Form SMR.11.L - LT3-13-02

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BORDEN CO. (PTE.) LTD. Appendix 1 No. 9 Jalan Kilang, Singapore 159409 Form SMR.11.L Starting Materials Record Label 1. Date of receipt 12 March 2013 2. Date of inspection 12 March 2013 3. Standard name of material English Text Label, Thailand, 3 ml, (LT3) 4. Name of material on delivery note EAGLE BRAND MEDICATED OIL (BACK LABEL) : - FORMULA LABEL - THAILAND 3ML 5. Name and address of supplier KOMARK - GENERAL LABELS & LABELLING PTE LTD Blk 164 Kallang Way #02-09/10 Kolam Ayer Industrial Park Singapore 349248 6. Country of origin of supplier Singapore 7. Supplier’s batch/ Reference No. 35477 / KM_LFYS_THAI_3 8. Unit Identifying No. LT3-13-02 9. Total quantity received 1,000,000 Pieces (20 Packets x 5 Rolls x 10,000 Pieces) 10. Number of packet received 20 Packets (100 Rolls) 11. Number of packet damaged * Refer to Form CPM NIL 12.1 DO No. & date 12.2 Purchase Order No. & date 95606KA dated 12-03-2013 PO1302/016 dated 26-02-2013 Ref. SOP. NO. 107.8 Edition: 6 Date Effective: 01 June 2011

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Transcript of Form SMR.11.L - LT3-13-02

Page 1: Form SMR.11.L - LT3-13-02

BORDEN CO. (PTE.) LTD. Appendix 1No. 9 Jalan Kilang, Singapore 159409 Form SMR.11.LStarting Materials Record

Label

1. Date of receipt 12 March 2013

2. Date of inspection 12 March 2013

3. Standard name of material English Text Label, Thailand, 3 ml, (LT3)

4. Name of material on delivery

note

EAGLE BRAND MEDICATED OIL (BACK LABEL) : - FORMULA LABEL - THAILAND 3ML

5. Name and address of

supplier

KOMARK - GENERAL LABELS & LABELLING PTE LTDBlk 164 Kallang Way #02-09/10Kolam Ayer Industrial ParkSingapore 349248

6. Country of origin of supplier Singapore

7. Supplier’s batch/ Reference

No.

35477 / KM_LFYS_THAI_3

8. Unit Identifying No. LT3-13-02

9. Total quantity received 1,000,000 Pieces(20 Packets x 5 Rolls x 10,000 Pieces)

10. Number of packet received 20 Packets(100 Rolls)

11. Number of packet damaged* Refer to Form CPM

NIL

12.1 DO No. & date12.2 Purchase Order No. & date

95606KA dated 12-03-2013PO1302/016 dated 26-02-2013

Remarks: The goods are inspected by Laboratory Technician with the assistance of the

Storekeeper. Provide the Quarantine labels to the Storekeeper and instruct him to paste the

labels on each packet. Instruct the Storekeeper to store the goods in the Quarantine Area. Choose 1 roll each from 4 packets, total 4 rolls, take 10 pieces from each roll,

total 40 pieces, randomly, for further tests.Sample Calculation: 0.4 x √100 = 4 rolls

PO quantity: 1,000,000 PiecesPO completed.

DO quantity for this delivery: 1,000,000 PiecesRemaining balance after this delivery:

NIL

Ref. SOP. NO. 107.8 Edition: 6 Date Effective: 01 June 2011

Page 2: Form SMR.11.L - LT3-13-02

BORDEN CO. (PTE.) LTD. Appendix 1No. 9 Jalan Kilang, Singapore 159409 Form SMR.11.LStarting Materials Record

Label

Inspected By (Signature):

Name : Ng Xue LiDesignation : Quality Control TechnicianDepartment : Quality Control Department Date : Tuesday, March 12, 2013

Description of item received

Quantity (Pieces)

Received by (Initial)

Date

Quarantine status label 20 12 March 2013

* Number of Quarantine labels printed: 21. Identical copy of Quarantine label is attached to this document.

Ref. SOP. NO. 107.8 Edition: 6 Date Effective: 01 June 2011