Order No.

001 Finished Product Production Batch Record Page: 1 of 5

S PROCESSING UNIT | SURABAYA
Product Code Product: Wild Borneo Green Batch Lot
GH Mitragyna speciosa GH-001-DS
Name Signature Date
Prepared by Date of Final
QA Officer, Product
Processing Unit, Manufacture
Surabaya 01-Dec-20
Approved by Expiry Date
QA Manager TBA
Head Office

1. PRODUCT DETAILS
Description Finished Product: 5kg units
Form: Milled Powder | 03 screen
Variant: Green
Finished Production 1,000kg (200 x 5kg)
Batch Quantity

Packaging Finished Product Units of 5kg

Storage Conditions Cool, dry and dark

2. FINISHED PRODUCT PRODUCTION BATCH RECORD ISSUANCE

ISSUED BY: Issuer has reviewed the Batch Record to ensure that the copy is complete and
accurate copy of the Master Batch Record and includes records contained within the Production
Batch Tracking Sheet.
QA Officer. S Processing Unit, Surabaya
Print Name: Signature Date

ISSUED TO: Head Office. QA, Manager has reviewed the Batch Record to ensure that the Record
is complete and correct and is now responsible for the Batch Record and coordinating with QA,
Surabaya to ensure the Batch Record is tracked and recorded through to Finished Product Batch
Release and Export.
QA Manager. Head Office
Print Name: Signature Date

3. REFERENCE DOCUMENTS
Standard Operating Procedures (SOPs) 01 through 11.

BATCH NUMBER MANUFACTURING DATE EXPIRY DATE

GH-001-DS–S-0-336-A 1 December 2020 TBA
Order No. 001 Finished Product Production Batch Record Page: 2 of 5
S PROCESSING UNIT | SURABAYA
Product Code Product: Wild Borneo Green Batch Lot
 GH Mitragyna speciosa GH-001-DS
Name Signature Date
Prepared by Date of Final
QA Officer, Product
Processing Unit, Manufacture
Surabaya 01-Dec-20
Approved by Expiry Date
QA Manager TBA
Head Office

4. RAW MATERIALS
Description Ingredient Milled Leaf Milled Leaf Quantity Verified By/Date
Code Quantity Harvest Lot Staged
Required (kg) Area Codes
Mitragyna MSG 1,010KG
speciosa |
Green

5. PROCESSING EQUIPMENTS
Equipment Description ID No. Machine kg Equipment Performed Verified
Load Size Clean-Down By/Date By/Date

Blending Machine B-01 1,000kg

Filling Machine F-01 100kg
Filling Machine F-02 100kg
Filling Machine F-03 100kg
Filling Machine F-04 100kg
Vacuum Sealer V-01
Vacuum Sealer V-02
Vacuum Sealer V-03
Vacuum Sealer V-04

BATCH NUMBER MANUFACTURING EXPIRY DATE

GH-001-DS–S-0-336-A DATE TBA
1 December 2020
Order No. 001 Finished Product Production Batch Record Page: 3 of 5
S PROCESSING UNIT | SURABAYA
Product Code Product: Wild Borneo Green Batch Lot
GH Mitragyna speciosa GH-001-DS
Name Signature Date
Prepared by Date of Final
QA Officer, Product
Processing Unit, Manufacture
Surabaya 01-Dec-20
Approved by Expiry Date
QA Manager TBA
Head Office

6. PROCESSING CLEARANCE
Step Performed By/Date Verified By/Date
1. Review the Blending (Mixing)
Processing Area and verify that
Cleaning has been performed according
to Facility and Equipment Cleaning
Procedures Policy
2. Verify that the Processing Area does not
contain any items from previous batches
or cleaning activities and that no items
unrelated to the current batch are
present.
3. Processing clearance complete.
QA shall complete the Processing
Clearance Sign and affix it to the
Blending (Mixing) Processing Area
entrance.

7. PRODUCTION PROCEDURE
Processing Step Performed By/Date Verified By/Date
1. Load the Blender with the Batch Lots
noted to be staged in Point (4): Raw
Materials.
2. Blend (mix) the milled Mitragyna
speciosa leaf powder into a
homogeneous batch lot in accordance
with the Blender/Mixer Operations
Procedure

BATCH NUMBER MANUFACTURING EXPIRY DATE

GH-001-DS–S-0-336-A DATE TBA
1 December 2020
Order No. 001 Finished Product Production Batch Record Page: 4 of 5
S PROCESSING UNIT | SURABAYA
Product Code Product: Wild Borneo Green Batch Lot
GH Mitragyna speciosa GH-001-DS
Name Signature Date
Prepared by Date of Final
QA Officer, Product
Processing Unit, Manufacture
Surabaya 01-Dec-20
Approved by Expiry Date
QA Manager TBA
Head Office

8. FINISHED PRODUCT FILLING AND PACKING PROCEDURE

Step Performed By/Date Verified By/Date
1. Transfer the Blended Finished
Production Batch into the Filling
Machines (F01; F02; F03;F04) and fill
and seal in accordance with SOP 09:
Filling and Packing
2. Filling and sealing should be followed
as quickly as possible by labelling.
3. Affix Finished Product Batch Number
(#) labels to the final product packs in
the Clean Room.
4. Finish all product labelling in
accordance with the SOP 10: Packaging
and Labelling

9. STANDARD OPERATING PROCEDURES (SOP) COMPLIANCE

This confirms the supporting Standard Operating Procedures (SOPs) have been followed:
SOP#05; SOP#06; SOP07; SOP08; SOP09; SOP10; SOP11

Name Signature Date

Production
Quality Assurance

10. YIELD CALCULATION

Yield = 100 % x Bulk Milled Product + Rejects + Samples ÷ Weight of Milled Leaf Raw
Materials
= _______ (Specification: XX – YY %)

BATCH NUMBER MANUFACTURING EXPIRY DATE

GH-001-DS–S-0-336-A DATE TBA
1 December 2020
Order No. 001 Finished Product Production Batch Record Page: 5 of 5
 S PROCESSING UNIT | SURABAYA
Product Code Product: Wild Borneo Green Batch Lot
GH Mitragyna speciosa GH-001-DS
Name Signature Date Date of Final
Prepared by Product
QA Officer, Manufacture
Processing Unit, 01-Dec-20
Surabaya Expiry Date
Approved by TBA
QA Manager
Head Office

11. POST-PRODUCTION BATCH REVIEW

The complete Post-Production Batch Record has been reviewed for completeness and accuracy.
All pages are complete and all entries conform to Good Production Documentation Practices.

Name Signature Date

Operations Manager
QA Officer
QA Manager

12. FINISHED PRODUCT BATCH RELEASE

The material produced through the execution of this Batch Record is hereby verified and released by
QA according to Product Release Procedure.

The product conforms to Finished Product Specification: Wild Borneo Green (BG)

Certificate of Authenticity (COA) No: ___________ Date: ____________

Name Signature Date

Operations Manager,
Surabaya
Quality Assurance Officer,
Surabaya
Quality Assurance, Manager.
Head Office

BATCH NUMBER MANUFACTURING DATE EXPIRY DATE

GH-001-DS–S-0-336-A 1 December 2020 TBA