Certificate of Analysis by B3l5LpRL

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									                                                                                                                          AHA! Resource Manual


                                                                                        This form should be customized to suit individual
  H.1 - Certificate of Analysis                                                          facility requirement.




  Supplier Details Company Name: ________________________________________________________________________________
  Address: ________________________________________________________________________________________________________
  __________________________________________________________________________________________________________________
  __________________________________________________________________________________________________________________
  Company Quality Assurance Contact Name: _____________________________________________________________________

  Product Details
  Product Name and UPC Code: ___________________________________________________________________________________

  Date of Manufacture: ___________________________________________________________________________________________

  Process Lot Number: ____________________________________________________________________________________________

  PROCESS TESTING


   Attribute                          Range of Acceptability               Results                               Corrective Action




  Microbiological Testing and Food Safety Characteristics

   Analysis                           Specification                         Results                              Corrective Action
   TPC
   Coliform
   E. coli
   Visible Foreign Material
   Metal Contamination
   Other

  Packaging Integrity

   Analysis                           Specification                         Results                              Corrective Action
   Seal Integrity
   Weight Control


  Signature/Accreditation of Responsible Personnel: _______________________________________________________________

  Date of Analysis: ________________________________________________________________________________________________



_______________________________________________________________________________________________________________________________
Supplier Quality Assurance Program: Certificate of Analysis                                                                          Page 1 of 1

Issue Date: _______________________

Developed by: ________________________________________                    Date last revised: _____________________________________________

Authorized by: _______________________________________                   Date authorized: ______________________________________________

 The                            The Agricultural Policy Framework (APF) A FEDERAL – PROVINCIAL - TERRITORIAL INITIATIVE

								
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