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PHYSICAL INSPECTION OF INCOMING Number
CONSIGNMENTS
Revision Number
(RAW & PACKING MATERIALs) 000
GRN #: Lot #:
Origin: Date:
Mfg. Date
5 Mfg. Date / Exp. Date Record from the label
Exp. Date
NOTE: The duly filled in form must be submitted by QAI to Q.C. Department along with the sample.