Dokumen WHC
Dokumen WHC
(25) B/L NO. (27) Number of Original B(s)/L (29) Prepaid at (30) Collect at
EGLV ONE (1) PASIR GUDANG, MALAYSIA
093400283094 (28) Place of B(s)/L Issue/Date (31) Exchange Rate (32) Exchange Rate
PASIR GUDANG, MALAYSIA AUG.04,2024
(26) Service Type/Mode (33) Laden on Board EVERGREEN MARINE CORP. (MALAYSIA) SDN BHD
FCL/FCL O/O AUG.04,2024 As agent for the Carrier and the Vessel Provider Evergreen Marine (Hong Kong) Ltd.
doing business as "Evergreen Line"
GREEN CELESTE 0442-088S
TANJUNG PELEPAS,
MALAYSIA By_______________________________________________________________
FORM NO. DOC-I-005-02
ATTACHMENT
M.V. GREEN CELESTE 0442-088S B/L NO. EGLV093400283094 ATTACHED LIST PAGE :1/1
(18)Container No.And Seal no. (19)Quantity And (20)Description of Goods
Mark & Nos. Kind of Packages
PRODUCT SPECIFICATION
Product Composition *Instant Coffee Extracts (From Arabica [~20%] & Robusta Beans [~80%])
Application Beverages, Milk Drinks, Premixes, Ice Cream, Chocolates and Desserts
Packaging 25kgs (Net) Corrugated Carton Boxes with sealed inner polyethylene liner.
Non-GMO Declaration The origin and all raw materials of this product are not manufactured from
genetically modified organisms or not derived from genetically modified materials.
Therefore, to the best of our knowledge, it qualifies as Non-GMO.
Page 1 of 2
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulai, Johor, Malaysia
Tel: +60 7 665 0055 / +60 14 777 0070
Company Reg No. 712801-P
PRODUCT SPECIFICATION
Allergen Data
Legislation & Warranty Statement The product is produced in accordance with Malaysia Food Regulation /
Singapore Food Agency (SFA) & Indonesia SNI 2983 : 2014 (Instant
Coffee), including regulations covering residual agricultural chemicals,
heavy metals, mycotoxins and other contaminants.
Confidentiality This specification and the information contained within it remains the
property of Renger International and must not be disclosed to any third
party without the prior written permission of Renger International.
Authorisation
Updated by Yeo ZJ
Revision No. 1
Position QA / QC
Updated Date 8-November-2023
Page 2 of 2
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulai, Johor, Malaysia
Tel: +60 7 665 0055 / +60 14 777 0070
Company Reg No. 712801-P
CERTIFICATE OF ANALYSIS
INSTANT COFFEE WHC
LOT NUMBER 81-WMD0132423
PRODUCTION DATE 15-July-2024
EXPIRY DATE 15-July-2026
PACKAGING 25kgs Ctns
PHYSICAL ANALYSIS
PARAMETERS RESULTS
COLOR Brown
AROMA Normal
TASTE Normal
CHEMICAL ANALYSIS
PARAMETERS RESULTS
MOISTURE 3.20%
*ASH CONTENT 9.70%
CAFFEINE CONTENT 2.50%
*TOTAL GLUCOSE < 0.10%
*TOTAL XYLOSE < 0.10%
MICROBIOLOGICAL ANALYSIS
PARAMETERS RESULTS
TOTAL PLATE COUNT 100 cfu / g
YEAST & MOULDS < 10 cfu / g
*OCHRATOXIN A < 1.90 ppb
(CL chin)
QC DEPT
Page 1 of 1
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulai, Johor, Malaysia
Tel: +60 7 665 0055 / +60 14 777 0070
Company Reg No. 712801-P
CERTIFICATE OF ANALYSIS
INSTANT COFFEE WHC
LOT NUMBER 81-WMD0282425
PRODUCTION DATE 16-July-2024
EXPIRY DATE 16-July-2026
PACKAGING 25kgs Ctns
PHYSICAL ANALYSIS
PARAMETERS RESULTS
COLOR Brown
AROMA Normal
TASTE Normal
CHEMICAL ANALYSIS
PARAMETERS RESULTS
MOISTURE 3.19%
*ASH CONTENT 9.70%
CAFFEINE CONTENT 2.50%
*TOTAL GLUCOSE < 0.10%
*TOTAL XYLOSE < 0.10%
MICROBIOLOGICAL ANALYSIS
PARAMETERS RESULTS
TOTAL PLATE COUNT < 100 cfu / g
YEAST & MOULDS < 10 cfu / g
*OCHRATOXIN A < 1.90 ppb
(CL Chin)
QC DEPT
Page 1 of 1
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulai, Johor, Malaysia
Tel: +60 7 665 0055 / +60 14 777 0070
Company Reg No. 712801-P
CERTIFICATE OF ANALYSIS
INSTANT COFFEE WHC
LOT NUMBER 81-WMD0332425
PRODUCTION DATE 1-July-2024
EXPIRY DATE 1-July-2026
PACKAGING 25kgs Ctns
PHYSICAL ANALYSIS
PARAMETERS RESULTS
COLOR Brown
AROMA Normal
TASTE Normal
CHEMICAL ANALYSIS
PARAMETERS RESULTS
MOISTURE 3.43%
*ASH CONTENT 9.70%
CAFFEINE CONTENT 2.52%
*TOTAL GLUCOSE < 0.10%
*TOTAL XYLOSE < 0.10%
MICROBIOLOGICAL ANALYSIS
PARAMETERS RESULTS
TOTAL PLATE COUNT 100 cfu / g
YEAST & MOULDS < 10 cfu / g
*OCHRATOXIN A < 1.90 ppb
(CL Chin)
QC DEPT
Page 1 of 1
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulaijaya, Johor, Malaysia
Tel: +60 7 665 0055 / +60 14 777 0070
Company Reg No. 712801-P
PRODUCT NAME :
Instant Coffee WHC
GENERIC NAME :
Spray Dried Instant Soluble Coffee Powder or Instant Coffee Powder
SUPPLIER :
RENGER INTERNATIONAL SDN BHD
Lot 5628, Jalan Seelong, 81400 Senai, Kulaijaya, Johor, Malaysia
RAW MATERIAL :
Arabica & Robusta coffee beans
APPEREANCE :
Dark coffee powder
PACKAGING :
Corrugated Cartons with low density polyethylene inner bags. FDA alimentary grade
TOXIVITY INGESTION :
None
INHALATION :
If not using mask dust may irritate nasal membranes.
CORROSIVE PROPIERTIES :
Stainless steel materials must be used. Alimentary grade.
RISK OF FIRE :
None
RISK OF EXPLOTION :
None
MANIPULATION :
The dust may be difficult to manipulate and could be improve by the use of extractors.
PROTECTION EQUIPMENT :
Proper clothing and masks.
STORING CONDITIONS :
Store at room temperature and dry conditions. Once open , the package it should be used totally.
WASTING LEAKAGE :
To be recollected in its dry form when possible.
The information contained in this Material Safety Data Sheet is believed to be correct and is given in good faith, but no
warranty, expressed or implied, is intended. This Material Safety Data Sheet applies only to the product described herein and
shall not be valid if the product is altered, combined with another substance or subjected to physical or chemical process.
Prior to using product, user should determine the suitability of the product for intended use and user assumes the risk and
inability in connection therewith.
Page 1 of 1
MSIG Insurance (Singapore) Pte. Ltd.
4 Shenton Way, #21-01, SGX Centre 2, Singapore 068807
Tel +65 6827 7888
Co.Reg No. 200412212G GST Reg. No. 20-0412212G
Insured : Wee Hoe Cheng Chemicals Pte Ltd Date of Issue : 05/08/2024
Policy No. : B 301196550 CGO
Address : 11 Loyang Walk Open Policy No. : B SGC500718
Loyang Industrial Park Account No. : 2295
Singapore 508794
In consideration of premium, as agreed, being paid to the Company, MSIG Insurance (Singapore) Pte. Ltd., by or on behalf of
L
the Insured, the Company agrees to Insure the goods against loss, damage, liability or expense to the extent and in manner
provided as follows:
A
ETD : 04.08.2024
Voyage : Tanjong Pelepas, Malaysia to Semarang Port
N
Interest Insured : HS CODE : 2101.11.11
I
INSTANT COFFEE WHC
375 CARTONS OF LOT NO. 81-WMD0132423
GROSS WEIGHT: 10,050.00KGS
G
HS CODE : 2101.11.11
I
INSTANT COFFEE WHC
191 CARTONS OF LOT NO. 81-WMD0282425
GROSS WEIGHT: 5,118.8KGS
R
HS CODE : 2101.11.11
INSTANT COFFEE WHC
184 CARTONS OF LOT NO. 81-WMD0332425
O
GROSS WEIGHT: 4,931.2KGS
Consignee:
PT. SUMBER KOPI PRIMA
JL. LINGKAR TIMUR, LORAM WETAN,
JATI, KAB. KUDUS, JAWA TENGAH, 59344
NPWP: 084.516.666.9-011.000
ATTN: MR RICKI HARLIS / TEL: +62 21 2988 8650
Invoice No. : 12318
Sum Insured : USD165,586.25
CONDITIONS/CLAUSES APPLICABLE
Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical and Electromagnetic Weapons Exclusion Clause -
10/11/03
Institute Cyber Attack Exclusion Clause - 10/11/03
Exclusion Of Rights Under The Contracts (Rights Of Third Parties) Act (Marine Cargo)
Computer Millennium Clause (Cargo)
Sanction Limitation and Exclusion Clause-LMA3100
L
Survey Agent : P.T. Asuransi MSIG Indonesia
Summitmas II Building 15th Floor
A
Jl Jenderal Sudirman Kav 61-62
Jakarta
Indonesia 12190
Tel No. 21-252-3110
N
Fax No. 21-252-4084
I
E-mail [email protected]
Settling Agent : P.T. Asuransi MSIG Indonesia
Summitmas II Building 15th Floor
G
Jl Jenderal Sudirman Kav 61-62
Jakarta
I
Indonesia 12190
Tel No. 21-252-3110
fax No. 21-252-4084
R
E-mail [email protected]
L
doubtful conditions.
3. When delivery is made by Container to ensure that the Container and its Seals are examined
immediately by the responsible official. If Container is delivered damaged or with Seals broken or
A
missing or with Seals other than as stated in the shipping documents to clause the delivery
receipt accordingly and retain all defective or irregular seals for subsequent identification.
4. To apply immediately for survey by Carriers' or other Bailees' Representatives if any loss or
damage be apparent and claim on the Carriers or other Bailees for any actual loss or damage
N
found at such survey.
I
5. To give notice in writing to the Carriers or other Bailees within 3 days of delivery if the loss or
damage was not apparent at the time of taking delivery.
NOTE
G
The Consignee or their Agents are recommended to make themselves familiar with the Regulations of
I
the Port of Authorities at the port of discharge.
Any claim under this Insurance should be submitted without delay, accompanied by all
correspondence with the Carrier and other parties regarding their liability.
R
FAILURE TO COMPLY WITH THESE INSTRUCTIONS MAY PREJUDICE ANY CLAIM UNDER THIS POLICY.
Documentation : To enable claims to be dealt with promptly, the Insured or their Agents are advised to submit all
of Claims available supporting documents without delay including where applicable:
O
1. Original policy or certificate of insurance.
2. Original or copy shipping invoices, together with shipping specification and/or weight notes.
3. Original Bill of Lading and/or other contract of carriage.
4. Survey report or other documentary evidence to show the extent of the loss or damage.
5. Landing account and weight notes at final destination.
6. Correspondence exchanged with the Carriers and other parties regarding their liability for loss
or damage.
Applicable Law and : This policy is governed by and is to be construed in accordance with the laws of Singapore. The
Jurisdiction court of competent jurisdiction in Singapore shall have the exclusive jurisdiction over all matters
relating to the construction, validity and performance of this contract of insurance.
Mack Eng
Chief Executive Officer
MSIG Insurance (Singapore) Pte. Ltd.
Untuk Menerima :
Jumlah Negara
No Nama Bahan Baku No. Lots/Bets HS. Code Produsen
Barang Produsen
1 Instant Coffee (WHC) (KOPI 18.750 81-WMD0132423; 21011111 Renger Malaysia
BUBUK / INSTANT) Kilogram 81-WMD0282425; International
(750 Carton) 81-WMD0332425 Sdn Bhd
Dengan ketentuan :
1. Barang tersebut tidak untuk diperjualbelikan secara eceran kepada konsumen tetapi hanya digunakan
sebagai Bahan Pangan.
2. Surat Keterangan Impor ini dapat diakses langsung melalui sistem INSW e-bpom.
Demikian Surat Keterangan Impor ini dibuat untuk dapat digunakan sebagaimana mestinya.
TTD
Dokumen ini sah, diterbitkan secara elektronik melalui sistem INSW e-bpom sehingga tidak memerlukan cap dan tanda tangan basah
Hal. 1 Dari 1
PREVIEW
KL-202408-CCF-712801-P-076136
SEMARANG
MALAYSIA
SEMARANG
MALAYSIA