BALAI BESAR PENGAWAS OBAT DAN MAKANAN

DI SURABAYA
Jl. Karangmenjangan No.20 Surabaya 60286
Telp. (031) 5020575, 5022815 | ULPK. (031) 5048833 | Fax. (031) 5015486
e-mail : bpom_surabaya@pom.go.id ; ulpk_sby@yahoo.co.id | website : www.pom.go.id

Nomor : B-PW.04.06.15A.15A2.03.22.447 Surabaya, 07 Maret 2022

Lampiran : 1 (satu) lembar
Hal : Refreshment Tata Cara Prosedur dan Persyaratan
Surat Keterangan Ekspor/Impor

Yth. Pimpinan/Penanggungjawab Perusahaan Ekspor/Impor

(daftar terlampir)
di Jawa Timur

Sehubungan dengan Peningkatan Layanan Publik Balai Besar POM di Surabaya terkait
Penerbitan Surat Keterangan Ekspor/Impor bersama ini kami mengundang Bapak/Ibu untuk
menghadiri kegiatan Refreshment Tata Cara Prosedur dan Persyaratan Pengajuan Surat
Keterangan Ekspor/Impor yang akan dilaksanakan secara daring pada:

Hari / Tanggal : Senin / 14 Maret 2022

Waktu : Pukul 08.30 WIB – selesai
Tempat : Zoom Meeting
https://us02web.zoom.us/j/87057580383?pwd=anZTZ3VFZGsrNTRTKyt
RTFhLcUNxQT09
Meeting ID: 870 5758 0383
Passcode: bbpomsby

Mengingat pentingnya kegiatan tersebut kami mohon Saudara dapat melakukan konfirmasi
kehadiran melalui link : https://bit.ly/RefreshmentSKISKE. Informasi lebih lanjut dapat
menghubungi Nur Hidayah (0813-3155-7587) dan Eka Mardliyah (0878-8959-6039).

Demikian, atas perhatiannya kami ucapkan terimakasih.

Kepala Balai Besar Pengawas Obat dan Makanan

di Surabaya

Dra. Rustyawati, Apt., M. Kes., Epid.

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN
 - 2-

Lampiran
Surat nomor B-PW.04.06.15A.15A2.03.22.447 tanggal 07 Maret 2022
Hal Refreshment Tata Cara Prosedur dan Persyaratan Surat Keterangan Ekspor/Impor

1 CV INDO JAYA PUTRA

2 CV KUSUMA FOOD INDONESIA
3 CV. ANDARU FOOD
4 CV. ARAS KORMA MULIA
5 CV. BAYU LESTARI
6 CV. CARLINDO AGRO FRESH
7 CV. DUTA SURYA
8 CV. EMARI BEAUTY LINE
9 CV. ESSENSI PERDAGANGAN BUANA
10 CV. EVY BEAUTREC
11 CV. GADING ASIA
12 CV. INDO AGRO LESTARI QQ INKOPAD
13 CV. INDO AGRO LESTARI QQ PT. FU YONG FONG INDONESIA
14 CV. INDOABADI JAYA PERKASA
15 CV. JOE & MARY
16 CV. KARYA ANUGERAH
17 CV. KOKHA COSMETIC
18 CV. LAB CREATIVE ABADI
19 CV. MANDIRI SUKSES ABADI
20 CV. MANNA INDO LAKTA
21 CV. MATAHARI
22 CV. MEGAH UNGGUL
23 CV. MITRA CANTIK ALAMI
24 CV. PROFEED INDO TAMA
25 CV. PUTRA MANDIRI
26 CV. SARI MUTIARA ABADI
27 CV. SUMBER ABADI SENTOSA
28 CV. SUMBER ASIA TRADING COMPANY
29 CV. SUMBER URIP SEJAHTERA
30 CV. SURYA BHAKTI MANDIRI
31 CV. TIGA BINTANG SAKTI
32 CV.CAHAYA VISI INDONESIA
33 CV.INCIPAR
34 CV.NOSREDNA
35 CV.PACIFIC HARVEST
36 CV.SINAR BINTANG MAS
37 INDO ASIA TIRTA MANUNGGAL
38 NOVAPHARIN
39 P.T.SURYA KEJAYAN JAYA FARMA
40 P.T.UNITED CHEMICALS INTER ANEKA.
41 PT BENSA ADHI CIPTA
42 PT CHEMIFIN JAYA UTAMA
 - 3-
43 PT CORONET CROWN
44 PT DUA KELINCI
45 PT ESCO CHEMICALS MITRAUTAMA
46 PT GALIC BINA MADA
47 PT HAKIKI DONARTA
48 PT JAVA PEPPERS INDUSTRIES
49 PT KARYA ANUGERAH JAYA
50 PT KIAN MULIA MANUNGGAL
51 PT LAUTAN LUAS TBK
52 PT MACROCHEMA PRATAMA
53 PT MAHA KIMIA INDONESIA
54 PT MANOHARA ASRI
55 PT MIWON INDONESIA
56 PT MULTI ANEKA PANGAN NUSANTARA
57 PT PANCA MITRA MULTIPERDANA
58 PT PERUSAHAAN INDUSTRI SINDU AMRITHA
59 PT PROVA
60 PT RUKUN BERSAMA SENTOSA
61 PT SANTOS JAYA ABADI
62 PT SARI COFFEE INDONESIA
63 PT SARIMELATI KENCANA TBK.
64 PT SEKAR LAUT TBK
65 PT SIN A SIXFIFTEEN
66 PT SUMBER FOOD INGREDIENT INDONESIA
67 PT SUNTORY GARUDA BEVERAGE
68 PT SYAM SURYA MANDIRI
69 PT TIRTA SURYA
70 PT TRITEGUH MANUNGGAL SEJATI
71 PT WADAH PANGAN MAKMUR
72 PT WIDATRA BHAKTI
73 PT. ADIMITRA KARUNIA
74 PT. ADISTI GENEA ESTETICA
75 PT. ADM INDONESIA TRADING AND LOGISTICS
76 PT. AGARICUS SIDO MAKMUR SENTOSA
77 PT. AGEL LANGGENG
78 PT. AGRO BOGA UTAMA
79 PT. AGRO MANDIRI ABADI
80 PT. AGUNG MULIA CHEMINDO
81 PT. AICE ICE CREAM JATIM INDUSTRY
82 PT. AIFA INDONESIA JAYA
83 PT. AIRMAS INTERNATIONAL
84 PT. AJINEX INTERNATIONAL
85 PT. AJINOMOTO INDONESIA
86 PT. ALAM MANIS INDONESIA
87 PT. ALAMBOGA INTERNUSA
88 PT. ALASKA FOOD INDUSTRY
89 PT. ALFA VIVA FAMILI
90 PT. ALGALINDO PERDANA
91 PT. ALTER TRADE INDONESIA
 - 4-
92 PT. ALVINDO
93 PT. AMERTA INDAH OTSUKA
94 PT. ANEKA ANUGRAH ABADI
95 PT. ANEKA COFFEE INDUSTRY
96 PT. ANEKA INDOMAKMUR
97 PT. ANEKA KAKAO
98 PT. ARNAWAMA INDONESIA
99 PT. AROMADUTA RASAPRIMA
100 PT. ARPAN BALI UTAMA
101 PT. ARTHA SUMATERA ABADI
102 PT. ARUNA BIMA SAKTI QQ PT. FU YONG FONG INDONESIA
103 PT. ARVIAN TIGA PUTRA
104 PT. ASIA GLOBAL FOOD
105 PT. ASIA PRIMA KONJAC
106 PT. ASIA SAKTI WAHID FOODS MANUFACTURE
107 PT. ASTHA MAKMUR LESTARI
108 PT. AZELIS INDONESIA DISTRIBUSI
109 PT. BAHANA GOURMET INDONESIA
110 PT. BALI MAYA PERMAI FOOD CANNING INDUSTRY
111 PT. BANGJA INTI INGRIDIEN
112 PT. BANYUWANGI CANNERY INDONESIA
113 PT. BARENTZ
114 PT. BARRY CALLEBAUT INDONESIA
115 PT. BASF DISTRIBUTION INDONESIA
116 PT. BATARA ELOK SEMESTA TERPADU
117 PT. BCS PRIMA INDONESIA
118 PT. BEHN MEYER CHEMICALS
119 PT. BEIERSDORF INDONESIA
120 PT. BERNOFARM
121 PT. BINASEKAWAN JAYARAYA
122 PT. BINTANG INDO JAYA
123 PT. BISINDO KENCANA
124 PT. BRATACO
125 PT. BRONSON PRIMA INDUSTRI
126 PT. BROTHER FOOD INDONESIA
127 PT. BUDI JAYA AMENITIES
128 PT. BUDI JAYA AMENITIES QQ PT COLGATE-PALMOLIVE INDONESIA
129 PT. BUDI STARCH & SWEETENER
130 PT. BUMI MENARA INTERNUSA
131 PT. BUMI TIRTA PANGAN KENCANA
132 PT. CAMPINA ICE CREAM INDUSTRY
133 PT. CARGILL INDONESIA
134 PT. CHAROEN POKPHAND INDONESIA
135 PT. CHEMCO PRIMA MANDIRI
136 PT. CHEMICAL INDUSTRY TONGGOREJO
137 PT. CHEMICAL INDUSTRY TONGGOREJO
138 PT. CHEMICO SURABAYA
139 PT. CITA RASA SUKSES
140 PT. CITRA MANDIRI JAYA MAKMUR
 - 5-
141 PT. CITRA NUTRINDO LANGGENG
142 PT. CITRA USAHA LAMINDO
143 PT. CITRARAJA AMPAT CANNING
144 PT. CLP INDONESIA
145 PT. COCA-COLA BOTTLING INDONESIA
146 PT. COLGATE PALMOLIVE INDONESIA
147 PT. DAESANG INGREDIENTS INDONESIA
148 PT. DAEWOONG INFION
149 PT. DEHO CANNING CO.
150 PT. DIAN CIPTA PERKASA
151 PT. DOEHLER INDONESIA
152 PT. DPO INDONESIA
153 PT. DUNIA MOKA INDONESIA
154 PT. DUTA INDONESIA PERMAI
155 PT. DWI TUNGGAL MULIA KIMIA
156 PT. EKA TIMUR RAYA
157 PT. ELODA MITRA
158 PT. ENAK JAYA MAKMUR
159 PT. ERA VENTURA SELARAS
160 PT. ESA KIRANA ABADI
161 PT. ESAJAYA SERASI
162 PT. ETIKA DAIRIES INDONESIA
163 PT. ETIKA MARKETING
164 PT. EVERBRIGHT
165 PT. FERRERO CONFECTIONERY INDONESIA
166 PT. FLOWTECH INDONESIA
167 PT. FONTERRA BRANDS INDONESIA
168 PT. FOODINDO DWIVESTAMAS
169 PT. FOODTECH INDONESIA
170 PT. FREYABADI INDOTAMA
171 PT. FRUTO FRESHA INDONESIA
172 PT. FUGUI FLOUR GRAIN INDONESIA
173 PT. GALA LAKSANA KREASI
174 PT. GALIC BINA MADA
175 PT. GARUDA TIMUR PACIFIC
176 PT. GARUDAFOOD PUTRA PUTRI JAYA TBK
177 PT. GCB COCOA INDONESIA
178 PT. GIANINA SUMBERMAS ABADI
179 PT. GLICO INDONESIA
180 PT. GLOBAL CHEMINDO MEGATRADING
181 PT. GOLDEN SINAR SAKTI
182 PT. GRAHA KIMIA SENTOSA
183 PT. GRAND KEMINDO PRATAMA
184 PT. GRAND MULTI CHEMICALS
185 PT. GREEN ASIA FOOD INDONESIA
186 PT. HAIDILAO INDONESIA RESTAURANTS
187 PT. HALIM SAKTI PRATAMA
188 PT. HALIM SARANA CAHAYA SEMESTA
189 PT. HANA ANTAR NUSA ABADI
 - 6-
190 PT. HARUM ALAM SEGAR
191 PT. HARUM MANIS SELARAS
192 PT. HASEGAWA FLAVOURS AND FRAGRANCES INDONESIA
193 PT. HASTA SAMPURNA NITYATAMA
194 PT. HATIGA TUNAS ABADI
195 PT. HAVI INDONESIA
196 PT. HAYUMI ARGO INDONESIA
197 PT. HEINZ ABC INDONESIA
198 PT. HELMIGS PRIMA SEJAHTERA
199 PT. HENSON FARMA
200 PT. HIMALAYA MITRA SUKSES
201 PT. HON CHUAN INDONESIA
202 PT. IMPLORA SUKSES ABADI
203 PT. INDO ABADI SARIMAKMUR
204 PT. INDO ANEKA ATSIRI
205 PT. INDO ASIA TIRTA MANUNGGAL
206 PT. INDO BALI
207 PT. INDO WORLD
208 PT. INDOCITRA JAYA SAMUDERA
209 PT. INDOFOOD CBP SUKSES MAKMUR TBK
210 PT. INDOKHARISMA PANGAN SEMESTA
211 PT. INDONUSA KARYA SENTOSA
212 PT. INDRACO GLOBAL INDONESIA
213 PT. INFION
214 PT. INSPIRA PARFUM INDONESIA
215 PT. INTAN CHEMICAL
216 PT. INTER MITRA JAYA
217 PT. INTERBAT
218 PT. INTERFOOD SUKSES JASINDO
219 PT. INTI MAS ABADI
220 PT. INTI SUKSES GLOBALINDO
221 PT. INTIM HARMONIS FOODS INDUSTRI
222 PT. IRAWAN DJAJA AGUNG
223 PT. ISCO LOGISTIK INDONESIA QQ PT. INTERBAT
224 PT. JAKARANA TAMA
225 PT. JANGKAR NUSANTARA MEGAH
226 PT. JAVA KARLOS INDONESIA
227 PT. JAWA INDAH SEJAHTERA
228 PT. JEBE TRADING INDONESIA
229 PT. JEBEKOKO
230 PT. JEBSEN JESSEN INGREDIENTS INDONESIA
231 PT. JERINDO SARI UTAMA
232 PT. JERINDO SURYA UTAMA
233 PT. JOHNSON JOHNSON INDONESIA
234 PT. JULUNGWANGI TIRTA WAHANA.
235 PT. KABULINCO JAYA
236 PT. KAFINDO CITA RASA
237 PT. KARTIKA ARTA PURNAMA
238 PT. KARTIKACEMERLANG SEJATI
 - 7-
239 PT. KARTIKAWIRA ADISUKSES
240 PT. KARUNIA ALAM SEGAR
241 PT. KARYA INTI MITRA ABADI
242 PT. KARYAINDAH ALAM SEJAHTERA
243 PT. KEBUN TEBU MAS
244 PT. KELOLA AGRO MAKMUR
245 PT. KELOLA PANGAN MAKMUR
246 PT. KIEVIT INDONESIA
247 PT. KITOSHINDO INTERNATIONAL BIOTECH
248 PT. KOI CAFE INDONESIA
249 PT. KRISPI INDUSTRI INDONESIA
250 PT. KULINARI BOGA SEMESTA
251 PT. LANDKRONE INDO NUTRI
252 PT. LAUTAN MITRA KREASI
253 PT. LAUTAN NATURAL KRIMERINDO
254 PT. LEON BOGA SENTOSA
255 PT. LINTAS MITRA PERKASA
256 PT. LVIORS JAYA SENTOSA
257 PT. M150 INDONESIA
258 PT. MALIDAS STERILINDO
259 PT. MAXINDO NUSANTARA ABADI
260 PT. MAYA MUNCAR
261 PT. MEGA GLOBAL FOOD INDUSTRY
262 PT. MEGASURYA MAS
263 PT. MEIJI INDONESIAN PHARMACEUTICAL INDUSTRIES
264 PT. MENJANGAN SAKTI
265 PT. MERCK SHARP DOHME PHARMA TBK
266 PT. MILLIONAIRE GROUP INDONESIA
267 PT. MITRA ALAM SEGAR
268 PT. MONDELEZ INDONESIA TRADING
269 PT. MULTI SAFE INDONESIA
270 PT. MULTISARI INDOPRIMA
271 PT. MUSTIKA MINANUSA AURORA
272 PT. NARDA TITA
273 PT. NATURA LABORATORIA PRIMA
274 PT. NESTLE INDONESIA
275 PT. NIAGA INDO TAMA
276 PT. NOVAPHARIN
277 PT. OLAM INDONESIA
278 PT. ORGANON PHARMA INDONESIA
279 PT. OTSUKA INDONESIA
280 PT. PACIFIC SARANA CANTIK
281 PT. PANGAN PERSADA INDONESIA
282 PT. PANGANSARI UTAMA FOOD DISTRIBUTIONS
283 PT. PARETO ESTU GUNA
284 PT. PERDANA KINCIR PUTIH QQ PT. FU YONG FONG INDONESIA
285 PT. PERDANA KINCIR PUTIH QQ PT. REJEKI INTHI ABADI
286 PT. PERUSAHAAN DAGANG DAN INDUSTRI KALIROTO
287 PT. PERUSAHAAN PERDAGANGAN INDONESIA( PERSERO )
 - 8-
288 PT. PETRONA INTI CHEMINDO
289 PT. PIM PHARMACEUTICALS
290 PT. PINTU MAS MULIA KIMIA
291 PT. POLSO GEMILANG INDONESIA
292 PT. PRADA SETIA ANUGERAH
293 PT. PREMIUM PARFUM INDONESIA
294 PT. PRIMA AGUNG SEJAHTERA
295 PT. PRIMA TOP BOGA
296 PT. PT SATORIA ANEKA INDUSTRI
297 PT. PT WIDATRA BHAKTI
298 PT. PT. BUMI MENARA INTERNUSA DAMPIT
299 PT. PT. DEHO CANNING CO.
300 PT. PT. QL HASIL LAUT
301 PT. PT. SINGGASANA UNAGI INDONESIA
302 PT. PURUSA BHAKTI
303 PT. PUTERA BUANA FOODS
304 PT. PZ CUSSONS INDONESIA
305 PT. QUANTUM LABORATORIS INTERNASIONAL
306 PT. QUEEN STAR
307 PT. RAMA EMERALD MULTI SUKSES
308 PT. RAMBATE RATAHAYU
309 PT. RANJANI JAYA LESTARI
310 PT. RBFOOD SUPPLY INDONESIA
311 PT. REPUBLIC IMPORTS INDONESIA
312 PT. REX MULIA INDONESIA
313 PT. RIDDA MANNA SEJATI
314 PT. RIWAY INTERNATIONAL
315 PT. SABABAY INDUSTRY
316 PT. SABANG MERAUKE TRADING
317 PT. SABANG MERAUKE TRADING QQ PT. HYT INDONESIA
318 PT. SACCO INDONESIA
319 PT. SAF INDONUSA
320 PT. SANTOS PREMIUM KRIMER
321 PT. SARANA BERKAT SEJAHTERA
322 PT. SARANA JAYA LESTARI
323 PT. SARANA TANI PRATAMA
324 PT. SARI COFFEE INDONESIA
325 PT. SARI MAS PERMAI
326 PT. SARINAH (PERSERO)
327 PT. SASA INTI
328 PT. SATORIA ANEKA INDUSTRI
329 PT. SATYA ANUGERAH NUTRITAMA
330 PT. SEJAHTERA LESTARI FARMA
331 PT. SEKAR BUMI TBK
332 PT. SEKAR KATOKICHI
333 PT. SEKAR LAUT
334 PT. SEKAWAN KOSMETIK WASANTARA
335 PT. SENTRA PANGAN UTAMA
336 PT. SHANGHAI MASPION OLEO CHEMICAL INDUSTRY
 - 9-
337 PT. SHEVA JORDAN BERSAMA
338 PT. SIAM BEVERAGE INDONESIA
339 PT. SIANG HENG INDONESIA
340 PT. SIANTAR TOP TBK
341 PT. SINAMON GROUP INDONESIA
342 PT. SINAR KENCANA AGUNG
343 PT. SINAR MAS AGRO RESOURCES AND TECHNOLOGY TBK
344 PT. SINAR PERMATA HALIM SWADAYA
345 PT. SMILE
346 PT. SO GOOD FOOD
347 PT. SOFI AGRO INDUSTRIES
348 PT. SORINI AGRO ASIA CORPORINDO
349 PT. SORINI TOWA BERLIAN CORPORINDO
350 PT. SRI AMAN CORPORINDO
351 PT. SUKANDA DJAYA
352 PT. SUMBER ALAM JAYA PRIMA QQ PT. TUNAS SUMBER REJEKI
353 PT. SUMBER KOPI PRIMA
354 PT. SUMBER TIRTA HAKIKI
355 PT. SUMBER YALASAMUDRA
356 PT. SUMMA GEMILANG SEJAHTERA
357 PT. SURI TANI PEMUKA
358 PT. SURYA ADIKUMALA ABADI
359 PT. SURYA ALAM TUNGGAL
360 PT. SURYA DERMATO MEDICA LABORATORIES
361 PT. SURYA KEMENANGAN SEJAHTERA
362 PT. SURYA MOMENTUM SEJATI
363 PT. SUSANTI MEGAH
364 PT. TAKARA PROFESSIONAL INDONESIA
365 PT. TEGAR INTI SENTOSA
366 PT. TEMPO UTAMA SEJAHTERA
367 PT. TIRTA PRIMA INDONESIA
368 PT. TIRTA WANA SEMESTA KENCANA.
369 PT. TONG GARDEN FOOD INDONESIA
370 PT. TOP YAMMIE INDO
371 PT. TOSCANA BELLA
372 PT. TRI MITRA MAKMUR
373 PT. TRIARTHA FOOD MANDIRI
374 PT. TRIJAYA SUKSES MAKMUR
375 PT. TRISARANA USAHA LANGGENG
376 PT. TRIWIRA WAHANA REJEKI
377 PT. TUDUNG PUTRA PUTRI JAYA
378 PT. TUNAS BARU LAMPUNG
379 PT. UDAYA ANUGERAH ABADI
380 PT. ULTRA PRIMA ABADI
381 PT. UNICITY INTERNATIONAL INDONESIA
382 PT. UNIJAYA PRATAMA
383 PT. UNILEVER INDONESIA TBK
384 PT. USAHA SEKAWAN FARMASI INDONESIA
385 PT. VITAPHARM
 - 10-
386 PT. WAHANA PUTRA AKIPINDO
387 PT. WAX INDUSTRI NUSANTARA
388 PT. WILMAR NABATI INDONESIA
389 PT. WINAROS KAWULA BAHARI
390 PT. WINGS SURYA
391 PT. WONOKOYO JAYA CORPORINDO
392 PT. WWRC INDONESIA
393 PT. YAKULT INDONESIA PERSADA
394 PT. YANG KARYA ABADI
395 PT. YHS INDONESIA
396 PT. YOGURT REPUBLIC 119
397 PT.AFI FARMA
398 PT.ASTAMULYA MANDIRI
399 PT.CARGILL TRADING INDONESIA
400 PT.GEMA ISTA RAYA
401 PT.HISAMITSU PHARMA INDONESIA
402 PT.INDOLAKTO
403 PT.IROHA SIDAT INDONESIA
404 PT.KEONG NUSANTARA ABADI
405 PT.LSHR JAKARTA
406 PT.NATURAL SPIRIT
407 PT.PANGAN LESTARI
408 PT.PETROCENTRAL
409 PT.PETRONA INTI CHEMINDO
410 PT.SAPTA PERMATA
411 PT.SOEJASCH BALI.
412 PT.SURYA INDOALGAS
413 SASA INTI, PT
414 SO GOOD FOOD