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LABEL CONTOH UJI

(SAMPLE LABEL)

Nomor Kode Contoh : 024.01


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan lainnya untuk dibawah 3 Tahun non elektrik
(Type) SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
No SNI : SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
(SNI Number) SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/01
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.02


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan beroda 4 untuk ditunggangi untuk umur 3
(Type) tanpa menggunakan elektik tahun ke atas
Engineering Vehicle: bulldozer(3+ years)
No SNI YD1004
(SNI Number) : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5
Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/02
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.03


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan Boneka (barbie) untuk umur 3 tahun Elektrik
(Type) (menggunakan Batrei), Barbie Doll New Mermaid
BL7715C-10
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/03
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.04


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan Boneka untuk 3 tahun keatas tanpa elektik -
(Type) print single straight skirt fat 807814
SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
No SNI : SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
(SNI Number) SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/04
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.06 66


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Jurassic Dinosaur Track Train (3+ years) 877-177C
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/06
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.07


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : 1:18 Alloy Nam Drift Car 699-175D EC (3+ years)
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/07
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.08


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : 1:16/1:20 solid color spray paint inertial car (3+)
(Type) 6677D)
No SNI :
(SNI Number) SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5
Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/08
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.09


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Rectangle 10 grid puzzle (3+) 1373-C
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/09
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.010


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : 14 inches drinking water, peeing, talking, singing and
(Type) winking baby girl (3+) 58432
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/010
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.011


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Sudoku game 3+ 707-33
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/011
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.012


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Vinyl animal-KARET – 3+ Q14-12
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/012
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.013


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Basketball hoop set (3+) 3445
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/013
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.014


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Bracelet electric soft bullet gun + single gun 3+ H01
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/014
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.015


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan Lainnya untuk umur diatas 3 tahun pelontar
(Type) panah Sword bow arrow shield3+6108-2
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/015
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.016


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan lainnnya yang dipompa untuk 3 tahun keatas
(Type) tanpa elektrik -Basketball Board 3+0083
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/016
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.017


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan Lainya untuk 3 tahun keatas
(Type) Lamborghini remote control
No SNI :
(SNI Number) SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5
Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/017
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.018


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Mainan Lainnya untuk 3 keatas 668-91
(Type) Mini candy cart (with light, music, rotating 3 AA
No SNI :
(SNI Number) SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5
Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/018
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.019


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : happysplash – karet V21-B
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/019
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.020


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Portable alloy car 3+133-4
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/020
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.021


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Baby rattle (3-) 310
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/021
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.022


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Barbie suit 3+091B
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/022
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.023


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric light antique rail train 3+ JHX3301
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/023
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.024


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Geometric shape puzzle board JH004-1
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/024
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.025


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Wooden cartoon animal oil painting puzzle 3+ ZKB-
(Type) 307
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/025
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.026


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : 12-inch drinking water pee doll (will call mom and
(Type) dad, cry and laugh) 3+ 610-2
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/026
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.027


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Six in One Puzzle-Children's Number Enlightenment
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/027
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.028


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Wooden digital house 3+ XY-8207
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/028
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.029


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : 210CM skipping rope 3+16502B
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/029
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.030


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Bolt Action Sniper Rifle (Military Green) 3+ 113
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/030
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.031


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Boy bow and arrow (middle)3+ 8002C 有灯
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/031
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.032


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Basketball Board 3+0071
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 4 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/032
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.033


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/033
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS
LABEL CONTOH UJI
(SAMPLE LABEL)

Nomor Kode Contoh : 024.05


(Code Number)
Komoditi : Mainan (Toys)
(Commodity)
Tipe/Jenis : Electric European Train (3+ years) JHX2014-11
(Type)
No SNI : SNI ISO 8124-1:2010; SNI ISO 8124-2:2010;
(SNI Number) SNI ISO 8124-3:2010; SNI ISO 8124-4:2010;
SNI 7617:2010; SNI IEC 62115:2011; EN71-5

Merek : IGS
(Brand)
Jumlah Contoh : 7 Pcs
(Amount of Sample)
Tgl. Pengambilan : 25 oktober 2023
(Date of Sampling)
No BAPC : 024/ST-OD/IGS/10/2023/BAPC/05
(Sampling Report Number)
Nama Perusahaan : PT UJIAN NASIONAL PPC 2023
(Name of Company)
Alamat Perusahaan : Ruko taman Tekno Blok F no 3 , Serpong, Tangerang
(Address of Company) Selatan..
No. & Tgl. Surat Tugas : 024/ST-OD/IGS/10/2023
(No. & Date of Sampling- 25 Oktober 2023
Assignment Letter)
Nama PPC : Lory Tarigan
(Sampling Officer)

Perusahaan/Pabrik Petugas Pengambil Contoh


(Company/Factory) (Sampling Officer)

(…………………..) (Lory Tarigan)

Fr.7502/IGS-1.0.Rev.01.TOYS

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