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Calcium Carbide Inspection Certificate

1. PT Surveyor Indonesia inspected 900 steel drums of calcium carbide packed into 5 containers for shipment from Surabaya, Indonesia to Kattupalli Port, India. 2. The inspection found the goods and containers to be in good condition with the proper packaging and sealing according to IMDG Code standards. 3. A total of 900 steel drums weighing 90,000 kilograms were inspected and certified for shipment.
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0% found this document useful (0 votes)
185 views27 pages

Calcium Carbide Inspection Certificate

1. PT Surveyor Indonesia inspected 900 steel drums of calcium carbide packed into 5 containers for shipment from Surabaya, Indonesia to Kattupalli Port, India. 2. The inspection found the goods and containers to be in good condition with the proper packaging and sealing according to IMDG Code standards. 3. A total of 900 steel drums weighing 90,000 kilograms were inspected and certified for shipment.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ORIGINAL 0321010.

CERTIFICATE OF INSPECTION
CALCIUM CARBIDE

No. : CRT-000 1 /SISUB-SURY lll 2021


PT. EMDEKI UTAIV\A TbK

7tlN,
tatrt
II'T'
*tZ
PT. SURVEYOR INDOilESIA (Percero)
CABANG SURABAYA
Jl. Comal No. 7-9 Surabaya
Phone (031) 5681750, Fax (031) 5681749
PT SURVEYOR INDONESIA (PERSEHO)
6fr R.
Isqing ffice : PT. gmte or Indooesia, grabm
Omd - 9 gr"bqfa
Brandr
sr 01- 183899
Jl. 7
Td : 031 5681m/fa(:
6{}265
l//*,
ratll
031 568174!t

IT
\/Z '
CERTIFICATE OF INSPECTION
cRT - 0001/$suesuRvru2021

PRINC-IPAL / SHIPPER PT, EMDEKI I'TAMA TbK


I([Link] 294, DRIYORE'O, GRESIK 6112, ]AWA TIMU& INDONESIA
TEL / FAX | +62 3t 7fi700L I +62 317507234
DESCRIMON OF GOODS 900 SH Drurs of Gkium Grb6e In 5 x Standard 20' Containers.
(As per PaddrE Ust No. M0Q.2003.0024E Dated January 15,2027)
MARKS

Fmnt Slde Bact SE


CALCIUM CARBIDE IMDG @DE SIICXER
Lro@ DAI{GmolJS WHEN WET
PT. BIDEKI UIAII{A TbK RQruN1.IO2IIMO{.3
SUMSAYA
SIZE : 30 - 80 tll,l CERIFICATE DRUM @DE
N.w : 100 KG r 2/YlGXyzl
G. Y : 298 L!/Kg zrc SGP/Pr zu m2
If,ITERVEt{TION gpervi$o.t d Stuffitg
DATE AND PTACE OF INTERVENNOil January lt
2021 at rvaftfiouse d Pf. B{DEKI t IAllA ]BK
KnHlan 29{, Dnpcro, Gesil( 6112, Jawa Timur, [Link]
CONSIGNEE JAl,lpOL UI|IITED
s. t{o. 88c&98, JI/SLAI{OII-ARY INIXJSTRIA| ESTATE,
NEAR B}IIJWAIJ(A PIPES, T(XAilAGAIIU,
BEU-ARY, KARNATAXA - 583123, tilDIA
NOIIFY ADDRESS HMIFOL UI{ITED
s. t{o. 88c & 98,I/SLAr{gu-ARY Ir{Dt STRIAL ESTATE,
I{EAR B}turlrAJG PIPES, TORANACIrU,
[Link], KARMTAKA - 583123, II{DIA
VEASEL t4v.'YM II{CREMENf Voyage t{,o. 233W
PORT OF LOADING SURABAYA, II{DOT{ESIA
DESTINATION I(ATIUPAIIJ FORT, IilDIA
RESULT OF INSPECNON See atadrm€rt
REFERENCE at ffion [Link]-35/SEU&OPIM|O3|2O2O M June 24, 2020 and
demand fior intententbn via ernail daEd lanuary f3, 202f
Thb erb'6cah b is$ed afld subrnltted witho{n prejudiE arld under our gerEd Ems ard condtbn.

[Link], ,anuary 18, 2021


hlr' Ad(noulcdge
5L,RVf T'H
rNT). ,\r l^

[Link] Ari PEdana urcahyanto


Sun rvor [Link] d Commerdal I

nit [Link] dltunE atttt rd d@ di4€din md do€ lDl rt b ary dE tlE&r. lL cafr.*i€pdr a bs.d rlttol g*rd.. rn m t'u ul6|ffi! hd r (b.
d r*,8 pie im lii cltnldC ot{gobrli A i!p..ron coyid h lis o3lfic*ilpc.r tuf, hsl1 crrid oi b tt6 !6r d d, hdiodq. d dry rd ir edrE l,tr Fa&rd
ffi gaE*, aot.*d h 6. qrrwffybmdb!E€Eritsdrs$cssfld (ll0 Qro.
Ttb cslifcd. b iHI€d unh. our G.,Ed T*lll3 t|(, CaddorE, copy ol $in b ff)*i! $.n ,qrd d nr.I b. acr.6s.d d xrv.p![Link].6

w @
:{)l er suRVF/oH TNDoNESTA (perserol
Attachment of CRT- 000USISUFSURV/I/2021

RESUTT OF INSPECTION
We are PT Surveyor Indonesia have attended the above menuoned place for the purpose of canied out full
inspection of the above menuoned parcels or commodities as our principal request. The our result of inspection as
follows:

General Crndiuon The goods are packed in steel drums dosed and sealed by tie manufadired.
visually ttle qoods oadim looks in qood condition.
Total Ouantiw 900 Steel Drums @ 100 Kq Nett weiqht = 90,000.00 KGS = 90.00 MT
Detail Process of Stumng 1. All containec have been taken visually inspecton by surveyor and the
quality contol of manulacturer and all containers have been water
resistance test with method gmde rain simulatbn beioe commened
stuffing.
2. The generally all containers condition have nomal odour, dry clean, and
water proof condition.
3. The arrerage temperaurre of containers are 31.66oC
4. The a\reragE temperature of goods in containe6 are 31.82qC
5. The goods are arrarged into 3 laye6 in the containers, at the top
layer has been gMen pbrwmd mats.
6. The arrangement of goods in containers has been secured with
steel strap6.
7. After comdeted of safffng all @ntainers have been sealed by surveyor
and transDorer and daffi IMDG @e Stiders.
Detail Containers Contain

As per Packing Llst S€al umb€rs


Date of Containers Total
NO. Insp€ction 1{e,tt Gross
I{os. Drums
weigm Weight SI Transporter
(Ks) (Ks)
1. ZIMU 1288694 180 18,000.00 19,206.00 sI-0012694 zzcTB185805
2. PRSU 1595710 180 18,000.00 19,206.00 sr-0012695 zzcTB185804
January 15,
3. PRSU 1595725 180 18,000.00 19,206.00 sl{o12696 zzcTB185802
2021
4. TEMU 5725680 180 18,000.00 19,206.00 sI-0012697 zzcTB185803
5. TEMU 4415232 180 18,000.00 19,206.00 sI-0012698 zzcTB185806
TOTAL 5 X 20' ConL gqr 90,(xxr.(x) 96,030.0o

Total Ouantiw of Caroo Stuffed

As per Packing List


NO, Date of Inspection Total containers
TGI
Drums tlcttWeagm Gross weight
(Ks) (Kq)
1 lanuary 15, 2021 5X20', 900 90,000.00 96,030.00

GRAT{D TOTAL 5X20', gqt 90,[Link] 96,030.0o

ond on lhe und€rslon&E fiot il d@5 nol refieve pcfios forh ih6i conlrochJol oblgolbns. All kr6p€crion covered in this cerliffcote/repod hove b€6n c(ri(,d
od !o the boil of oi, tno.,bdgs ood obtrty ord in occordonco with [Link] ord sion<rdd gpn€ltl{y ocaepled in tode. ol, resporffry b fYfied to tha
ex€rci!€ ol rBconobb coe ood dro dgence
lhir Certificole i9 i99J€d under q, G€ndd Tefin oftt Conaflbn, copy ol wtich b ovdoble upon lequ6t d nioy ba occeir€d ol ww*.[Link] I of5 P
()r er suHVEyoR tNDoNEStA (persero)
Attachment of CRT- 000USISUBSURV/I/2021

TIME SHEET
Day Date Ecmination Summary Worldng HouR

Friday January 15, 2021 Container Inspection 09.33 - 10.06 LT

ZIMU 1288694
I

PRSU 1595710

PRSU 1595725

TEMU 575680
TEMU 4415232

I
Shfnng Supervision 10.12 - 14.20 LT

zMU 1288694
PRSU 1595710

PRSU 1595725

TEMU 5725680

TEMU ,r415232

Thiicdlilficoio/iepo.t rBfoch o(, fudlg ot lirE drd Coco of itpectbn ad do6s rbt rgbr $o dry ol}ld rnottt IfA cdificofo/iBpo.t b hsrod rilhq, [Link]
a|d dr ihe t,ldssidlctrg lhol it do€s not der,e pdli€. to.n lt|€i cdrtElnd ob5gofrons. Af irspec{En @\.s€d h }i9 cerli'ficole/€po.l hava b6€n cstia,
oul io th6 bon ot o(, [Link]€dgp fiid ob-ly and h occqdclce eilh p,oc{cr dtd srddad genqdy occeplgd h tode. ol, respon6S-t b tYiled lo tho
gr€rcbe ol raoaondb cqe oard due dgEoco
lhb Cdlifcote b issr,€d (,rrdo. crr G€[Link] lerm ond Coodfloll, copy ol wt ch b dvdobb upon requed d moy b€ ocr€ssed ot [Link] .cojdPage 2 of 5
/-
() m suRVP/oR TNDoNESTA [Persero)
Attachment of CRT- 0001/SISUB-SURV/I/2021

PHOTOGRAPH REPORT
STUFFING SUPERWSIOT{ OF CALCXUITI CARBIDE AT PT. EMDEKI UTAMA TbK.

View of water resistance test of container Mer{ of general condition inside of container

I
I
l't j'
1 2.

fr-

View of temperature of container before shjffing Mew of visual inspection of containers

3.
1t 4 I

Il 7 I_
\
il l
\ --/

Mew of container number via of mark d cargo

,7

ztil z't{J 1?[89 I

-l
2:61
()r
(Pcl Ull \
r,,1, 7

ir
I
lt \

I
5 6.

lt I ll/
I l
t !-rtE \

l/,

Ihls c6ri'icote/r€po.t r6i€cE q, fid|g ol line ord proco o, irseclbo dd doei rtol lBter lio ony otlE nEtls. Itrb cdlificoigrEpal t isrrod wilhod [Link]
ond on lh6 un<r€rilcn*E thot il d€r nol r€aave pcrlb5 forn thet coa roclud obagplkns. Al irrp€cfioar corq€d h ltir cdlifcoi,e/a€poat hove beeo carfitd
or,i lo lhe b€.i of o(.r ldro ,ledge [Link] obfv ond h occqdd'ce wilh Froclic€ dld rtonddd g€r1ddy occ€pled h lrodo. Or.. [Link]-ly b kriled lo the
€xscf€ of r€osoalobb cae oid due (Igence
'Ihis C€rlifcole b its(€d undd o(r Gei€rol Term orE Condfio.r, copy of whlcir b ovdobla upoo leqJorl d nroy b6 [Link] ol [Link] iaPage 3 of 5 ?
(E) o suRVEyoH TNDoNESTA (pensero)
Attachment of CRT- 0001/SISU&SURV/I/2021

Mew of mark of cargo vieu, of cargo imdg code stic*er

a
4llll,Cen JI \

7.
I 3
xw
GY:2S
iltlrIi
00r
tr -il! tt
a
J
f r)

View of drum certificate code vierv of cargo cordition in th€ ware house

Slfl:".,tri#
10.
I-lIE-.]'i
: --
"-

Melv of cargo corditjon during sufnng process Viet, of stsrffirE process

D \

-''
r J (
11. t2.
-t
I

tl
(! I
-- -zrt -J -

Ihb cerltficote/rBpo.t rolbcB o, firxhg ot linE and pbco ot irspeclio. drd do63 rbl labr lo ony oltE ryrotie.. I}*r cdlificoiafBgo.t h isu6d rilhod p.€[Link]
6d on lhe unddstol*rg ihot it crcs ,rol rele\.e [Link]. fo.n lhei coonodud oblgolion! Al iEp€cfbn cor€r€d h lfis cqiifcole/repo.t hov€ been ccrr*t
orrt to th6 best of o(, tno^r€dg6 crld ca-ly drd h occqdarce wif'n [Link] dld $ionddd gqrdtry occept€d in lroda. ol, rB,po.E-., b ffied lo the
ex6rcj!6 ot reoJonou€ c<re qld <tre <59€nce
lhi Cstificole b is..,€d uncl€r o(r Gene.d l€rm oncl [Link].r, copy ot which h ovdoble €quesl d ntoy bo occessed ol [Link] 4 of5
'Jpoi 2
suBVEyoR (persero)
€E) TNDoNESTA
"t Attachment of CRT- 0001/SISUB-SURV/I/2021

PlyrYood for layering stack Vielv of temperature of container after stufnng

13. 14. l
l-:
-\
)

View of cargo condi0on after stumng focess Mew of container seal

s {
'I
E
I
I
15. t 16.

I
!
I
1
a

Vieri, of surveyor seal @ntain€rs ha\re been pl# with imdg €ode
stider
\

I I
rL I I

t
\
t7. \. 18. tl
\ \
't
7
,,
li

Iti! cedificole@ renoc$ o(r fiidlg ol lirne 016 pbce ol irspeclio.t dd doeJ nol reiar to ony olt'l6 rno$s. DA cdfifcota/€pdt b irsu€d *ifiiod [Link]
drd orl ltre und€r5rorhg tnoi il des nol releve palb. lro.n lhei cootoclud obagoliirE- Ar hpecton co,6r€d h tE c*ii'ficoie/r€porl have be€n drrl€d
ori lo the besl of oq la|o.,lodga qd obfty 6rd h rccqdatce wilh Frociic6 6d itqrdad gprld(ly occepl€d h tod9- CL reapo.!--t ir fnaled to tho
or€rci6 ol reo$arou€ cq€ ffd due dgeoce
Ihir Cerlificole i5 issued und6r o, M T€rm ond CoodforL copy ot wt*:n b ovdoblo upon l€qt,esl d moy bo occolsed ol [Link] 5 of5 /pF
PT SUHVEYOB INOONESIA TPEHSEBO)
-7a \.
rr
la I [Link]
Re\rbi
:
:01
FTSS-03{1{4

\uZ PROVISIONAL REPORT T9l Erbft : @.09.2009


PT SURVEYOR INDON€SIA Halaman :ldaril
ISURABAYA)

-) glItf+WA
SURVEY PNOR TO & DURING LOAEI}€ / DIS€I{ARGIIG

PRINCIPALS , _-_fr.r_..G-)&g2Ul-__VI10rA__._-._._. PACKING usr No. :

coNrRACr/PRoJECT NAME _-__19/-ff-fpe__hJ{g?_Vlr'Itrt/-- PIACE oF SURVEY :


' Q.*t-O*twCt*$uW
--[g11-,_[I_:g_!-r!gkr--.-_----.
GOODS / CARGO VESSEL NAME

B/L NO. _____-r__-____. HArcH NO.


DArE &rrME oF suRVEy : a!-$$*fl-K" t*.1_9.:.za-Wlo_..il&Iey_. lf.-,..+eaLl-.!t-:r.a.---..-....-.-......__.

rHrs rs ro REpoRr rHAr pRroR ro on, ,rono *".r#ffio*orar*.) pRocEst ,NDER ouR
SUPERVISION WITH THE FOLLOWII{G RESULT ;
aqr-{u cr<ygfu Otruesv-trts \tq([Link] Wof
1. TYPE OF PACKING Itr *rgEt- ?pU$,I BaNt ryz(no
bk) Q.>
2. MARKS 9roa
u&W
he llgevr vqya
w(,\V^y^
3. RESULT OF SURVEY
qaYwc 9 caqa, x$(< fuiay_e,*+tw
qao . b-eo
Ieva4?@qt) ?fv$6 vut,i [Link] ltr
W6'Bh,r
%fig ca.l t4r11:y( KJg
rfui- h,lrrr
7@ WA)W
tulur,u$
:Y;8[ t1'. &lt eN oo2-

ue-r We6r1 9q
Atteea66 tbh4
9ow *Y
tvsv-*& IE q{6@-[Link], q
P,tn p€ oF
h, c<tuttr,<.sr< t!(vs Wtt *3^"n 9t .4.c-
,1.9? c-
lruo (\,r€,lffi,:,D
WW thg6 (@6
Cs.A1xir, 9l *[Link]- l*lv
tp*xtpr<vv
S,{\ct oES

4. REMARKS

ffirW,?**, wm,r ffi."rPt? A\,g \owe ww yvw*p atw? oF

.€.. fssu<..., ..dfi,0.f1..ts..?"*r


URVEYOR SHIP MASTER / OTHER PARTY

P
$DII'( ,6(
( .....)
VAYPW,

a6r.7t^[Link],rd*[Link].*f .!td.@,[Link].,,4dtnffi (t nadtsy/Ibfrdbn .@d@.,betid6a9.-;

JL. Comal 7 - 8 Surabaya 60265 indonesia, Phone : (031) 5681750 (Huntlng) Fax : (031) 5681749
-

.7. \^I
rt tlo, Dokumeri : F-TS903-02-12
I' STATEMENT OF FACT Rerrisi :01
Tgl terbit :09.09.2009
Halamar :1dari 1
-27,
?T. SUNVEI'OB INDONESTA
(SUAAAAYA)

To: WtOtt 6 r,t^\ coJqc6p{ -


Master / Chief Officer
Terminal Representative

Vesselt Name
Port/ Terminal
Product / Cargo U*c,tts
Date 2e ?-l
Dear Sirs, sa,tra
On behalf of our Principal, we wish it to be.b€tg that :

I t\r, -tvws.!F-N
qlrs7d
-Wflp..p.-Pt Sr?*N@ rEq
st? cdJe4-
tr
.L., .[Link]... *. I*a. sfi AlcE...jE${. .tL{elttrr6 -t t yv.Et1

S[tl1l, P-rou-

0-. -ts ft,t. v Grl?.$.vM...*.7.9.

C.t-ar,-1

[v,tru-p_.
NoE-rae
4 ?P...*.... 1,. [Link].*.. \.#.*

In view of the above, we hereby submit this Statement of Fact on behalf of our Principals to reserve
their right to take whatever action they might consider necessary.

ffi
'l tru2
[Link]
4qiqT'

VESSEL

7Nr t!,a.l al,.d. M tufr!, d lid r'dpr.€ o,i!r..tdr rdeat r.r ,rbrto dv ot 3 dt,dE.- [Link],t iras/idrl,td, Fqtu rd @ &. u?r64r.(rr9 rrr.rrd4t7r.t6&!.adiE r@
,[Link]{r..rrcoDfga{l,c rri.?.cd..6rr.d,r irri!,rrolr.6 !.o dbd qrtot,. bdolq rrw,[Link] an n @[email protected] geb nn rnalt dey *ootd 11tu.
[Link] .[Link]$od&&^b.6&ddad!r.m

JL. Comal 7 - I Surabaya 60265 Indonesia, Phone : (031) 5681750 (Hunting) Fax : (031) 5681749
.-.
/EE
rrt CONTAINER INSPECTION REPORT
Pr. =D7 Ntto:(E6!a
[Link]
dEllllyAr

C)1,1 r Utzrva @Bl


\oU5,6 Er4 K ,2o2t
orr bd'Elf pnr@al request r.e ha,€ visually inspediotr of trle iftiide cortainer prid b commeocernst of
Sfittg/ db cqnplded [Link] in the preserEe of E miiEl / pb't i€p,lsertatil,e wlui restrfr as belolv.

ltcr. q)ilTAIilBtrcs Tt E Of IB?EIAIT'RE CIXTAIllER


DrsPccluil @IlDmo0r
I ?Lnn W@c7yl 9,>9 9 br.r'c w h,tw
ClEk.\
A V). t'c TN &"q'
fr-eu trp>Vlo e> 9 kt gc-
u Oc
2 &su te99t,s c-t\
9" 222L
,
tr t 7/. .q'c -tt^

4 IE[ar-r ElarGSo $'.se 9 [Link]


t 4 t'c --^
5 {Vwrt $gtgt lDt o6 9 %zL u
h 7t.6 c

Rernarts
9'' Er1ota qrupp,o.
* : &iee- &wtfr*e
PT
$,$$
iI il)Q p ^q LI'
rt?TtE ATITI
ll,, tql tllboJftaa b Jd r--"rt",.8 ttoa..o.., b aE, qrr, r'* Dit,wr {,.r- *!d F}a.E.,.:E rar-*a
,a rtb td tb [Link]'frada,Fd otr,Ei3 r,, trg,e'..d'nrt t 3'ttarr, cctda,tba|,'eo!',,'[Link] t*
b @rrd fii F&.tt ffi Oa'*, -,l,-<. n- Or',..Frdt a r,raC t, lar...Br or,l!'ra "tt to at arg.,ri,

,L Cqr.l, -9 gr.t F aO265 ,lur: (62-tl) taatrto F.r: (C2-tt) taaut9


.7. \.I
rt No. Dokumen F-TSS-03-01-01
I,A
\.t z TALLY SHEET Revisi 01
Tgl. terbit 09.09.2009
m sLR\,EYOR t\DO\tSr.i
Halaman 1 dari 1

GENERAL
PrinciDar , ..fi:.*9?5Y1..!11#lIA. Date of Survey ,.1*N xrt..!9..t.t*2t..
pmject
contract No/ Na me : .fi t/.r. tN.6. g1]rw+fl 3D$ Time of Survey 9.: iz...p.z.t ...l\'. z
.1...
Goods/cargo : .!S#tunr.9.a.lP9l?.P.... Place of Survey .!v$.,..K"s*kkr.... "
B/L No. Hatch No.
Pacl<ing List shift
Type of Cargo Handling lttlr".. Surveyor : ...Pfln#t?A.{,1 .....

TALLY SHEET
shi Name Warehouse : l
No.
Truck / Descripticn
[Link]- l4ark
Conditior
Tli.v Total
Container No.
t
r ztrnr)
t1sfl6)4
t8, gl oora694
zzrqe,&9Ro> l"ot€P,ED
ItwrwtxtliI,e 7X9. ficn\tr4
ctlP kc,lsET)
I 4 Xvgit lI? { I lglr gt,q)t7e9\ )1o; t6oftaJM
l(.clq1.1D 1S8 8, N, r0 zacxylga'g\^
I
A,.

4 WAt ,t{. tit. 18 Si arta 696 [Link] fi c9?-urvl


lqge+?' 72aeW9B6L /\/'

I tEVu r Ifl K lti. E 3l ff)lz-69a \lq. lXo YFdI


*l-seqo 22t41\t&9flca )r/

ElltSiID
r Ui\c,acl h [d,1 ,.tg.6l
|.lfl,rl{
I .ftl|1(f,L btA <- 99{Jtvt
/\'/
I

I
rype of Packins : .Lsr..S(tsL...?*.tpr, TOTAL fuowa
B=Bale;CB=GrtonBox;C=Carton;L=Loose;WB=WoodenBox;WHP=WrapewithHardPaper;
WP = Wrapped Plastic Sheet; speciry of other typercf packing is used
SURVEYOR SHIP MASTER/OTHER PARTY PRINCIPAL

Signature: Signature

Name Name

go@Iyeepled intade- OuEsponsibilityts linted to 0E exaxise.l n Eaoa$ecarcandd@ dilryenc?.

Jl. Comal 7 - 9 Surabaya 60265 Indonesia, Phooe | (031) 56a1750 (Hsnting) Fax I (031) 5681749
-7rlL\.
-tlt=tI
IEEIT
\g/Fz TIME SHEET
PT. SURVEYOR INDONESIA
TECHNICAL & TESTING INSPECTION

Cuslomer Reporl No.


II--EI^pBV, L&kr4a
Projecl Descriplion : qNfttrlc St?"zutelbhl Period

-6?.r.e\r(
Locolion
' R4Yo?g\o O/C No

DAY DATE EXAMINATION SUMNAARY WORKING HOURS

tptp*v ,lAt tr, a.+r ttqre4o"v $tta - to'.oL


\J
' Aw 'lr-6(6sa
?t*v kqs1rt:
- yyc\) f6g i+r
- 'itsturo ,T>9L&b
Tts\4, 44vtc7-
e h -t '1i)
_ zlt 11Bt
{t-s{ N\
-
.- {Pcru
cM(
\ t

Remorks:

PETSONEL EQUIP'\ilENI
/No.
No, Nomc I o Nqmc ol [Link] Quont[ty
t Vrcu*up v I c4M6v.^ Dtewan- I
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Customer's Ropresenlolive Witn ompony


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Pf SUHVEYOH INDONESIA (PEBSEHOI
PT EMI'EKI UTAMA TbK
Kdkilan 294, [Link], Gre{iik 611r/, Jawa lirrur, tNDOt'lEStA
P.O. Box 1625, Surabaya 60016
PhonB : (031) 750ru1 (S linos), 7508155 Fax ; (031) 750723,1
E{nail : kerbit@[Link] hflp:/y,[Link]
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PACKING IIST

Ship to JAMIPOLUMITED
5. NO. 88C & 98,
JV5LA'{[Link] INDUSTRAT ESTATE,
NEAR BHUWATIG PIPES, TONANAGALIU,
SEIIARY, KARNATAKA . 583123,
INDIA
GSr O.:29AAACJ7475R1ZI-
l.E.C.: 0297013581

Date of Packing Ust : s Contract No. :


Janua 202t 10.0806/MO/ami DaEd October 14 2O2O
lm,oicc t{o. : Dete of lnvoice :
MDQ,2@3.@24E Janua t5,2021
Port of Shipment : Date :

lndoneh Janua 202L


qUANTIW DESCRIPTION

GROSS WEIGHT 95-030 MT CALOUM CARBIOE


NET WEIGHT 90.000 Mr SIZE : 30 - 80 MM (9o%)
HS No.: 2849.10.00

QUANTIIY/KG5
CONTAINER LOT NUMBER NO OF DRUM
NET WEIGHT GROSS WEIGHT

1. aMU L288l@4 lacrglEssos/Stoo12694 180 DRUMS lE,@o.m 19,206.00


2. PRSU 15957lo/:ZCTB1858O4/SIOO12@s 180 DRUMS 18,@0.00 [Link],
3. PRSU 159s72stzcrB$5E0zst@12696 1SO DRUMS 18,@0.00 19,206.0O
4. TEMU 57 2s6WlZCt 81858O3/St0012597 180 DRUMS 18,000.00 19,206.0O
5. 1&} DRUMS 18,@0.m 1q206.0o
TOTAL 9OO DRUMS 90,m0.00 96,030.00

Best reea rd9

Manager
PT EMI'EKI UTAMA TbK
Krikilan 294, Driyoreh, Gresik 61177, Jaira limur, INDONESIA
P.O. Box 1625, SuEbaya 60016
Phone : (031) 7507001 (S lines), 7508155 Fax : (03't) 7507234
E-mail : karbi@€[Link] h(ts/ [Link]
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TEST CERNFICATE

Slq, to JAMIK)L IIM'TED


5. XO. && r,8,
J\,sI ANSUATY IM)USTRIAT ESTAE,
iIEAR SHt,WAtrA HPE' TORANAGATIU,
BEIATY, TARMTAIG . 5I8I123,
I DIA
GST llo.: 29AMCl7YsRlZt
l.E.C:029708581

SdHs Contr.d l,lo- ; 10.0&6/MDramtpol/20 Dated ffier 14, 2020


TESI RES{JLT
DESCRRIPTION OF @ODS
(AverareI
CATOUM CANSDT
QUANnTY : 90.m0 MT i&t Wcight

QUAUW
SiIe : :te80 MM (9(yX1
GG fi€H : 298 lXra/lQTcstcd at 2fC760 mm of HG 294.20%
PH, : 0.08 PCT Mar 0.06 %
H.S : 0.10 PCf Max 0.06 %

Pa*ing used nfl cted drum 100 Xgs nct sralcd with [Link]
HS tlo.: 284t .m.m

lanuary 15, 2021

SUYAMTO
Phnt Mrntei
PT EMIDEKT UTADIA IbK
s.t a ){:
fflkllan 29jt, Drlyomh, Gtldk 5tln, Jaws Timur, INOONESIA
P.O. Box 1625, Ssabaya dn18
Phooo : {031) 7$7001 (5 lin6), 7508155 Fax : (G}1} 750723a
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Krikllsn 294, Oriyo.E o, GrE8lk61177, Jawa Tlmur, INDONESIA
P.O. Bo( 1625, Surabs},a 6m16
Phons : ((Bl) 7507001 (5lln$),7508155 Fax: (031)750729
E-mail : karbi@[Link] httsr,[Link].i,
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PT MEE UIT,.A ItI. nu?loaLrltE


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PT E}IDEKI UTAMA TbK
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Krikilslr 29a, Dryo..,o, Gr€i* 81177, Jara limur, INDO{ESIA
P.O. Bo( 1625, Surabsya 600i6
Phq|e : (001) 7507001 (5lhe3), 7508155 F8r : (031) 7501234
EflaI i karbi@[Link] hth/,1,$v.€[Link]
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MUITIMODAL DAIGETOTJS GOOO6 fOE M

?hb form nray ba !.!d .r . drn8.aou5 tooda &dlrrtbn lt lt!.aB th. ltqulacmantt ot SOt S 7a, dlrpt.I \41, rllubuon ia; t Alpof n !, Annd lll,
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coafl lt|tR/vtHEc p tf,riG cErTrFlcar! 21 R€CEIUNG qGANEATIOI,I RECEIPT

[Link] &da.! lh.t tha loodr dtlaabcd abqrr [Link] bacn


[Link]/ baahd lnlo th. contlin r^,.Hd. lrenltflrd abovc ll] Raat{t/ad lha aboyc Jhbcr o, padrlr./[Link].i h [Link] asd [Link]
.[Link] srlfi [Link] bh prolLbn.. coidltbn
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illrsY aE octrttt€D lE storE Foa at t ooxlxilErlvElflo.E
toaDs BY PtRsota iEseo*$BE Fon pA( t{G^oAorrre.

20 llanta of company Haull€/s nryne 22 N.m. ot compaDy


P{ EMDEII UTAMA lBX PTEMDEIIWA' AIBX

Narm/staus of dcdarant l{amay'status of dcdarant


(ILAMSI CI{AIRAVARTHI TILAMSI CHAIRAVARTHI
[Link] ,!t: no,
PLc. [Link] date PL.. fid dna
GRESIT( lAlluAnY $, 2m1 @Egr, lt 2@1
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IXSDE . VEIIIIATE ]HOR(I,'GHIY BEFfft EHITRIiIG.

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Wtian thls Dantloua Goo& Foflt) ls u6ed .3..onLiner^rlhld. packlng
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All [Link] hav. [Link] [Link] [Link] .nd scqrrad in lha contalna/vahldr.
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PT EMI'EKI
611n,
UTAMA
Krikilan 294, Oriyoreio, Gre{rik
PO. Box 1625, Surabaya 60016
Jawa Timur, INDONESIA

Phone :(031) 7507001 (S lines),7508155 Fax:(031) 750723,r


Efleil r karbit@[Link] http:/ vw,,,[Link]
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MATERIAL SAFETY DATA SHEET
Calcium Carbide

1. rDErnFCAnOil OF rHE SrrESr$lCvPREPAnAnOil Ar{D OF THE


COi'PAIIY/U'{DERTAI('IG

Product narne cakium Carblde


Appllcatbns Production of Acetylen€, desulfurizer in Metal Industry
Manufrctrrer PT EMDEXI UTAMA
Krihlan 294, DrlyoreJo, Greslk 6U77
East Java
lndoncsia
Tel: +62 (0)31 7507fl)1
karbit@[Link].H
Em6agency tclephon€ number {62 (O)31 7507001

2. HAZARDSII{DEI'lTlflCAnOt{

FIRE IIAZARD: Contect with water, moist air, steam, acid, will
liberate extrern€ly f,ammabh 8as (acetylenel. The heat
geneBted can lead to ignition of the gas. ln contact witft water
and moisture irritating calcium hydroxide is Sormed.
HEALTH RlSf: REk of serious damage to eyes. lrritating to
respiratory system and skin.
ENVIRONMENTA! RISK: The product is not classifi€d as
environmentally hazardous accotding to ciiteria in current
legisletion.
The product may cause elaration of pH. (Cakium Hydroxide).

3. COMFOSTnON/INFORMAnO ON|NGRED|ENTS

Name ECTo. CAS ilo. Cofit!nt Syrnbol Clessificatlon


Calclum Carbide 2m&13-3 75-2G7 6s40 ,6 F R-15
Caldum Oxid€ 215-138-9 rlo5-78-8 77-32% xi R-32:'8, R-41
Carbon 231-153-3 7t10144 <1X
Sulfur 231-7224 77W34-9 <l t6
Metal alloys (51, F€, etcl <L 16

Section 16 contains detailed classification phrases.


PT EMDEISI UTAMA
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Krikilan 294, Oriyoreio, Gresik 61177, Jawa fimur, INDONESIA
P.O. Box 1625, Surabaya 60016
Phone: (031) 7507001 (5 lines), 7508155 F8x: (031) 7507234
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E-mail i karbit@[Link] http:/ vw /.€rndeki-co-id

4. FIRST AID MEASUNES

lnhalation Fresh air. f


respiratory problemq artificial respiration/orygen.
Rinse nose and mouth with water.
ln!6tion lmmediately give a couple of Slasses of water or milh
provided the victim is fully conscious. Do not induce vomiting.
Contact physician.
Skin R€move contaminatedclothin8. Wash skin thoroughv with
soap and water. Get medical attention if any discornfort
continues.
Eyes lmmediately flush with plenty of water for up to 15 minutes.
Remove any contact lenses and op€n elres wide apart.

5. [Link]{GMEASURES

Extlngulshlng medle Do not use water as an eltintuisher. Fire can be extinguished


using: Dry chemicals. Dry ch€micals, sand, dolomite etc.
Speclal fira fightlng prccdures Do not use weter on this product. lf not necessary, do not
extinguish buming gas. 8e aware of risk of ftre re-starting, and
risk of explosion.
Speclfic harards Contact with water lib€rates f,ammable tas. Water us€d for
fire extinguishing; whkh has been in contact with the pmduct,
may cause irritation.
Hazardous combustlon producB Fire creates: lrritant gases, fumes, smoke.
Protecdv€ m€asurc! ln filt Firefighters exposed to combustion gases/decomposhlon
products should use a respiftrtory prct€ctive device.

6. ACOOET{TAL REIfASE MEAST'RES

PeEonal protection Avoid direct contact with the product. Also refer to handling in
section 7 as well as personat protective equipment in section 8.
Envlronmental protectrlon Prevent releas€ into drains and water couEgs.
Splll chanup me$ods Sweep up and place into an appropriate container (metal). Let
stand uncovered in a well ventilated dry area. Containers with
collected spillage must be properly labehd with correct
contents and hazard symbol. Wear necessary protective
equipment. Avoid contact whh water. Avoid generation and
spreadinS of dust- For waste disposal, see section 13-
PT EMDEISI UTAMA
$\$
I\rlfr(l
Krikilan 294, Driyoreio, Gresik 61177, Jawa Timur, INDONESIA
P.O. Box '1625, Surabaya 60016
Phone: (031)7507001 (S lines),7508155 Fax ;(031) 7507234
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E-mail : karbit@[Link] hltpJhvww'[Link]

7. HAI{DTING AND STORAGE

Usage precautlofls large quantities handled and stored in an inert atmosphere


(1m L). Pra/ent contact with water ard moist air. Container
must be kept tightly closed. Provide good ventilation.
Avoid handling which leads to dust formation. Avoid direct
contact with the product if possible.
storaSe pr€cautl,ona Store at moderate temperatures in dry, well-ventilated area.
Keep in original contaln€r. xeep containers tightly closed.
Speclffc use(s) Contact the supplier for additional information.

8. EXPOSURE CONInOLS/PERSOII|AI PnOrECrlOt{

lnFedlent mrnr CAS ilo. R€ference tTE08Hrs ST Exp 15 Min Dale


um 7

verdhuon Well ventilated area.


R!3phatots with partkle filter, type P2,
Use respiratory equipment
MEdorcs Use protective gloves made of: Rubber, neoprene or WC.
Suitable gloves can be recommended by the glove supplier.
Eye protectlon Use tight fitting gogBles if dust is genereted.
Otter P?otectlon wear suitable protective clothing as protection against
splashing or contamination. Us€ protective clothing, which
coverc arms and hgs.
CnYlmrunental cxpcure se€ section 6 and 7.
cont ob
Odrr apoonrl llmlts Phosphine: 0,14 mg/m3 (8 hrc), 1,4 mg/m3 (short terml

9. PHYSICAL AND O{EMICAI. PROPERTIES

Appearance SolH Lumps. Powder, dust


€olour Grey, Bhck.
Odour Characteristic Phosphine
Phn skaldat comtrEnts Flammbility timit appl'l€s at normal pressure and temperature.
Solubllity descr{pdon Decomposes in water.
B6rllnS point fC, intervall ca 2:!Oo
Demlty(&/cm3l L-L,2
Flamrn blllty llmlt (16) 2 - 82 (Acetylene)
PT EMDEKI UTAMA
$\$$
ntrE o
Krikilan 294, Driyorejo, Grasik 61177, Jawa fimur, INDONESIA
PO. Box 1625, SuEbaya @016
Phone: (031) 7507001 (5 lines), 7508155 Fax:(031) 7507234
w
E-rnail : ka&i!rcDeE(&&[email protected] httpr^r
^,r/-€[Link]

tO. STAUUTY AND REACNVITV

StaUllty Chemical stable product in normal conditions. See section 7.


condltlons to avold Do not store in damp conditions or ateas of high humidity.
Avoid contact with water. Flammable gas is generated in
contact with water. Avoid handling whkh leads to dust
formation. A\roid contect wi$ acids and oxidiring substances.
Avoid heat, flames and other sources of ignition.
Materlal to aYold Acids. Oxidizing agent.
Ha:ardous decomp. Product Acetylene Calcium hydroxide, phosphine.

11. TOXTCO|-OG| CAt tt{FORMAnOiT

lnhalation Dustirritatg the respiratory system, and may cause coughing


and difficultbs in breathinS. May cause damaSe to mucous
membranes in nose, throat, lungs and bronchial system.
lBcstion htestion may cause severe initation of the mouth, the
oesoph3gus and the Bastrointestinal tract. May have a
corrosive effect on the digestive canal.
Skin Dust has an irritating effect on moist skin. Prolonged or
rcpeated exposure may cauge severe irritation, Prolorged
oontact may cause conosion.
Eye5 Risk of serious damage to eye. Dust in the eyes 6uses risk or
permanent eye damate. lmmediate ffrst aid ls necessary.
Health rarnlngs According to the manuftcturer the prcduct does not contain
any CMR substances.

12. ECOTO€ICAL TNFORMAION

Ecotoxicity The produa may affect the acidity {pH-factor) in water with
risk of harmful effects to aquatic organisms.
rroblllty The product reacts with water and will generate heat.
Eloaccrmulduc potentlal The product is not classifted as a potential bioaccumulate.
Calcium carbide: log Pow < 0
Perslstsnce and degradability Applies to the folbwing component: Calcium carbide;
Decomposes on contact with water to acetylene and calcium
hydroxide.
[Link] o,.ide; readiv biodegradable- Decomposes on contact
rYith water to calcium hydroxide.
Othcr adYerse effects Not known.
PT EMDTISI UTAMA
$$$
T'I'O
lcikilan 294, Driyoreio, Gresik 61'17' Jawa limur, INDONESIA
PO. Box 1625, Surabaya 60016
Phone: (031) 75O7OO1'(5 lines), 7508155 Fax: (031) 7507234
w
E{ail : karbit@[Link] ht9://[Link]

PONENT: Calclum Oxide


LC 50, 96 Hn, Fish mg/l: 1070 (Cyprlnus carpio)
EC 50, {8 Hrs, DaPhnia, m&/l: 159,6

13. DTSPOSAL CO SIDERATIONS

Genenl/deaning Reuse if poseble. Discarded product (incl. Contaminated


packaging) and related waste may constitute dangerous waste
in accordance with the Waste Ordinance- Contact an approved
waste disposal company for disposal instructions. The
packaging should be collected fior reuse. Let stand outdoors.
Let Calcium carbide slowly react with moisture in the air to
cakium hydroxide. Do not add water. Acetylene and calcium
hydroxide is formed. calcium hydroxide to destruction.
Dlspo6al methods Collect in marked containe6 and deliver to approved depot.
Contact specialist disposal companies.
Waste class Allocation of EWC code to be based on the source Seneritting
the waste. Proposed EWC code: 10 08 wastes from other non-
ferrous thermal metallurgy 10 08 10r dross and skimmings
that are flammable or emit, upon contact with water,
flammable gases in dangerous quantities.

14. TRAI{SFORT II{FORMANON

Proper rhipplq
namc Inatioml) CALCIUM CARBIDE MXTURE
Proper shippirg name (intematbnall CALCIUM CARBIDE MDfiURE
nOAD IRAI{SPOf,T (ADRlr
Uil no. Road 140.2
ADR class no. 4.3
Classificadon code w2
ADR pecklng troup lt
noad transport notca Tunnel restrictbn code (D/E)
RAII TRAilSP'ORT (ruDh
RID cl6s no. 4.3
D packlry group
scA TRA SFOfiT (|MDG):
Ull no, sca t&2
IMDG dais 43
IMD€ packiry Sroup lt
EMS no. rc,9N
Marlne pollutam No.
PT EMDEKI UTAMA
f\rikilan 294, Driylcrejo, Grssik 6t'177, Jewa Timur, INDONESIA
PO. Box 1625, Surabaya 60016
Phons : (031) 7507001 (5 lines),7506155 Fax : (031) 7507234 tloroi
w
aoir&1
E-mail : karbit@[Link] hlD/v/[Link]

ArR TRAilSPORT (TATAOGR / ICAGI):


Ul{ no., alr L4o'z
IATA/IGAodas 4.3
IATAy'ICAO padrlnt grcup II

15. REGUTATORY II{FORMANON

Symbol(sl

Contalns Caklum carbide


Gkium Oxide
Risk phr6€s R-15 Contact with water liberates highly flammable gases.
R-37/38 lrritatint to rBplratory syst€m and skin.
R41 Risk of s€rious damage to eyc.
Sefety phreses $7/8 Keep container tightly closed and dry
926 ln case of contact with eyes, rinse immediately with
plenty of water and seek medical advice.
,36137139 Wear suitable pmtective clothing gloves and
eyeface protecdon.
H3 ln case of fire. use dry sand. Do not use water.
EU dlrectives EcL272l20g8lC,J) EC 19oz2m6 (Reachl

16. OTHER INFORMATIOfl

Explanations to R-phrases in scction 3 R-15 Contact with water liberates highly flammable tases. R-
37138 lrritatint to respiEtory system and skin. R41 Risk of
serious damage to eye.
lssued by EMDEKI UTAMA lrdonesia
DaE of lssue 2077{620
Sitnatulr BC
Disclairncr The information in this sa$ety data sheet is in accordance with
EC regulation !90712ffi and ls largely bas€d on lnformatlon
from the manufacturer/supplier and presupposes that the
product is used within the specifled area of appllcatlon.

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