Expired Raw Material Form

Expired Raw Material Form


Raw Material Information                                                         Date issued:                              

Raw Material Name: _____________________________________________________
Code No.: ____________________________________________________________
    Lab. Batch No.:  ________________________________________________________
Manufacturers' Batch No.: _________________________________________________
Expiring on: ___________________________________________________________ 


Date Originally Received
Original Amount Received
Quantity Remaining
GRS number



Any previous extension of Shelf-Life?
Yes/No
If Yes, date last tested:                         
Is this quantity worth testing?
Yes/No

Warehouse Details



Amount to be sampled:  ____________________________
Storage bin: ____________________________________
Condition of packaging: ____________________________

Warehouse sign:                                                       
Laboratory Details

    Date:                               


Raw Material Specification Number:                                                      

Tests
Results











Calculations:










PASS/REJECT:                                        

    If PASS, new Expiry Date:                          



Sign                                                                                                   Date:                       

Laboratory Manager

       



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