Page: 1/14 PHIRU THU NGHIEM VI SINH HANG NGAY KHU VYC VO CHAIVO TRUNGSO2 TEST SLIP OF MICROBLAL TEST FOR 2"® ASEPTIC FILLING AREA ~ DAILY MONITQHING 2 css 1. Miu, m6i trudng vi digu kign thir nghigm/ Sample, medium and test condition a= i M& phong/ Room code EFIIO / San pham, 16/ Product, Lot CIve Fil BF Negay ly méu/ Sampling date 46.06 24 275°C 425°C, Nit 49 W/ Incubation emp.) 5 vpty/ 5 days Tryptic Soy Agar with Polysorbate and Lecithin (SCDLP agar) ee ee Dia thaoh/ Plate agar Dia tidp xtie/ Contact plate $6 16 dia/ Lot number of plate GOP: S005 2S Han ding/ Expiry dae 2407 23 250] 3 86 phuong phap thir nghigm/ Testing method no. LA -f0 12 IL. Két qua/ Results TLL Thir nghigm lay mau khong khi/ Air sampling test Tinh trang dia trude khi sir dung/ The status of agar | $6 wong dia dem U sau khi lly mu! Quantily of Plate before using _ incubated agar plate after sampling: J5//g p¢ 23 Natiyén ven! Integrity 3 Khée/ Other: Nh SC 16 06 73) ‘Ma may lay mau khong khi/ Air sampler ID:(00/ $0), (#03, Mia 36 th im | Incubator ID: YS7 Han higu chudn/ Expiry calibration dateiiys 08. 2074 15.02. tox Han higu chuin/ Expiry calibration date: 0.05 L024. | Tinh trang Gia sau khi a/ The status of agar plate after | 86 tweng dia da doe két qua sau khi &/ Quantity of incubating read agar plate after incubating: 4 ¢ 9,4) |__CNguyén ven/ Integrity) Khae/ Other: \\h Tigu chuin/ Specification (cfu/plate): Grade A <1( action > 1); Grade B < 10 (alert > 5, action > 10) Két qua doc “ pene eee Result (cfu/m*) eer a 7 6 | My méu — ‘| igudi | Newdi aS) Nady Iby mae so | 88 | Banh | NEE | aoe | doe vige No. mau gid ne Ww a Working| eet Sampling | of | sampter-| 788 | wong | MP" levatuation 8948 | reader | Reader irade| point | date | xhadgy | née date shift |people| Sampling | No. of 1 2 lpresen:| date No. of | NO. bacteria peer lg saXoaog| 1 6 | ° B (supply cap) | 0 0 1: 26-2. s ‘Baan ) (supply nozzte| 1 L 4 0 Gas > ik ail oz Dawe: “ae 4 |46-06.25 16 Ge hh {Ha st ov oF P26 062A 0 | 0 | me |e 06- 48 | thenh otoP ogi 0 0 E laki2r® obai| © d iF Ege 0. 0 4 honPHIEU THU NGHIM VI SINH HANG NGAY KHU VC VO CHAI VO TRU TEST SLIP OF MICROBIAL TEST FOR 2° ASEPTIC FILLING AREA ~ DAILY MONH Page: 2/14 KA qui dye News] News ene ca | cép | piémily | e8) | My mba | aay, et Neudi | Newei bam vgs] 40a |e | Ne 56 | 55, | oann axe |Nety toe] Oa | NESE Working] sach | Sampling | OF" | sampler | Test | tuyng | MME [Evaluation NerdlM® | Reader | Reader shift |Grade| point people| Sampling | #@ | khudn/ No of 1 2 resent] date No. of | 0, eel bacterial Yea Pass) 0.232104 A 0 0 Fail A Pass) (supply cap) | a | 0 ai MAb 2| Fail B |upply nozzle)| | poi 0 0 b= 4 A M0: 02-10: 16,06. 15 (064 44.06.45 | than Year vaso 4 o | o wkuntt © oj luocene| 0 p | F i q wtan|? 0 A |] B / (supply cap) | (su te Pass ipply nozzle)Page: 3/14 PHIEU THU NGHIEM VI SINH HANG NGAY KHU VC VO CHAI VO TRI TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA ~ DAILY | resent] date No. of lof yeast bacterial molds KE qui doo Nowoi| New Result ; 6 | ly miu — tum ; ; Clip | Diém ly Negay (cfu/m*) Nguoi | Nguoi 46 mdu mat | Naty tty | sé | sé | Dinh gia doe W/ | doe 2h sach | Sampling | 32 | come, | Test | wong | tueng [Evaluator Reader | Reader Grade] point” | ete] Serprtng | ate | Khuhn/ Judy Ho 7 2 A B (supply cap) B \(supply nozzle) a c Pass D PassPage: 4/14 PHIEU THU NGHIEM VI SINH HANG NGAY KHU VC VO CHAI VO TRUNG SO. XG arvo mona eG 2 TEST SLIP OF MICROBIAL TEST FOR 2” ASEPTIC FILLING AREA ~ DAILY MONITQRING_ 11.2 Thit nghigm di dia IchOng khi/ Settling plate test seme Tinh trang dia trude khi sit dung/ The status of agar plate before using —Nguyén ven/ Integrity 7 Khie/ Other: \\\ S6 lugng dia dem sau incubated agar plate after sampling: 14/6674) Ma sé ti fim / Incubator ID: VG05 ‘Tinh trang dia sau khi / The status of agar plate after incubating — _ (Nguyén ven/ Imegrity) —_ Khéel Other: Han higu chuan/ Expiry calibration date: 70.) pp Sé lugng dia da doc két qua sau khi 0/ Quantity of read agar plate after incubating: yy) ( 44 (6.45 ) iu chuan/ Specification (cfu/plate): Grade A <1( action > 1); Grade B 10 (alert > 5, action > 10) 7 Két qua doe! i lbidm ty] Novsi | Noty tly [Naay | ce Newoi | Newoi Gia ig ic - mad (le 0 ha fanaa onda” [a | CRA ae INety doe | age 1 | age 2/ Sampling | 58°1, [Sampling] people | Sampler —| Test |S6 lwong|Sé Iwong|eyatuarion date |Reader | Reader hour eraae) point | present | Sampling | date Khudn! |ndm/ No. ae i 2 dala! No. of |of yeast/| bacterial molds | (Pass) A lo a |o Fail e 0 0 0 c 0 Gus OAT a 0 phe o D 0 4-06.13 Vb062 o 0 4.06.85 | thank E 0 06.2: : 0 F 0 6 0 BY] Q| { 0 a is 0 0 0 BO 0 | 0 c ty in i) Lo 0 0 AS a8 DIO i? 16. 06. 22\/6.06.4 z oD 0 0 iE, 0. 0 0 Bg 1 o | 0 A B cPage: 5/14 PHIEU THU’ NGHIEM VI SINH HANG NGAY KHU VYC VO CHALVO TRUNG SO 2 TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA — DAILY MONTTORINGi~ ——~) Két qua does ao Ngudi- Result ESE Gio | Cip | Dim [Newel es! neay ity |Neay iat tiy miu | 4d) Jody mda) 8 | iba” ("SY | Cetuolate) | ann gia Peeemiaee | aoe 1/ | dge 27 Sampling | sach \Samplin; opie | Sampler - | Test (s6 lwgng|$6 lugng|Evaluation date Reader | Reader hour |Grade| point | P&OP™ | Sampling | date | khuan/ |ndm/ No. v 2 ” date No. of | of yeast/| bacteria| molds A F B Q A B c A D E F B Q A B ¢ A D E ”PHIEU THU NGHIEM VI SINH HANG Nt TEST SLIP OF MICROBIAL TEST FOR 2 ASEPTIC FILLING AREA ~ DAILY IL3 Thir nghiém ging tay, quan 4o/ Sampling personnel test Page: 6/14 INIEOR ERIS bo rsng Sivan . (GAY KHU VUC VO CHAI VO TRI Tinh trang dia trde khi sit dung/ The status of agar plate before using ~ ven! Integrity} Khac/ Other: Ni Sé lwong dia dem ti sau khi ldy mw Quantity of incubated agar plate after sampling: 10/6 04 24) Ma sé tim / Incubator ID: V5 (15 Han higu chudn/ Expiry calibration date: 4). 20 A Tinh trang dia sau khi / The status of agar plate after incubating (Nguyén ven! Imegrity) _ Khde/ Other: INb ‘SO luong dia da doc két qua sau khi W/ Quantity of read agar plate afer incubating: 30 (wx) ‘Tigu chuan’ Specification (cfu/plate): Grade A <1( action 2 1); Grade B < 10 (alert > 5, action > 10) Neuai - Két qua Result Than | pity | Donvi | Ney Hy | gay g eter Naty | Newoi | Nguoi pee eae ‘ah ee Ts6 jung] 4 lwone] Banh git | doc | doe 1/ | age 2/ Bison | sampling | th — | sampler] test {6 !¥9°8)"" akin | Evatuation| Reading | Reader | Render Eneloyee | Sr Un | Sampling} date | Nel" | no. of date 7 2 ae bacterial Yeast 7 iaiiglowe Sih EE tn zt CA) [et pul a) 4p Bt etuplae hs 06. 23 7 Fail Left sleeve ) o 06:43 Tghsleve os 13} a 0688 | taal | Pad Niue Higham | etwstingers 4 CD | Feaa’ lc 0 0 6696 [ches 2 0 0 Steuer | crwpiae | 16.0675 0 2 COAT Right steeve 6 1 7 Left glove. 0 Jr” | atiaiereT ustogers pi A Tiead MC 0 0 Dig (ee cae L Shoulder cfurplate [46.06.22 @ 0 Left sleeve 0 0. of Right sleeve o. O ; Left glove o 0 x ria tne [ fas A Head i Sos Pe ta Ga Shoulder] plas 6.06.24 G a Hal [Katt steeve | Coo 85K | iter Conn Left glove 0 0 “fu/ Stir me Right glove | MP MnEe Tet a, ian) oF 7 Pail |PHU THU NGHIEM VI SINH HANG NGAY KHU VYC VO CHAI VO TRU! NC SOT esi —— eT sion: TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA ~ DAILY M¢ Page: 7/14 Ten nhan, Employee name-Time Diém lay. mda Sampling point Bon yj tinh Unit Nguoi — Naty lay mau Sampler campling date Ngay a Test date Két qua Result (efu/plate) $8 iugnglS6 twome| Ant wis khudn/ No. of bacteria Indin! Nes| Evaluation lof yeast/| molds aS Neay doc Reading date Newdi doc 1/ Reader 1 Newoi doc 2/ Reader 2 Left giove Right glove ofw5fingers Head Chest Shoulder Left sleeve Right sleeve cfw/plate 46.06. 23| M06. J, (eas) Fail Left glove | Right glove cfi/Sfingers Head Chest Shoulder Left sleeve Right sleeve cfu/plate ass. Fail Left glove Right glove cofi/Sfingers| Head Chest Shoulder Left sleeve Right sleeve cfivplate Left glove Right glove cofiwSfingers Head Chest Shoulder Left sleeve Right sleeve cfwiplate Fail Left glove Right glove P| itead cofu/Sfingers ‘Chest Shoulder Left sleeve Right sleeve ofu/plate Pass) Fail EELLEELEELEEELE CEEEELEELEEEEE EEE PPPPPPPPEPrerrererete blob I= KEEELE Lt. 06.45 Thanh Left glove Right glove ofw/Sfingers Head Chest [Shout Left sleeve Right sleeve cfuiplate Pass h Left glove Right + fw/StingersPage: 8/14 PHIEU THU’ NGHIEM VI SINH HANG NGAY KHU VUC VO CHAI VO TRUNG TEST SLIP OF MICROBIAL TEST FOR 2” ASEPTIC FILLING AREA ~ DAILY MO! ‘Ten nhan vign- Thii ‘gian Employee name-Time idm iy miu Sampling point Left glove Right glove Head Chest Shoulder Left sleeve Right sleeve Left glove Right glove Head ‘Chest Shoulder Left sleeve Right sleeve Left glove Right glove Head Chest Shoulder Left sleeve Right sleeve Left glove Right glove Head Chest Shoulder Left sleeve Right sleeve Left glove Right glove Head Chest Shoulder Left sleeve Right sleeve Left glove’ i glove. i Chest oul Left ofwSfingers cefwplate fwSfingers cfiu/plate ef/Sfingers cfuplate cofwSfingers cfu/plate cefi/Sfingers cfu/plate Newei - Neay Idy mau Sampler -| Samplinig date Test date Neay t Foon To Két qua Result _— (cfu/plate) , Naty | Newor | NedT ISO iwengls6 tugne| PAnh eid | doc | doe t/ | doe 2 Khutel Iden! We] Evaluation | Reading | Reader | Reader No. of \of yeast/| date 1 2 bacteria| moldsPHIEU THU NGHIEM VI SINH HANG NGAY KAU VYC VO CHAI VO TRUNY TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA ~ DAILY MO] Save: ni eam Navel Kt qua Result ienent ee vignthor | Didm iby Ngay ly | pay (cfu/plate) Ngay | Newoi | Nguoi en Toi | Pi on vitinh | hy” | Nady a ISO iugnglS6 wong] Pénh gid | doe | doc 1/ | age) Fnbtovee | Sampling Unit — [Sampler -| Test re indm/ Ne] Svatuation| Reading | Reader | Reader name-Time | Point Sampling) date | Ny (am, ae : a iate bacteria| molds Left glove | oa stinsen Right glove | “Stingers Head Chest eee Shoulder} cfu/ptae eal Left sleeve Right sleeve Leftglove Right glove Head Chest Shoulder] cfu/plate Left sleeve Right sleeve Lefi glove Right glove Head Chest : Shoulder | cfu/pate oo Left sleeve Right sleeve Tei glove [Rights], Stingers Head Chest Shoulder] ctwplave Left sleeve Right sleeve | Left glove Right glove Head Chest Shoulder | —efu/plate Left sleeve Tight sleeve Leftgiove Right glove Head cfu/Sfingers Pass Fail cfw/Sfingers Pass Pass Fail cfi/Sfingers Pass Fail ‘Chest Shoulder Loft letPHU THU NGHIEM VI SINH HANG NGAY KHU VC VO CHAL VO TEST SLIP OF MICROBIAL TEST FOR 2” ASEPTIC FILLING AREA ~ DAIE Snow Page: 10/14 Ten nhain vign- Thai an Employee name-Time ‘idm tby miu Sampling Point Bon vj tinh Unit Ngeti= Ney My my Sampler Samplin date Negay o Test date K&L qua Result (cfuplatey 'Sé lugng]S6 luong| khudn/ |ndm/ No. No. of lof yeast/| bacterial molds rae Ney Banh gid | doe Evaluation | Reading date Left glove Right glove cofiwSfingers ‘Head Chest Shoulder Left sleeve Right sleeve cfuw/plate Pass of Left glove Right glove efwSfingers Head Chest Shoulder Left sleeve Right sleeve cfwiplate Pass Fail Left glove Right glove cfw/Sfingers Head Chest [Shoulder Left sleeve Right sleeve cfi/plate Pass Fail Left glove [Right glove cfu/Sfingers| Head Chest Shoulder Left sleeve Right sleeve cfu/plate Pass Fail Left glove Right glove cfivSfingers ‘Head Chest Shoulder Left sleeve Right sleeve fu/plate Pass Fail Left glove ‘Right glove efi/Sfingers Head Chest Shoulder Left sleeve Right sleeve Pass Fail ra pe | ae fee ceaPHIéU THU NGHIEM VI SINH HANG NGAY KHU VYC VO CHAI VO TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA ~ DAILY Page: 11/14 ‘Ten mhan vign- Thoi ‘gian Employee name-Time iém tly mau Sampling ine Bon vj tink Unit Newai — Naty dy miu Sampler ~ ‘Sampling date Neay o Test date K&t qua Result (cfu/plate) (S6 Iwong/S6 lugng| ‘khudn/ |ndm/ No. No. of |of yeast/| bacteria| molds anh gid Evaluation fora Nay doc Reading date Newdi doc 1/ Reader Neuiri doc 2/ Reader Left glove Right glove cofi/Sfingers Head Chest Shoulder Left sleeve Right sleeve cfi/plate Pass Fail Left glove Right glove cfu/Sfingers Head Chest Shoulder Left sleeve Right sleeve ofivplate Pass Fail Left glove Right glove cofiwSfingers ‘Head ‘Chest Shoulder Left sleeve Right sleeve cftu/plate Pass Fail Left glove Right glove cfi/Sfingers ‘Head Head Shoulder Left sleeve Right sleeve efivplate Pass Fail Left glove efstinges | Right glove Head Chest Shoulder Left sleeve Right sleeve ‘cfuiplate Pass Fail love ght glove Lead Chest Shoulder ‘Left sleeve Right sleevePage: 12/14 PHIEU THU NGHIEM VI SINH HANG NGAY KHU VUC VO CHAI VO TRUNG SO 2 TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA — DAIL} Regan Fenn 14 Thit nghigm bé mit Surface equipment test Same: dia truée khi sit dung/ The status of agar | S6 lugng dia dem 0 sau khi inh tr plate before using incubated agar plate after sampling: 16 (4606 74.) 1); Grade B < 10 (alert > 5, action > 10) agar plate after incubating: 4, (440643) nr Két qua doe Nguoi ldy Result Ten ip |mau—Neay| pay a | (efwplate) | Ngty | Newsi | Nguoi pong | Diém tly miu | ag | ldy mau | 20) panh gid | doc | doe 1/ | age 2/ Room | Sampling point | sach | Sampter—| Tes! |86 twong|S6 twong| Evaluation| Reading | Reader | Reader name Grade | Sampling ‘kuti’ Jnden/ Vo date 7 2 date No, of |of yeast/\ bacterial molds Bén trong Sas) ass Khu vite Robot! 0 0 Goss Inside Robot area Bén trong Pass. Ku vye v6 chai! 0 0 es Inside filling area Bén trong Khu ve déng nét/ 0 0 ass) Inside nozzle Fail knocking area os Bén trong, Mik ° 5 Cy Buing | Phéu cap chai Ab-06.27) 16.06. 24, 0 ass) Jolt C6. 45 | thanby ¥ oy Inside bottle Fail el supply hopper : Tay cdm Tits | neu chp chav |“ 0 (Pass) Handle of bottle 6 Fail (F110) |__supply hopper Bén trong rém _ khu vue ep chai/ 0 ‘4 Pass Inside curtain of Fail bottle loading area Bén trong. phéu edp mit’PHIEU THU NGHIRM VI SINH HANG NGAY KHU VC VO CHAI VO TRI TEST SLIP OF MICROBIAL TEST FOR 2"? ASEPTIC FILLING AREA ~ DAILY. Page: 13/14 Ten phong Room name Diém lay miu Sampling point chp 46 sach Grade Newdi ty imdu — Neds léy miu Sampler ~ Sampling date Neay Test date Ké qua age Result (cfu/plate) 86 86 lugng | long khudn/ |ndm/ No,| No. of |of yeast/| bacteria) molds Dénh gid Evaluation Neay doc Reading date Newoi doc 1/ Reader Nguoi dc 2/ Reader Bén trong phéu cfip nfip/ Inside cap supply hopper Tay clim phéu cap niip/ Handle of cap supply hopper Bén trong rém khu vye cdp nip, nit Inside curtain of nozzle, cap loading area poe vol chai Filling booth Tay cim cita Khu vy cp dé/ Door handle of return holder area pla Ab-06- tb {6.06.24 cL. 0b. 5 Fail (EFI10) Tay cdm cita khu vue Robot! Door hamle of Robot area ‘Tay ci cita khu vue v6 chai Door handle of illing area ‘Tay cam cba hu ve déng nat! Door handle of ‘thunh,Page: 14/14 PHIEU THU NGHIEM VI SINH HANG NGAY KHU VUC VO CHAI VO TRI TEST SLIP OF MICROBIAL TEST FOR 2° ASEPTIC FILLING AREA ~ DAILY M¢ TIL Két ludin/ Conclusion: | Lay mau khong khi/ Air sampling Dat! Pass.) Khong dat/ Fail J Dit da/ Seng plate But Pass) Khong dat/ Fail J BE mit thidt bj / Swyface equipment Dat/ Pass) Kh6ng dat/ Fail J ‘Mau gang tay, quin éo/ Sampling personnel (Dat! Pass”) Khong dat/ Pail J an ndi dung/ Content verified Neay/ Date: LA. 00. dd, Neay/ Date: 27.06.23 Nguti bao céol Reporter: ‘Ngudi kiém tra/ Verifier: