Primary and Impurity Reference Substance Summary Sheet

In-House Reference Number

Reference Substance Name

Manufacturer (Origin)


Manufacturers Batch Number

Manufacturers Assay

Manufacturers Assay Description

% Water Content

% Loss on Drying

Before Use Instruction
(See label on the Container or C/A)

Manufacturers Re-test / Expiry Date

Catalogue Reference Number

Date Substance Received

Quantity Received

Storage Temperature Requirements

Storage Location

Date Bottle First Opened

Manufacturers Certificates of Analysis (if

Date Bottle Finished or Discarded
(complete when known)

Other Comments

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