B L LIFESCIENCES PVT. LTD.

Corporate Office: A-245, Okhla Industrial Area, Phase-I, New Delhi, India

SURFACE TEST REPORT

Document Ref. No. BL-MC-004-01B Effective Date 08-09-2021
Revision 01 Page No. 1 of 1

Sample Collection Date and Time: Sample Collected By: __________________

(Date and Time of Incubation) In: _________________________Out: ________________________________

Media Used: __________________ GPT no. of Media: _____________________

Class Sampling Site Recommended Limit Alert Action Result Remarks

Limit Limit

Class 100 <1 CFU/Site Any Any Growth

LAF Growth

Class < 50 CFU/Site <25 < 30

10000 CFU/Site CFU/Site

Garments <1 CFU/Site Any Any Growth

Class 100 Growth

Glove Point <1 CFU/Site Any Any Growth

(Five Growth
Fingers)
Class 100

Incubate inverted plates at 20o-25oC for 72 hours followed by at 30o-35oC for 48 hours.

Microbiologist: ________________ Manager quality:_________________

Date:__________________ Date:___________________

Manufacturing Site: Unit-II- D-31, Site IV, UPSIDC Industrial Area Greater Noida, Gautam Buddha Nagar, Uttar Pradesh-(India)-201306