Title Page
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Product Name
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Site conducted
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Conducted on
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Prepared by
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Photos of the Retention Samples.
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Take clear pictures of the Product Name , Batch & Expiry.
Untitled Page
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Quarantine Register No. (From the Quarantine Register in BS3 SharePoint Quality Folder)
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Batch Number :
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Expiry Date :
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Quantity
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Location for Retention Samples
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Client Account Name
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Has Quarantine Register in BS3 sharePoint Quality Folder been updated?
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Signature of the Person entering retention sample record
Retention Sample Action ( to be completed when item removed from quarantine)
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Deposition & Action ( Send to the client / Remaining as Samples )
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Date action taken.
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Approved by:
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Authority approval from the client
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Print and file final signed document in quarantine record folder