Quality Control Incident Report


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QUALITY  CONTROL  INCIDENT  REPORT:  2013-­‐2015  School  Years:   In  order  to  proceed  with  the  Quality  Control  investigation,  please  provide  the  following  information  to   your  Nutrition  Specialist  (NS),  and/or  Staff  Aide  AND  notify  the  vendor:   Date  of  Incident:  Briefly  describe  incident:     Product  /situation  involved:   Amount  (  of  pounds/cases/packages)  of  defective,  damaged  or  bad  product:   Brand  of  Product:   Stock    (4  digit  order   ):       Product  Code   :   Delivery  Date:     Service  Date  (date  featured  on  menu):       Production  Date  of  Product  (usually  stamped  on  box):   Expiration  Date:     Include  any  other  numbers  or  information  you  can  provide..

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