LOG CATATAN SUHU Bulan/Tahun : Oktober 2019

Month/Year
TEMPERATURE LOG

Kode projek/nomor protokol Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

: 19-05-0535
Project code/protocol number Study Site

Produk yang disimpan Produk uji: susu dengan suplementasi laktoferin sapi (bovine)
:
Stored product Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo)
o
Informasi penyimpanan : Suhu ruang (25-30 C)
Storage requirement
o o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

8 08.00 32.1 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

9 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

10 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

11 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

12

13

14 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

15 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

16 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

17 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

18 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

19

20

21 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

22 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

23 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

24 08.00 32.0 35.0 27.4 RA 16.00 32.1 34.7 26.5 RA

25 08.00 31.8 34.2 26.7 RA 16.00 31.4 34.2 27.2 RA

26

27

28 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

29 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

30 08.00 32.0 35.0 27.4 RA 16.00 32.1 34.7 26.5 RA

31 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama
Principal Investigator

Kode projek/nomor protokol : 19-05-0535 Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 1 of 9
 November 2019

LOG CATATAN SUHU Bulan/Tahun : Oktober 2019

Month/Year
TEMPERATURE LOG

Project code/protocol number Study Site

Produk yang disimpan Produk uji: susu dengan suplementasi laktoferin sapi (bovine)
:
Stored product Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo)
o
Informasi penyimpanan : Suhu ruang (25-30 C)
Storage requirement
o o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

1 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

4 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

5 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

6 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

7 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

8 08.00 32.1 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

10

11 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

12 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

13 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

14 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

15 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

16

17

18 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

19 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

20 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

21 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

22 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

23

24

25 08.00 31.8 34.2 26.7 RA 16.00 31.4 34.2 27.2 RA

26 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

27 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

28 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

29 08.00 32.0 35.0 27.4 RA 16.00 32.1 34.7 26.5 RA

30

31

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama
Principal Investigator

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 2 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

Desember 2019

Kode projek/nomor protokol Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

: 19-05-0535
Project code/protocol number Study Site

Produk yang disimpan Produk uji: susu dengan suplementasi laktoferin sapi (bovine)
:
Stored product o Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo) o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

2 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

3 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

4 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

5 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

6 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

9 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

10 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

11 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

12 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

13 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

14

15

16 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

17 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

18 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

19 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

20 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

21

22

23 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 3 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

24

25

26

27

28

29

30

31

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama

Principal Investigator

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 4 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG Januari 2020

Kode projek/nomor protokol Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

: 19-05-0535
Project code/protocol number Study Site

Produk yang disimpan Produk uji: susu dengan suplementasi laktoferin sapi (bovine)
:
Stored product Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo)
o
Informasi penyimpanan : Suhu ruang (25-30 C)
Storage requirement
o o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

6 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

7 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

8 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

9 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

10 08.00 31.6 33.5 25.8 RA 16.00 32.0 34.6 26.2 RA

11

12

13 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

14 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

15 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

16 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

17 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

18

19

20 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

21 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

22 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

23 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

24 08.00 31.6 33.5 25.8 RA 16.00 32.0 34.6 26.2 RA

25

26

27 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

28 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

29 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

30 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

31 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama
Principal Investigator

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 5 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

Februari 2020

Kode projek/nomor protokol : 19-05-0535 Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

Project code/protocol number Study Site

Produk yang disimpan : Produk uji: susu dengan suplementasi laktoferin sapi (bovine)

Stored product Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo)
o
Informasi penyimpanan : Suhu ruang (25-30 C)
Storage requirement

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 6 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

o o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

3 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

4 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

5 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

6 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

7 08.00 31.6 33.5 25.8 RA 16.00 32.0 34.6 26.2 RA

10 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

11 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

12 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

13 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

14 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

15

16

17 08.00 31.0 34.3 27.3 RA 16.00 31.6 35.4 26.3 RA

18 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

19 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

20 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

21 08.00 31.6 33.5 25.8 RA 16.00 32.0 34.6 26.2 RA

22

23

24 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

25 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

26 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

27 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

28 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

29

30

31

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama

Principal Investigator

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 7 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

Maret 2020

Kode projek/nomor protokol Sentra penelitian : Basecamp Penelitian Laktoferin IDAI

: 19-05-0535
Project code/protocol number Study Site

Produk yang disimpan Produk uji: susu dengan suplementasi laktoferin sapi (bovine)
:
Stored product Produk pembanding: susu tanpa suplementasi laktoferin sapi (bovine) (plasebo)
o
Informasi penyimpanan : Suhu ruang (25-30 C)
Storage requirement
o o
Suhu ( C) Suhu ( C)
o o
Tanggal Jam Temperature ( C) Jam Temperature ( C) Catatan
PIC PIC
Date Time Aktual Maks Min Time Aktual Maks Min Remarks

Actual Max Min Actual Max Min

2 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

3 08.00 31.7 34.5 25.2 RA 16.00 32.1 34.5 25.4 RA

4 08.00 32.0 34.5 28.5 RA 16.00 31.7 34.4 26.5 RA

5 08.00 31.8 34.5 27.5 RA 16.00 31.8 34.3 27.4 RA

6 08.00 31.6 33.5 25.8 RA 16.00 32.0 34.6 26.2 RA

9 08.00 31.8 34.5 25.8 RA 16.00 32.0 34.6 26.2 RA

10 08.00 32.3 35.6 24.7 RA 16.00 32.5 35.2 28.0 RA

11 08.00 32.0 35.6 24.7 RA 16.00 31.6 35.2 28.0 RA

12 08.00 31.6 34.3 28.0 RA 16.00 32.1 34.5 28.3 RA

13 08.00 32.1 34.3 26.5 RA 16.00 32.1 35.2 26.4 RA

14

15

16

17

18

19

20

21

22

23

24

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 8 of 9
 LOG CATATAN SUHU Bulan/Tahun : Oktober 2019
Month/Year
TEMPERATURE LOG

25

26

27

28

29

30

31

Diperiksa oleh Diketahui oleh

Reviewed by Acknowledged by

Peneliti Utama

Principal Investigator

CR 7.2.3.3-a RAHASIA – TIDAK BOLEH DIPERBANYAK/DIDISTRIBUSIKAN TANPA PERSETUJUAN TERTULIS

10 Oct 2017 CONFIDENTIAL – DO NOT COPY/DISTRIBUTE WITHOUT WRITTEN APPROVAL Page 9 of 9