Format Rev. Dt.

01/11/2020
Document No. QUA-FOR-001-00 Page 1 of 1
Review before
COA for Raw Material 01/11/2022

LABORATORY ANALYSIS REPORT

Report No.:

1 Name of Sample
2 Supplier’s Name
3 Received Date
4 Quantity Received
5 Sample Qty
6 Analysis Date
7 Bill No. & Date

SR. NO. PARAMETERS SPECIFICATION RESULTS

1. Description
2. Colour
3. Total Height (mm)
4. Diameter at Top (mm)
5. Diameter at Bottom (mm)
6. Major Axis at Top (mm)
7. Major Axis at Bottom (mm)
8. Minor Axis at Top (mm)
9. Minor Axis at Bottom (mm)
10. Brim-full Capacity (ml)
11. Weight (g)
12. Neck Height (mm)
13. Neck Diameter (Outer) (mm)
14. Neck Diameter (Inner) (mm)
15. Alcohol and Acetone
Resistance Test
16. Printed Text Matter
STATUS Accepted / Rejected / On Hold - Accepted
REMARKS The product Complies / Does not complies with the above specifications

Analyzed By Approved By

Jr. Testing Officer Qc Manager

Date: Prepared By Reviewed By Approved By