4.3 Dedication of Equipment at Re-packager Is the material repackaged on Yes equipment? No; Explain what other materials are produced on the same equipment and how cross-contamination is prevented: 4.4 Origin of Material Completion Not Required If Box Checked Does the product involve the use of Yes; Please complete this form, plus Adventitious materials (i.e. Animal, Agents Addendum Human Origin, or other biological e.g. microbial fermentation)? No; Please complete this form only Dedication of Equipment at Source Manufacturer: Is the material manufactured on Yes equipment? No; Explain below what other materials are processed on the same equipment and how cross-contamination prevented: Is the material packed on Yes No equipment? Dedication of Equipment at Re-Packager: Is the material repackaged on Yes equipment? No; Explain what other materials are produced on the same equipment and how cross-contamination is prevented:
4.3 Dedication of Equipment at Re-packager Is the material repackaged on equipment? Yes No; Explain what other materials are produced on the same equipment and how cross-contamination is prevented: 4.4 Origin of Material Completion Not Required If Box Checked Does the product involve the use of materials (i.e. Animal, Human Origin, or other biological e.g. microbial fermentation)? Yes; Please complete this form, plus Adventitious Agents Addendum No; Please complete this form only Dedication of Equipment at Source Manufacturer: Is the material manufactured on equipment? Yes No; Explain below what other materials are processed on the same equipment and how cross-contamination prevented: Is the material packed on equipment? Yes No Dedication of Equipment at Re-Packager: Is the material repackaged on equipment? Yes No; Explain what other materials are produced on the same equipment and how cross-contamination is prevented:
160218-standard-supplier-raw-material-technical-questionnaire-1.docx