Recall Log Les Papiers MPC Inc. PKG197218

• Site conducted

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• Les Papiers MPC Inc. 1825 Cabot Montreal, QC H4E 1E2
  Address

• Enter Employee Name

• Enter Date & Time

  Date

RECALLED RAW INGREDIENTS

• Supplier Issuing Recall

• List Ingredient & Lot Number(s) Recalled

• Reason For Recall

  Select Physical Contamination Chemical Contamination Biological Contamination Allergen Contamination

  • Physical Contamination
  • Chemical Contamination
  • Biological Contamination
  • Allergen Contamination

• Recall Level

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• Quantity Received

• Quantity On-Hand

• Lot Numbers Of Affected Final Product

RECALLED FINAL PRODUCT

• Enter Product & Lot Number(s)

• Reason For Recall

  Select Physical Contamination Chemical Contamination Biological Contamination Allergen Contamination

  • Physical Contamination
  • Chemical Contamination
  • Biological Contamination
  • Allergen Contamination

• Recall Level

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• Quantity Affected

• Quantity On-Hand

COMMUNICATION

• Recall Team Notified

  Yes

  No

  N/A

• CFIA Notified

  Yes

  No

  N/A

• Affected Customers Notified

  Yes

  No

  N/A

• Press Release Issued

  Yes

  No

  N/A

DISPOSITION

• Affected Product Segregated

  Yes

  No

  N/A

• Enter Disposition Plan

Signatures

• Name & Signature of Person Completing This Log.

  Sign

• Supervisor Name & Signature

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