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PRODUCT(S):

PLANT NAME: ISSUE DATE


ADDRESS: SUPERSEDES N/A

Receiving Log
Date/Time Vendor Item Name Temperature Check Quality Check Total Any Rejected Receiver
Items Items/Discrepancies

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

▢ Dry Items show signs of


▢ Cold ( ___ºF) physical damage? ▢ YES
▢Frozen ( ___ºF) ▢ YES ▢ NO
▢ NO

Verified by:
Date of Review:
FDAreader.com
v2019.02.13

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