APIC 原料药亚硝胺风险评估报告模板-(中英文对照版).docxVIP

Page Page PAGE # of 9 Page Page PAGE # of 9 REPORT ON THE RISK OF POTENTIAL PRESENCE OF NITROSAMINE IMPURITIES 关于潜在存在亚硝胺杂质的风险报告 Document ID:文件ID: MATERIAL 物料 Name: …………… 名称 Material code(s) : 材料代码 MANUFACTURER (refers to the manufacturing site) 制造商(指生产工厂) Name:………………………………………………… 名称 Address:………………………………………………… 地址 This report was completed by [person / central service]: 这份报告由[个人/中心事务]完成: ?Name and position: ……………………………………… 姓名和职位 ?E-mail address: …………………………………………… 电邮地址 ?Postal address: ………………………………………… 邮寄地址 Declaration: 声明: The current manufacturing process of (the name of the substance)