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STATEMENT LETTER

Dear Sir/Madam,

This letter is to inform that the undersigned:

Company Name : PT TUV NORD Indonesia


Address : Kawasan Industri Jababeka V, Cibatu
Jl. Science Timur 1 Block B3 F1
Cikarang , Bekasi - 17530
Company type : Service laboratory
Technical PIC : Dila Agustiana
Phone No/Ext : 021- 29574720
Email : adila@tuv-nord.com
Mobile phone : (+62) 85697045618

Have/has sending samples purpose to analysis for Asbestos Testing:

With below details:

No Description Parameter
1 SCEN.19100175
2 SCEN.19100176
Asbestos
3 SCEN.19100177
4 SCEN.19120002

The above mentioned sample to be used for Asbestos Testing with 3 days Turn Around Time. Please
confirm if the sample have been recieved at SGS MIS ENV Ltd Laboratory and send the test report to
zharyanto@tuv-nord.com; mmiftahudin@tuv-nord.cm; adila@tuv-nord.com.

If there are any question regarding to testing, don’t hasitates to contact us via email/phone above.
Thank you

Cikarang,December 5th, 2019

(Dila Agustiana)
Laboratory Assistant Manager

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