TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 1 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

The following sample(s) was /were submitted and identified by the client as:

Product Description : HIGH IMPACT POLYSTYRENE (HIPS)

Client’s reference No. : 2310003519
Part No. : -
Batch / Lot No. : -
Buyer’s Name : -
Manufacturer / Vendor : -
Color : NATURAL
Country of Origin : INDONESIA
Country of Destination : INDONESIA
The Above sample(s) and information were provided by the client.
Sample Receiving Date : February 10, 2023
Test Performing Period : February 10, 2023 to February 20, 2023
Test Requested : Selected test (s) as requested by the client.
Test Method(s) and Test Result(s) : Please refer to the next page(s).
Conclusion : Based on the performed tests on submitted sample(s), the results of
Cadmium, Lead, Mercury, Hexavalent chromium, Polybrominated biphenyls
(PBBs), Polybrominated diphenyl ethers (PBDEs) and Phthalates such as
Bis(2-ethylhexyl) phthalate (DEHP), Butyl benzyl phthalate (BBP), Dibutyl
phthalate (DBP) and Diisobutyl phthalate (DIBP) comply with the limits as
set by RoHS Directive (EU) 2015/863 amending Annex II to Directive
2011/65/EU.

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 2 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

Signed for and on behalf of

PT. SGS Indonesia

Toto Waluyadi
Hardgood Lab Manager

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in
full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may
be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 3 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

RoHS Directive (EU) 2015/863 amending Annex II to Directive 2011/65/EU

Test Item(s) Unit Method Result MDL Limit

Cadmium (Cd) mg/kg With reference to IEC 62321-5:2013 n.d 2 100
and performed by ICP-OES
Lead (Pb) mg/kg With reference to IEC 62321-5:2013 n.d 2 1000
and performed by ICP-OES
Mercury (Hg) mg/kg With reference to IEC 62321- n.d 2 1000
4:2013+A1:2017 and performed by
ICP-OES
Hexavalent Chromium (Cr(VI) mg/kg With reference to IEC 62321-7- n.d 8 1000
2:2017 and performed by UV-VIS
Sum of PBBs mg/kg n.d. - 1000
Monobromodiphenyl mg/kg n.d 5 -
Dibromodiphenyl mg/kg n.d 5 -
Tribromodiphenyl mg/kg n.d 5 -
Tetrabromodiphenyl mg/kg n.d 5 -
Pentabromodiphenyl mg/kg n.d 5 -
Hexabromodiphenyl mg/kg n.d 5 -
Heptabromodiphenyl mg/kg n.d 5 -
Octabromodiphenyl mg/kg n.d 5 -
Nonabromodiphenyl mg/kg n.d 5 -
Decabromodiphenyl mg/kg With reference to IEC 62321-6:2015 n.d 5 -
Sum of PBDEs mg/kg and performed by GC-MS n.d. - 1000
Monobromodiphenyl ether mg/kg n.d 5 -
Dibromodiphenyl ether mg/kg n.d 5 -
Tribromodiphenyl ether mg/kg n.d 5 -
Tetrabromodiphenyl ether mg/kg n.d 5 -
Pentabromodiphenyl ether mg/kg n.d 5 -
Hexabromodiphenyl ether mg/kg n.d 5 -
Heptabromodiphenyl ether mg/kg n.d 5 -
Octabromodiphenyl ether mg/kg n.d 5 -
Nonabromodiphenyl ether mg/kg n.d 5 -
Decabromodiphenyl ether mg/kg n.d 5 -

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 4 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

Test Item(s) Unit Method Result MDL Limit

Diisobutyl Phthalate (DIBP) mg/kg n.d. 50 1000
Dibutyl Phthalate (DBP) mg/kg n.d. 50 1000
Benzyl Buthyl Phthalate mg/kg With reference to IEC 62321-8:2017 n.d. 50 1000
(BBP) and performed by GC-MS
Di-(2-ethylhexyl) Phthalate mg/kg n.d. 50 1000
(DEHP)

Note :
1.mg/kg = ppm ; 0.1wt%=1000 ppm
2.n.d. = Not Detected
3.MDL= Method Detection Limit
4.“-“ = Not Regulated
5.The maximum permissible limit is quoted from RoHS Directive (EU) 2015/863.
6.IEC 62321 series is equivalent to EN 62321 series.
https://www.cenelec.eu/dyn/www/f?p=104:30:1742232870351101::::FSP_ORG_ID,FSP_LANG_ID:125
8637,25
7. The restriction of DEHP, BBP, DBP and DIBP shall apply to medical devices, including in vitro medical
devices, and monitoring and control instruments, including industrial monitoring and control
instruments, from 22 July 2021

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 5 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 6 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

1) Name of the person who made measurement : M. Kemal Anggorojati

2) Name of the person in charge of measurement : Christian Tamayla

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 7 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

Phthalate Analytical FLOW CHART

1) Name of the person who made measurement : M. Kemal Anggorojati
2) Name of the person in charge of measurement: Christian Tamayla

Sample

Sample Pretreatment

Sample Extraction

Concentrate / Dilute
Extracted Solution

Filter

Analysis by GC-MS

Issued report

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group

TEST REPORT No: IDHG2310003519 Date: February 20, 2023 Page 8 of 8

PT FOSIN TETRA
JL. INDUSTRI RAYA II BLOK H NO 12-18 JATAKE, TANGERANG, BANTEN

Sample Picture

**********End of Report**********

This document is issued by the Company subject to its General Conditions of Service printed overleaf, or available on request or accessible at
www.sgs.com/termsandconditions.htm and for electronic format documents, subject to Terms and Conditions for Electronic Documents at www.sgs.com/terms_e-document.htm.
Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon
reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this
document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except
in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders
may be prosecuted to the fullest extent of the law.
Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained 30 days only.
WARNING: The sample(s) to which the findings recorded herein (the “Findings”) relate was(were) drawn and / or provided by the Client or by a third party acting at the Client’s
direction.
The Findings constitute no warranty of the sample’s representativeness of any goods and strictly relate to the sample(s). The Company accepts no liability with regard to the origin
or source from which the sample(s) is/are said to be extracted.

PT. SGS Indonesia The Garden Centre #1-00 & #2-00 – Cilandak Commercial Estate Jl. Raya Cilandak KKO Jakarta 12560 Indonesia t +62 (0)21 2978 0600 f +62 (0)21 2978 0678 www.sgs.com

Member of the SGS Group