Certificate of Analysis — Sample Template
Hydrogen Water Tablets · format issued with every shipment lot · DOC-H2COA-V1
H2Life Health Manufacturing Co., Ltd.
Production entity: Shandong Shengkang Health Industry Co., Ltd.
h2life@hydrogenoem.com
SAMPLE TEMPLATE — the figures below are placeholders. Each real COA is issued per production lot with tested values, and a filled example (9-item factory report) is available on request.
Lot information
| Product name | Hydrogen Water Tablets (customer brand per order) |
|---|
| Specification | 15 g per box (0.5 g / tablet × 30 tablets) |
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| Batch / Lot No. | [ filled per lot ] |
|---|
| Production date | [ filled per lot ] |
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| Expiry date | [ production date + 24 months ] |
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Test results
| No. | Inspection item | Requirement | Result | Conclusion |
|---|
| 1 | Color | Conforms to the proper color of the product variety | [ per test ] | Passed |
| 2 | Shape | Intact block shape, uniform size, no cracks or deformation | [ per test ] | Passed |
| 3 | Texture | Firm, not loose, dense cross-section, non-sticky | [ per test ] | Passed |
| 4 | Taste & odor | Conforms to the unique taste and odor, no abnormal odor | [ per test ] | Passed |
| 5 | Impurities | No visible impurities to normal eyesight | [ per test ] | Passed |
| 6 | Loss on drying / % | ≤ 5.0 | [ per test ] | Passed |
| 7 | Total plate count (CFU/g) | n=5; c=2; m=10⁴; M=10⁵ | [ per test ] | Passed |
| 8 | Coliforms (CFU/g) | n=5; c=2; m=10; M=10² | [ per test ] | Passed |
| 9 | Net content (g) | 15 | [ per test ] | Passed |
Optional third-party tests (on request)
| Item | Provider |
|---|
| Dissolved H₂ concentration (ppb / ppm) | SGS or designated third-party lab |
| Heavy metals (Pb, As, Cd, Hg) | SGS or designated third-party lab |
| Full microbiology panel (yeast & mold, Salmonella, S. aureus) | SGS or designated third-party lab |