Certificate N ° : 2104240381
Page N ° : 1/ 3
CERTIFICATE OF SAMPLING Ai'!f, ANALYSIS
OUR REFERENCE BO 2003649/205/21.01.1
NAME OF VESSEL MV ANDROMEDA
QUANTITY 51,377 TNE
DESCRIPTION OF GOODS STEAM COAL [N BULK
l
SHrPPER PT. BERKAH BUMI LELUi!Ji t QQ PT ANUGERAH BARA KALIMANTAN
CONSIGNEE TO ORDER ANZ BANV, fV!ETNA.M) UMITED, DISTRICT I,
HO CHI MINH CITY Vl£1NA.M
NOTIFY ADDRESS FORMOSA INDUSTR!f-2 CDi'J-ORATION
NHON TRACH n: L'JDIJSTRJAi, ':-ONE, HIEP PHUOC COMMUNE,
NHON TRACH DlST., DONG N.-\J PROVlNCE, VIETNAM
i
PORT OF LOADlNG TABONEO A"SilORA.Gf SC1JTH KALIMANTAN
PORT OF DISCHARGE PHU MY PORT, \'lt::TNA!'vl
DATE OF VESSEL LOADING 30 MARCil 20 21 TC> l i: APRIL 2021
BUYER PURCHASING NO. LE M25 �V 06 v17i_,'.)
THIS IS TO REPORT that in accordance wi�n i:13ti�1c:io:1:::: ;1:::ceived from our Principal, to perform sampling observation, sampling
preparation and analysis of the above mentio1:ec :::h:p;n0nt, ,ve hereby report the following:
SAMPLING MANUAL SAMPLING - SGS, performed as per ASTM D2234 Condition TI-D-2. Sampling occurred from
freshly e,< p0st.d mrfa.:e \\ hile the material was in motion, on a time-interval basis at unknown or randomly
estimat-:rl n:'lss-intt;rvals, with fixed-increment mass.
SPECIFICATION Thirteen (13) Sui:--I0ts samples representing 51,927 MT were analyzed in accordance with ASTM
sta:1Gard t"•�ei!i000. except as noted.
This document is issued by the Company subject to its General Conditions of Service
(Yl;\'W�=m/_e_l)[Iem,s,an_d,l;;Qru:lill20uwitl. Attention is drawn to the limitations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This document is to be treated as an original within the meaning of UCP 600. Any holder of this
document is advised that information contained hereon reflects the Company's findings at the
JI. Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility is to its Client and this document does not exonerate parties to a transaction
t : +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration, forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
h s:1/s sonsite.s s.com/en/v2/common/ecertificate/authenticateeCertificate.·s .
Certificate N ° : 2104240381
Page N ° : 2/ 3
We report the following weighted average as per Laboratory Report No. BL21-00075, 23 Api�l 2u21:
Parameter Test Test Result
Total Moisture (as received basis) 10.0'>%
Inherent Moisture (air dried basis)
"'
Ash Content (air dried basis) 10.13 ,,,
Total Sulphur (air dried basis) C i'4 o/r
Volatile Matter (air dried basis) 4 ,.?cl•,�
Fixed Carbon (air dried basis) 40."i'L %
Gross Calorific Value (as received basis) 6465 Kcal/kg
HGI 49
%
Nitrogen (DB) 1.35
Hydrogen (DB) 5.71 %
This document is issued by the Company subject to its General Conditions of Service
(Y/WW-,§fil,�n/Ie[l!ls,aa_<;l�i�J\)_. Attention is drawn to the limitations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This document is to be treated as an original within the meaning of UCP 600. Any holder of this
document is advised that information contained hereon reflects the Company's findings at the
JI. Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility is to its Client and this document does not exonerate parties to a transaction
I : +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration, forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
https://sgsonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.·sp.
Certificate N ° : 2104240381
Page N ° : 3/ 3
Ash Fusion Temperature (I.D.T) >1420Deg. C
Size above 50 mm 5.9%
Size 0-50 mm 94.1%
Size under 2 mm 10.3%
Size under 0.5 mm 3.7%
Signed and Dated, iS,1l'E.D BY PT SGS lNDONESIA
23 April 2021 AS INDEPSNDENT INSPECTION AGENCY AT LOAD PORT
This document is issued by the Company subject to its General Conditions of Service
�i>.@.mffiO!Jerms-ao_d_cC_oruji�l!l- Attention is drawn to the limitations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This documenl is lo be treated as an original within the meaning of UCP 600. Any holder of !his
document is advised that information contained hereon reflects the Company's findings at the
JI. Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility is to its Client and this document does not exonerate parties to a transaction
t : +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration, forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be proseculed to the fullesl extenl of the law.
The authenticity of this document may be verified at
https://s sonsite.s s.com/en/v2lcommon/ecertfficate/authenticateeCertificate. · sp.
Certificate N ° : 21042403B6
Page N ° : 1/ 3
CERTIFICATE OF SAMPLING A�I) .<'\NALYSIS
OUR REFERENCE BO 2003649/205/21.01.2
NAME OF VESSEL MV ANDROMEDA
QUANTITY 550 TNE
DESCRIPTION OF GOODS STEAM COAL IN BUU
SHIPPER PT. BERKAH BUMI L!":LI.J�i_lR, QQ PT ANUGERAH BARA KALIMANTAN
CONSIGNEE TO ORDER ANZ B/u\i!< (VIETNAM) LlMITED, DlSTRJCT I,
HO CHI MINH CFY VI":.TN'A'.,!
NOTIFY ADDRESS FORMOSA TAFFETA VI!c'.l NA!' 1 CO. , LTD.
SECTION I, Wh7JT <::il'-\NtJ WARD, BEN LUC DlSTRICT, LONG AN PROVINCE,
VIETNAM
PORT OF LOADING TABONEG ANC'HOKAuE SOUTH KALCMANTAN
PORT OF DISCHARGE PHU MY POil:, vTETN.A.iVI
DATE OF VESSEL LOADING 30 MA�C'l-1 2C>21 TO 18 APRIL 2021
BUYER PURCHASING NO. 7U8:0Vb
THIS IS TO REPORT that in accordance witt, :ristn.;cfo:,•, received from our Principal, to perform sampling observation, sampling
preparation and analysis of the above menti0n3d �!'1:�r,-,ent, we hereby report the following:
SAMPLING MANl'AI. ::AMf'L::-JG - SGS, perfom1ed as per ASTM 02234 Condition U-O-2. Sampling occurred from
freshly exp:ise.:I surr1c� while the material was in motion, on a time-interval basis at unknown or randomly
esfrm,!ea ma�,-i1.�ervals, with fixed-increment mass_
SPECIFICATION T"'irt3C'l1 ('i 1J S;1b-lots samples representing 51,927 MT were analyzed in accordance with ASTM
sta.1dc:rc 'Tlt)l�ods, except as noted.
This document is issued by the Company subject to its General Conditions of Service
(www�i,,�i1IT!!s,aoo_,Qmd1�)(j_. Attention is drawn to the limilations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This document is Io be treated as an original within Ihe meaning of UCP 600. Any holder of this
document is advised that information contained hereon reflects the Company's findings at the
JL Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility is to its Client and this document does not exonerate parties to a transaction
t : +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration, forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be prosecuted to Ihe fullest extent of the law.
The authenticity of !his document may be verified at
https://s sonsite.sgs.com/en/v2/common/ecertificate/authentlcateeCertificate. ·sp.
Certificate N ° : 21042403B6
Page N ° : 2/ 3
We report the following weighted average as per Laboratory Report No. BL21-00075, 21 A;,r;1 W21:
Parameter Test Test Resdt
Total Moisture (as received basis)
Inherent Moisture (air dried basis)
0'
Ash Content (air dried basis) 10.·:1"
Total Sulphur (air dried basis) 0.14 ,o
'"
%
Volatile Matter (air dried basis) 43.P,O
Fixed Carbon (air dried basis) t,0.72 %
Gross Calorific Value (as received basis) 6465 Kcal/kg
HGI 49
%
Nitrogen (DB) 1.35
Hydrogen (DB) 5.71 %
This document is issued by the Company subject to its General Conditions of Service
�_,._s_g_s.,m..!'Ill.e_olf�IT!'.!S��!ld--5:&00i�. Attention is drawn to the limitations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This document is lo be treated as an original within the meaning of UCP 600. Any holder of this
document is advised that information contained hereon reflects the Company's findings at the
JI. Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility ls to its Client and this document does not exonerate parties to a transaction
t : +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration. forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
htt s:/lsgsonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.js .
Certificate N ° : 2104240386
Page N ° : 3/ 3
Ash Fusion Temperature (I.D.T) >1420ueg c
Size above 50 mm 5.9%
Size 0-50 mm 84.1 %
Size under 2 mm
Size under 0.5 mm
Signed and Dated, ,SS•JED BY PT SGS INDONESIA
23 April 2021 AS INDEPENDENT lNSPECTION AGENCY AT LOAD PORT
This document ls issued by the Company subject to its General Conditions of Service
�.i;gs..com,len(Ierms-and,CQnd1tt=l Attention is drawn to the limitations of liability,
PT SGS Indonesia indemnification and jurisdictional issues established therein.
Cilandak Commercial Estate #108 C This document is to be treated as an original within the meaning of UCP 600. Any holder of this
document is advised that information contained hereon reflects the Company's findings at the
JI. Raya Cilandak KKO time of its intervention only and within the limits of client's instructions, if any. The Company's
12560 Jakarta Indonesia sole responsibility is to its Client and this document does not exonerate parties to a transaction
I: +62 21 781 8111 from exercising all their rights and obligations under the transaction documents. Any
unauthorized alteration, forgery or falsification of the content or appearance of this document is
f: +62 21 781 8222 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
https://s sonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.·s .
