2016 OMB Summer Meeting

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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 24
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, Continued
MLT Samples
Receipt Form
AOAC 2012.22 Multi-Laboratory Study - MLT 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
Code Number of
Containers
Day
MLT Sample 1 VFJL091 2 1
MLT Sample 2 EKVJ578 2 1
MLT Sample 3 GEUH577 1 1
MLT Sample 4 GLVC238 1 1
MLT Sample 5 LARU224 1 1
MLT Sample 6 VJKY373 2 1
MLT Sample 7 EPXW887 1 1
MLT Sample 8 GLBW236 1 1
MLT Sample 9 MNGN284 1 1
MLT Sample 10 YATV077 2 1
MLT Sample 11 MOPG098 2 2
MLT Sample 12 SNPZ056 1 2
MLT Sample 13 LKAU043 2 2
MLT Sample 14 FHTX798 1 2
MLT Sample 15 FRZK569 1 2
MLT Sample 16 ADVZ021 1 2
MLT Sample 17 SJLQ035 2 2
MLT Sample 18 LUJP087 1 2
MLT Sample 19 LHTK069 2 2
MLT Sample 20 CBNJ010 1 2
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 set is not needed:
I require an additional set of samples Yes/No
Please fax or email the completed form to:
Esther Campos Giménez
Fax: +41 21 785-8553
AOAC OMB Meeting Book 358