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NUMBER: JKTH14000955

TEST REPORT

APPLICANT : PT. ASIAPLAST INDUSTRIES TBK DATE : OCTOBER 10, 2014


JL. SENTOSA DS GEMBOR KEC PERIUK
KOTA TANGERANG 15133
BANTEN - INDONESIA
ATTN : RUDI HARTONO

SAMPLE DESCRIPTION:
ONE (1) PIECE OF SUBMITTED SAMPLE SAID TO BE:
ITEM NAME : PET TRANSPARENT SHEET

***********************************************************************

TESTS CONDUCTED:
AS REQUESTED BY THE APPLICANT, FOR DETAILS REFER TO ATTACHED PAGES.
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CONCLUSION:
TESTED SAMPLE STANDARD RESULT
SUBMITTED SAMPLES U.S F.D.A. REGULATION 21 CFR PASS
PART 177.1630
- POLYETHYLENE PHTHALATE POLYMERS
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PREPARED AND CHECKED BY:


FOR INTERTEK INDONESIA

TAUFIQ URAKHMAN
HARDLINE LAB MANAGER

(THIS REPORT SHALL NOT BE REPRODUCED WHOLLY OR IN PARTS WITHOUT WRITTEN APPROVAL FROM THE LABORATORY)

IUS – CR.HL – 001 Page 1 of 3


NUMBER: JKTH14000955

TESTS CONDUCTED:

1. TEST FOR F.D.A. REGULATION ON POLYETHYLENE PHTHALATE POLYMERS

TEST STANDARD : U.S. FOOD AND DRUGS ADMINISTRATION 21 CFR PART 177.1630.

I. CONDITION OF USE :

FOR PACKAGING, TRANSPORTING, OR HOLDING FOOD, EXCLUDING ALCOHOLIC BEVERAGES,


AT TEMPERATURE NOT TO EXCEED 250°F (121°C).

II. TEST RESULT :


RESULT in LIMIT in
TEST ITEM
mg/in² mg/in²
CHLOROFORM SOLUBLE EXTRACTIVE RESIDUE <0.10# 0.5
IN WATER EXTRACTANT
CHLOROFORM SOLUBLE EXTRACTIVE RESIDUE <0.10 0.5
IN N-HEPTANE EXTRACTANT

REMARK:
# = PHYSICAL DEFORMATION OCCURED IN THE TESTED SAMPLE

DATE SAMPLE RECEIVED : SEPTEMBER 25, 2014


DATE MODIFIED : OCTOBER 06, 2014
TESTING PERIOD : SEPTEMBER 26, 2014 TO OCTOBER 10, 2014
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END OF REPORT

This report is made solely on the basis of your instructions and/or information and materials supplied by you. It is not intended to be a recommendation for any
particular course of action. Intertek does not accept a duty of care or any other responsibility to any person other than the Client in respect of this report and only
accepts liability to the Client insofar as is expressly contained in the terms and conditions governing Intertek's provision of services to you. Intertek makes no
warranties or representations either express or implied with respect to this report save as provided for in those terms and conditions. We have aimed to conduct the
Review on a diligent and careful basis and we do not accept any liability to you for any loss arising out of or in connection with this report, in contract, tort, by statute or
otherwise, except in the event of our gross negligence or wilful misconduct.

IUS – CR.HL – 001 Page 2 of 3


NUMBER: JKTH14000955

PRODUCT PHOTO

PET TRANSPARENT SHEET

IUS – CR.HL – 001 Page 3 of 3

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