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Manufacturer's serial release test report

This page is part of the Guidance Document Repository (GDR).

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Company name
Canadian veterinary biologics establishment licence number
Telephone – facsimile

Assigned name:
Trade name:

CCVB file number:
Serial or sub-serial number:
Fill date:
Container size (doses, mL or units):

Outline of Production date:
Expiration date:
Number of containers:
Total number of doses or kits:

Test and
reference
Date on test
yyyy-mm-dd
Date off test
yyyy-mm-dd
Test
requirements
Test results Code

Code legend

  • S = Satisfactory
  • I = Inconclusive
  • U = Unsatisfactory
  • NT = No test

(Page break may be added here. Include company name, Canadian veterinary biologics establishment licence number, CCVB file number, and serial or sub-serial number in the header information on all subsequent pages)

Company name
Canadian veterinary biologics establishment licence number
Telephone – facsimile

Disposition by manufacturer

CCVB file number:
Serial or sub-serial number:
Expiration date:
Eligible for release:
Destroyed:
Other:

Name, title, signature, and date:

Disposition by Canadian Centre for Veterinary Biologics

Not to be tested:
Tested, satisfactory:
Tested, unsatisfactory:
Other:

Eligible for release:
Not eligible for release:
Other:

Name, title, signature, and date: