere deg.C. 1330 -
Hemisphere deg.C. 1350 -
Flow deg.C. 1370 -
 PRELIMINARY ANALYSIS RESULT

Principal : PT. MINERAL MAJU SEJAHTERA

JO No. : BTB-02/XII/21/SMR/1363 FM.OPS.4313
SO No. : SO-XXXXX
Ref. : - Revisi 0
Method : ASTM
Date of Sample Received : 21/12/21 7.45
Date of Reporting : 22/12/21 10.45
TAT : 27 Hours
ANALISA AWAL
ADL 1 ADL 2 RM TM' TM Moisture Ash VM FC TS Calorific Value
Weight (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code Lab. Id Remark
(Kg)
(ar) (ar) (ar) ar ar adb adb adb adb adb adb arb daf
1 DOS/03/21/XII/ 0.00 0.00 100.00 0 0

2 DOS/03/21/XII/ 0.00 0.00 100.00 0 0

3 DOS/03/21/XII/ 0.00 0.00 100.00 0 0

4 DOS/03/21/XII/ 0.00 0.00 100.00 0 0

5 DOS/03/21/XII/ 0.00 0.00 100.00 0 0
 PRELIMINARY ANALYSIS RESULT

Principal :
FM.OPS.4313
JO No. :
SO No. :
Revisi 0
Ref. :
Method :
Date of Sample Received :
Date of Reporting :
TAT :
ORI
ADL RM TM Moisture Ash VM FC TS Calorific Value
Weight (%) (%) (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code IM/TM Remark
(Kg)
(ar) (ar) ar adb adb adb adb adb adb arb daf
1 RSTI/RES-KMB/PIT 1 19.50 12.73 10.32 21.74 14.52 18.33 32.39 34.76 0.51 4,528 4,146 6,743 0.67

2 RSTI/RES-KMB/PIT 2 26.95 21.67 12.24 31.26 21.24 15.92 34.92 27.92 2.62 3,935 3,434 6,262 0.68

3 RSTI/RES-KMB/JTY 18.15 21.53 12.38 31.24 21.14 12.56 37.03 29.27 2.80 4,254 3,709 6,416 0.68

RE-LAB

ADL RM TM Moisture Ash VM FC TS Calorific Value

Weight
No. Sample Code IM/TM Remark
(Kg) (%) (%) (%) (%) (%) (%) (%) (%) (kcal/kg)
(ar) (ar) ar adb adb adb adb adb adb arb daf
1 RSTI/RES-KMB/PIT 1 19.50 12.73 10.32 21.74 13.72 18.50 32.39 35.39 0.51 3,660 3,320 5,400 0.63

2 RSTI/RES-KMB/PIT 2 26.95 21.67 12.24 31.26 20.32 15.22 34.92 29.54 2.62 4,589 3,959 7,119 0.65

3 RSTI/RES-KMB/JTY 18.15 21.53 12.38 31.24 20.24 12.56 37.03 30.17 2.80 4,143 3,572 6,165 0.65
 PRELIMINARY ANALYSIS RESULT

Principal :
FM.OPS.4313
JO No. :
SO No. :
Revisi 0
Ref. :
Method :
Date of Sample Received :
Date of Reporting :
TAT :
ORI
TM Moisture Ash VM FC TS Calorific Value
Weight (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code HGI IM/TM Remark
(Kg)
ar adb adb adb adb adb adb arb daf
1 MIP A 20.45 10.86 5.83 13.24 38.96 41.97 3.29 6,157 5,828 7,608 58 0.54

2 MIP B 25.85 8.42 5.92 2.87 43.94 47.27 1.88 6,968 6,783 7,640 55 0.70

REVISI
TM Moisture Ash VM FC TS Calorific Value
Weight (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code HGI IM/TM Remark
(Kg)
ar adb adb adb adb adb adb arb daf
1 MIP A 20.45 10.41 5.61 13.18 39.42 41.79 3.22 6,175 5,861 7,604 58 0.54

2 MIP B 25.85 8.14 5.80 2.93 44.15 47.12 1.76 7,023 6,849 7,695 55 0.71

KONVERSI
TM Moisture Ash VM FC TS Calorific Value
Weight (%) (%) (%) (%) (%) (%) (kcal/kg)
No. Sample Code HGI IM/TM Remark
(Kg)
ar adb adb adb adb adb adb arb daf
1 MMS/PSA/JT/D 36.75 43.39 21.70 #REF! #REF! #REF! #REF! #REF! #REF! #REF! 58 0.50

2 MMS/PSA/JT/E 38.28 41.12 22.55 16.40 35.27 25.78 1.45 4,037 3,069 6,613 57 0.55
 REPORT OF ANALYSIS

Principal : PT. RHEINCOAL SUPPLY & TRADING INDONESIA

Subject
Parameter of Analysis
Description of Sample
Date of Sample Received
SO Number
No. of Page
: Drop Off Sample Analysis
: Total Moisture, Proximate Analysis, Total Sulphur, and Gross Calorific Value
: Number of Sample : 3 Samples
Packing : Unsealed Plastic Bags
: November 05, 2022
: SO-XXXX
: 1 Page

THIS IS TO REPORT that upon the request of the principal, the sample received were analyzed in the PT. TRIBHAKTI INSPEKTAMA,
Samarinda Laboratory (accredited by KAN / National Accreditation Committee - Indonesia for ISO/IEC 17025:2017 Cert. No. LP-1378-
IDN) in accordance with the following standard method. The results are as stated below :
ASH VM TS
FC
IM PARAMETER OF ANALYSIS
TM
WEIGHT (kcal/kg) CV
NO SAMPLE CODE (%) (%) (kcal/kg) (kcal/kg)
(Kg) (%) (%) (%) (%)

1 RSTI/RES-KMB/PIT 1 19.50 Ar
30.14 21.21
Adb 16.90 29.86 32.03 0.47 4,174
Adb 3,701Ar Daf
6,744
Adb
2 RSTI/RES-KMB/PIT 2 26.95 31.26 21.24 Adb
15.92 Adb
34.92 27.92 Adb
2.62 3,935 3,434 6,262
3 RSTI/RES-KMB/JTY 18.15 31.24 21.14 12.56 37.03 29.27 2.80 4,254 3,709 6,416

Note : 1. Ar (As Received Basis), Adb (Air Dried Basis), Daf (Dry Ash Free)
2. STANDARDS : TM = Total Moisture (ISO 589:2008) FC = Fixed Carbon (ISO 17246:2010)
IM = Moisture in the Analysis Sample (ISO 11722:2013) TS = Total Sulphur (ISO 19579:2006)
ASH = Ash Content (ISO 1171:2010) CV = Gross Calorific Value (ISO 1928:2020)
VM = Volatile Matter (ISO 562:2010)
This report is prepared and issued by the Company upon request by Principal/Applicant and the analysis contain therein reflects the
Company’s findings on the analysis of sample submitted by the Principal/Applicant and/or drawn by the Company at the time and place of
performing the inspection/testing only. The Company shall not be liable to any legal consequences resulting from any business or
transaction using this report.
SAMARINDA, NOVEMBER XX, 2022
Signed on behalf of
PT TRIBHAKTI INSPEKTAMA

RIZKY FUSVA ADISTY, S.ST

Laboratory Manager Cert No : BTB-2202SMR.XXX
 REPORT OF ANALYSIS

Principal : PT. BORNEO BATUBARA ENERGY

Subject : Drop Off Samples Analysis
Parameter of Analysis : Ash Analysis and Ash Fusion Temperature
Description of Sample : Number of Sample : 1 Sample
Packing : Unsealed Plastic Bag
Date of Sample Received : #REF!
SO Number : SO-11970
No. of Page : 1 Page

THIS IS TO REPORT that upon the request of the principal, the sample received were analyzed in the PT. TRIBHAKTI INSPEKTAMA,
Samarinda Laboratory (accredited by KAN / National Accreditation Committee - Indonesia for ISO/IEC 17025:2017 Cert. No. LP-1378-IDN)
in accordance with the following standard method. The results are as stated below :

SAMPLE CODE
PARAMETER OF ANALYSIS
NO STANDARD METHOD #REF!
ASH ANALYSIS RESULT
1 Silicon dioxide, SiO2 % db ASTM D3682-13 #REF!
2 Aluminium Oxide, Al2O3 % db ASTM D3682-13 #REF!
3 Ferric Oxide, Fe2O3 % db ASTM D3682-13 #REF!
4 Calcium Oxide, CaO % db ASTM D3682-13 #REF!
5 Magnesium Oxide, MgO % db ASTM D3682-13 #REF!
6 Sodium Oxide, Na2O % db ASTM D3682-13 #REF!
7 Potassium Oxide, K2O % db ASTM D3682-13 #REF!
8 Titanium Oxide, TiO2 % db ASTM D3682-13 #REF!
9 Phosphorus Pentoxide, P2O5 % db AS 1038.14.2-2003 (R 2013) #REF!
10 Manganese, Mn3O4 % db ASTM D3683-11 #REF!
11 Sulphur Trioxide, SO3 % db ASTM D5016-16 #REF!

PARAMETER OF ANALYSIS
WEIGHT AFT Reducing (0C)
No. SAMPLE CODE
(kg)
Hemisphere
Def. Temp. Sphere Temp. Flow Temp.
Temp.
1 #REF! #REF! #REF! #REF! #REF! #REF!

Note : 1. Db (Dried Basis)

2. STANDARDS : AFT = Ash Fusion Temperature (ASTM D1857/D1857M-18)

This report is prepared and issued by the Company upon request by Principal/Applicant and the analysis contain therein reflects the
Company’s findings on the analysis of sample submitted by the Principal/Applicant and/or drawn by the Company at the time and place of
performing the inspection/testing only. The Company shall not be liable to any legal consequences resulting from any business or
transaction using this report.
SAMARINDA, JUNE 15, 2021
Signed on behalf of
PT TRIBHAKTI INSPEKTAMA

ROHMASARI
Laboratory Manager Cert No : BTB-2102SMR.558
 Laboratory and Inspection Services
Branch Samarinda

Name of Barge : BG. TANJUNG MEDANG 9

Buyer : EWP
Order Date : 21 Oktober 2015
Est Cargo : 5,208.095 MT
Standard
Analysis Parameter Automatic Manual
Astm Iso As
Sampling v V
Preparasi v v
RM v v
Im v v
Ash v v
Vm v v
Ts v v
Cv v v
Size v v
Hgi v v
Carbon
Hydrogen
Nitrogen
Ash Analysis
SO3
P2O5
AFT Reduction
AFT Oxidation
Chlorine
Mercury
Selenium
Fluorine
Boron
Arsenic
CSN
RD

Est of Sample : 1
Job No : LAB-21/15/10/SMR/283
Lab ID : S/15/10/212
Start loading : 21 Oct 15 21:20 Start Preparati : ###
Finish loading : 24 Oct 15 03:00 Finish Analysis : ###
Last update : 28 Oct 15 10:50
Report : 28 Oct 15 10:50

SUB-LOT RESULTS

Lot Lab.Id Tonnes A.D.L.% R.M.% T.M.% Moisture% Ash% V.M.% FC % T.S.% Calorific Value (cal/g)
HGI Remark
(ar) (ar) (ar) (adb) (adb) (adb) (adb) (adb) (adb) (daf)
SEAM A S/15/10/212 1,300.000 11.00 26.53 34.61 26.77 7.90 33.76 31.57 0.23 4318 6610 55 BG. TANJUNG MEDANG 9
SEAM B S/15/10/212 3,908.095 9.50 25.31 32.41 25.37 5.89 35.69 33.05 0.37 4693 6827 53
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
0.00 100.00 0
- 0.00 100.00 0
- 0.00 100.00 0
- 0.00 100.00 0
- 0.00 100.00 0
Total 5,208.095
Cummulative 32.96 25.72 6.39 35.21 32.68 0.34 4599 6774 53
0.212 mm Co S/15/10/212 9.33 5.36 39.76 45.55 0.94 6516 7638

`
RESULTS CALCULATED TO OTHER BASES
T.M. % Moisture% Ash % V.M. % F.C. % T.S. % GCV cal/g
As received 32.96 - 5.77 31.78 29.49 0.31 4151
Air dried - 25.72 6.39 35.21 32.68 0.34 4599
Dry - - 8.60 47.40 44.00 0.46 6191
Dry, ash free - - - 51.86 48.14 0.50 6774
 ADDITIONAL ANALYSIS

adb db daf ar
Carbon % wt. 0.00 0.00 0.00 0.00
Hydrogen (Include H2O) % wt. 0.00 0.00 0.00 0.00
Hydrogen (Exclude H2O) % wt. -1.04 -1.41 -1.54 -0.94
Nitrogen % wt. 0.00 0.00 0.00 0.00
Sulfur % wt. 0.34 0.46 0.50 0.31
Oxygen % wt. 68.59 92.35 101.04 61.90
Hydrogen (Seyler) % wt. 3.66 4.93 5.39 3.30
H% Seyler = 0.069 * (GCV daf / 100 + VM daf) - 2.86

Hardgrove Grindability Index 53

adb db daf ar
GCV cal/g 4599 6191 6774 4151
Net CV, kcal/kg as received basis 4021 GCV J/g 19,255 25,920 28,361 17,379
Net CV, GJ/t as received basis 16.84 NCV J/g 16,836
NCV cal/g 4021
Gross - Net cal/g 130
Net CV ar, J/g = GCV ar, J/g - (206 * H adb) - 23 * TM
Ash Fusion Temperatures Reducing Atm. Oxidizing Atm.
Deformation deg.C.
Sphere deg.C.
Hemisphere deg.C.
Flow deg.C.
Ppm in Coal
Trace Element
Analysis of Ash adb ar db
SiO2 % wt. Mercury 0 0
Al2O3 % wt. Selenium 0.000 0.000
Fe2O3 % wt. Fluorine 0.00 0.00
TiO2 % wt. Boron 0.00 0.00
CaO % wt. Chlorine 0.00 0.00
MgO % wt.
K2O % wt.
Na2O % wt.
P2O5 % wt.
Mn3O4 % wt.
SO3 % wt.
Undetermined % wt. 100.00
Total 0

Sizing % weight
+ 50 mm 72.27 27.73 27.73
- 50.00 mm + 40.00 mm 6.13 33.85
- 40.00 mm + 31.50 mm 5.32 39.17
- 31.50 mm + 20.00 mm 18.84 58.01
- 20.00 mm + 10.00 mm 22.53 80.55
- 10.00 mm + 4.75 mm 0.00 80.55
- 4.75 mm 19.45
- 1.00 mm + 0.50 mm 0.00
- 0.50 mm 0.00
100
 SIZE REPORT LOT BY LOT

- 40.00 mm + - 31.50 mm + 20.00 - 20.00 + - 10.00 mm

LOT Tonnage Lab.Id + 50.0 mm - 50.00 + 40.00 mm - 4.75mm - 2.00 + 0.50 mm - 0.5 mm %
31.50 mm mm 10.00 mm + 4.75 mm

SEAM A 1,300.000 S/15/10/212 16.05 3.17 6.41 26.05 21.34 26.97 100
SEAM B 3,908.095 S/15/10/212 31.61 7.11 4.96 16.44 22.93 16.95 100
- - - -
- - - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - -
- - - -
- - - -
- - - -
5208.095 27.73 6.13 5.32 18.84 22.53 0.00 19.45 0.00 0.00 100

Prepared by, Checked by,

(.......................) (.......................)
 FM.OPS.43XX

FORMULIR PENERIMAAN SAMPEL DI PREPARASI

LABORATORIUM BATUBARA PT. TRIBHAKTI INSPEKTAMA
SAMARINDA
Lab No : #REF!
Vessel/Barge/Other : #REF!
Estimasi/Jumlah Sample : #REF!
Methode : #REF!

No. Sample Code/Lot Lab ID Tanggal & Jam Tanda Tangan Tanda Tangan Keterangan
Diterima Pengirim Penerima

### #REF! #REF!

###

###

###

###

###

###

###

###

###

###

###

###

###

###

###

###

###

###

###

Tanggal sample terakhir di terima :

Ket. *) Coret yang tidak perlu

Penerima Sampel Pengirim Sampel

Di Laboratorium,

WELLY BUDIMAN
(.............................) (.............................)
 FM.OPS.43XX

PENERIMAAN SAMPEL DI LABORATORIUM

LABORATORIUM BATUBARA PT. TRIBHAKTI INSPEKTAMA
SAMARINDA

Lab No : #REF!

No. Lab ID Tanggal & Jam Tanda Tangan Tanda Tangan Jenis Keterangan
Diterima Pengirim Penerima Sampel

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

#REF!

Ket. *) Coret yang tidak perlu