Title Page
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Conducted on
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Prepared by
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Location
List of Glass or Brittle Plastic
Glass or Brittle Plastic Identified
Ingredient Area
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Halogen Lights-3
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Fly Lights
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Exit Lights
Production Area
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Halogen Lights-16
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Small Rilling Machine Guards
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Small Mixer Guards
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Fly Lights-6
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Large Rolling Machine Guards
Proofer
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Plastic Light Covers
Retarder
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Plastic Light Covers-4
Freezer Side
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Halogen Lights-4
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Fly Lights
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Exit Signs
Freezer
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Light Covers-5
Audit Results
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List of Brittle and Hard Plastic is complete.
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All items are in good/acceptable condition.
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Observe QA Technician verification of light covers
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Department QA Verified
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Miscellaneous notes from the audit