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Corrective Action<br />

QUANTERRa LABORATORY NONCONFORMANCE MEMO (NCNI)<br />

PACE 2 OF 2<br />

Root Cause 1 nitkLI and date:<br />

LOGO: RD-93-<br />

1, hlrCC^ ^iiu^ s- ( n6o u)GnewPDtU^- ^r^¢>i^C -<br />

Corrective Action Initial and Date: (1q C<br />

Responsibility for performing CA assigned to:<br />

Actions to prevent recurrence Initial and Date:<br />

First Level Supenisor<br />

Responsible Manager: o /<br />

__Ouality Assurance Review<br />

Dy al/ omaly<br />

O Further action required:<br />

Assi gned to:<br />

QA signature:<br />

Corrective Action Ve rification<br />

11 Verified<br />

^' 4<br />

0 Cannot Verif} (specify reason): 1 ^ (` I<br />

Nonconformance demo Closure<br />

QA signature/date:<br />

Date:<br />

Date:<br />

Cl Deficienev O Rerun<br />

Date:<br />

/<br />

n<br />

CO5<br />

_

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