BORDEN CO. (PTE.) LTD.

Starting Materials Record

1. 2. 3. 4. Date of receipt Date of inspection Standard name of material Name of material on delivery

Appendix 1

No. 9 Jalan Kilang, Singapore 159409 Form SMR.11.L Label 27 March 2012 28 March 2012 English Text Label, Vietnam, 12 ml, (LV1) FORMULA LABEL VIETNAM 12ML BACK LABEL KOMARK - GENERAL LABELS & LABELLING PTE LTD Blk 164 Kallang Way #02-09/10 Kolam Ayer Industrial Park Singapore 349248 Singapore 31259KA / KM_LFYS_VIET_12 LV1-12-01 55,000 Pieces (5 Rolls x 10,000 Pieces) + (1 Roll x 5,000 Pieces) 1 Packets (6 Rolls)

note 5. Name and address of supplier

6. Country of origin of supplier 7. Suppliers Batch/ Reference No. 8. Unit Identifying No. 9. Total quantity received

10. Number of packets

received 11. Number of packets NIL damaged * Refer to Form CPM 12.1 DO No. & date 92746KA dated 27-03-12 12.2 Purchase Order No. & date PO1203/024 dated 15-03-2012 13. Remarks: 13.1 The Goods are inspected by Laboratory Technician with the assistance of the Storekeeper. 13.2 Provide the Quarantine status labels to the Storekeeper and instruct him to paste the labels on each packet. 13.3 Instruct the Storekeeper to store the goods in the Quarantine Area. 13.4 Choose 1 roll each from 1 packet, total 1 roll, take 10 pieces from each roll, total 10 pieces, randomly, for further tests. Sample Calculation: 0.4 x 6 = 0.98 1 roll PO quantity: 55,000 DO quantity for this delivery: Pieces 55,000 Pieces PO completed. Remaining balance after this delivery: NIL

Inspected By (Signature): Name: William Chandra Designation: Quality Control Technician Department: Quality Control Department
Ref. SOP. NO. 107.8 Edition: 6 Date Effective: 01 June 2011

BORDEN CO. (PTE.) LTD.

Starting Materials Record
Date:

Appendix 1

No. 9 Jalan Kilang, Singapore 159409 Form SMR.11.L Label

Wednesday, March 28, 2012

Description of Item Received Quarantine status label

this document.

Quantity (Pieces) 1

Received by (Initial)

Date 28 March 2012

* Number of Quarantine labels printed: 2. Identical copy of Quarantine label is attached to

Ref. SOP. NO. 107.8

Edition: 6

Date Effective: 01 June 2011