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Multi Laboratory Test – AOAC First Action Method 2012.22 Ascorbic Acid (Vitamin C) in Infant Formula and

Adult/Pediatric Nutritionals.

RDLS-RD150006

E. Campos Giménez (NRC, Lausanne)

Page 23

CONFIDENTIAL

The contents of this document constitute a trade secret and the intellectual property rights thereto belong to Nestlé S. A., Vevey, Switzerland.

This document may not be reproduced or disclosed to third parties without prior authorisation.

Annex E: Receipt Forms

Practice

Samples

Receipt Form

Continued on next page

AOAC 2012.22 Multi-Laboratory Study - Practice Samples Receipt Form

Participant:

«Contact_person»

«Laboratory»

«Address»

«City»

«Country»

Please ensure the items listed below have been received undamaged, insert date of receipt,

and circle the relevant statement:

Contents of parcel

- Practice Sample A: Code YKLP059

- Practice Sample B: Code EPXW887

Date of Receipt

All items have been received undamaged

Yes/No

Items are missing/damaged

Yes/No

List missing/damaged items needing replacement, if a whole series is not needed:

I require an additional series of samples

Yes/No

Please fax or email the completed form to:

Esther Campos Giménez

Fax: +41 21 785-8553

esther.campos-gimenez@rdls.nestle.com

.

AOAC OMB Meeting Book

357