R01176 Coa
R01176 Coa
Rev : 00
Monograph Version Number : 1
Raw Material Name GRAPE SKIN POWDER EXTRACT (20% Supplier Name NATUREX
POLYPHENOLS)
Raw Material Number R01176-NATUREX-Bag Supplier Lot Number A139/039/A15
Herbalife Lot Number A139/039/A15 Date Received 3/24/2016
Container Type Bag Manufacturer NATUREX
Receipt Condition Meets requirements Storage Condition Protect from light
Requestor:
Name: HP3 QA
Department: HP3-QA
Company: US-HLF
Address: 990 W. 190th Street, Torrance CA 90502
Email: [email protected]; [email protected]
Telephone #: (310) 410-9600 x52553
This document is generated from a validated laboratory management information system compliant with 21 CFR Part 11. These results apply only to the items tested.
This report shall not be reproduced, except in its entirety, without the written approval of Herbalife.
Approved By:
Piyush Purohit
Ë20161603120NÎ
20161603120
QC Supervisor
Page 1 of 1 20481 Crescent Bay Drive|Lake Forest,CA 92630 - United States | TEL +1-949-454-4800
5/18/2016 8:00:05PM Joaquin Lo