Release Note N°: RN22032408AC

Page N°: 1/ 3

RELEASE NOTE
Boss Order No.: 5039404 DATE: 24.03.2022
Name & Address of the Client : M/s. Zestha Biotech Pvt.Ltd.
B-58,Sector-63,Noida-201301,Uttar pradesh-India.
Name of the Project : NIL
Name & Address of the Seller : M/s.Clean Green Biosystems.
Plot No.160,Karpagam Nagar,Thirumudivakkam,Chennai-600044,
Tamilnadu-India.
Name & Address of the : M/s.Clean Green Biosystems.
Manufacturer Plot No.160,Karpagam Nagar,Thirumudivakkam,Chennai-600044,
Tamilnadu-India.
Contract / Order No. : As per Business Agreement made and entered into 15.11.2021 and signed
on 20.11.2021.
Offer No : CGBS/HYD/ZBT/009/1TPD/2021, Dt : 20.09.2021 (Reference only)
Date (s) & Place (s) of inspection : On 11.03.2022 & 12.03.2022 at M/s. Clean Green Biosystems, Ahmedabad
Quantity Quantity
Quantity Quantity
as per Now Quantity Quantity
PO Sr. Previously Offered
Brief Description of the item Contract Passed Rejected Balance
No. passed Meters
/ Order Meters (Nos.) (Nos.)
(Nos.) (Nos.)
(Nos.) (Nos.)
Item Code:K – Offer No : CGBS/HYD/ZBT/009/1TPD/
2021, Dt : 20.09.2021.Vessel/Kettle-50 LIT with Top
1& 2 Plate & Working Platform with SS 304. 02 NIL 02 02 NIL NIL
Model No.:CGBS/K/01_A & B.
Drawing No.:LD-00491-00,Rev.NIL,Date:NIL
Item Code:ST 1-3 - Offer No : CGBS/HYD/ZBT/009/
1TPD/2021, Dt : 20.09.2021.Storage Tank- 50 LIT.
3 03 NIL 03 03 NIL NIL
Model No.:CGBS/ST/01_A to C.
Drawing No.:LD-00721-01,Rev.NIL,Date:NIL
Item Code:ST 4 - Offer No :
CGBS/HYD/ZBT/009/1TPD/ 2021, Dt :
4 20.09.2021.Storage Tank- 100 LIT. 01 NIL 01 01 NIL NIL
Model No.:CGBS/ST/02,
Drawing No.:LD-00946-01,Rev.NIL,Date:NIL
Item Code:ST 5-6 - Offer No : CGBS/HYD/ZBT/009/
1TPD/2021, Dt : 20.09.2021.Storage Tank- 200
5 02 NIL 02 02 NIL NIL
LIT.Model No.:CGBS/ST/03_A & B.
Drawing No.:LD-00944-01,Rev.NIL,Date:NIL

This document is issued by the Company subject to its General Conditions of Service
SGS India Private Ltd (http://www.sgs.com/en/Terms-and-Conditions.aspx). Attention is drawn to the limitation of
201, 2 nd Floor,SUMEL II, liability, indemnification and jurisdictional issues established therein.
This document is to be treated as an original within the meaning of UCP 600. Any holder of this
Nr.Gurudwara,Thaltej Cross Roads, document is advised that information contained hereon reflects the Company’s findings at the
Sarkhej-Gandhinagar Highway, time of its intervention only and within the limits of Client’s instructions, if any. The Company’s
Ahmeadbad-380054 sole responsibility is to its Client and this document does not exonerate parties to a transaction
from exercising all their rights and obligations under the transaction documents. Any
Phone: + 91 79 6160 31 00 unauthorized alteration, forgery or falsification of the content or appearance of this document is
Fax: + 91 79 6160 31 11 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
https://sgsonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.jsp.
Release Note N°: RN22032408AC
Page N°: 2/ 3

Boss Order No.: 5039404 DATE: 24.03.2022

Item Code:ST 7-11 - Offer No : CGBS/HYD/ZBT/009/ 1TPD/

2021, Dt : 20.09.2021.Storage Tank- 500 LIT.Model
6 05 NIL 05 05 NIL NIL
No.:CGBS/ST/05_A to E.
Drawing No.:LD-00945-01,Rev.NIL,Date:NIL
Item Code:MT 1 - Offer No : CGBS/HYD/ZBT/009/1TPD/
2021, Dt : 20.09.2021. MIXING Tank- 200 LIT.
7 01 NIL 01 01 NIL NIL
Model No.:CGBS/MT/02.Drawing No.:LD-00947-
01,Rev.NIL,Date:NIL
Item Code:MV 1 - Offer No : CGBS/HYD/ZBT/009/1TPD/
2021, Dt : 20.09.2021. MIXING Vessel- 200 LIT.
8 01 NIL 01 01 NIL NIL
Model No.:CGBS/EX/01.
Drawing No.:LD-00948-01,Rev.NIL,Date:NIL
Item Code:MV 2 - Offer No : CGBS/HYD/ZBT/009/
1TPD/2021, Dt : 20.09.2021. MIXING Vessel- 500
9 01 NIL 01 01 NIL NIL
LIT.Model No.:CGBS/EX/02.
Drawing No.:LD-00949-01,Rev.NIL,Date:NIL

PO Status: Completed
Form VF-IN-IND-IN-016 Ver: 1.1 /14.11.2020
Confidential: Not to be photocopied except by permission of Business Manager Industrial Services Sector, SGS India, Mumbai

This document is issued by the Company subject to its General Conditions of Service
SGS India Private Ltd (http://www.sgs.com/en/Terms-and-Conditions.aspx). Attention is drawn to the limitation of
201, 2 nd Floor,SUMEL II, liability, indemnification and jurisdictional issues established therein.
This document is to be treated as an original within the meaning of UCP 600. Any holder of this
Nr.Gurudwara,Thaltej Cross Roads, document is advised that information contained hereon reflects the Company’s findings at the
Sarkhej-Gandhinagar Highway, time of its intervention only and within the limits of Client’s instructions, if any. The Company’s
Ahmeadbad-380054 sole responsibility is to its Client and this document does not exonerate parties to a transaction
from exercising all their rights and obligations under the transaction documents. Any
Phone: + 91 79 6160 31 00 unauthorized alteration, forgery or falsification of the content or appearance of this document is
Fax: + 91 79 6160 31 11 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
https://sgsonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.jsp.
Release Note N°: RN22032408AC
Page N°: 3/ 3

Boss Order No.: 5039404 DATE: 24.03.2022

Reference Document No. Scope of Inspection Observation/
(Checks / Tests - witnessed & Results
(Spec./Standard/Code/Drawing/ Sampling reviewed)
Standard/Any Other)
PO No.& Date : General Scope (Kettle, Tanks & Vessels)as per Approved
QAP
As per Business Agreement made and entered
into 15.11.2021 and signed on signed on 20.11.2021.
 Reviewed Raw Material test certificates for Plate.
QAP / ITP No.:  Reviewed Welding Consumables Batch test certificates.
.CGBS/21-22/K/01-DT.18.01.2022  Reviewed Lab test report of Nozzles.
2.CGBS/21-22/ST/01-DT.18.01.2022  Witnessed Visual Examination & Dimensional inspection
3.CGBS/21-22/ST/02-DT.18.01.2022 of Equipments as per Approved Drawings.
4.CGBS/21-22/ST/03-DT.18.01.2022
5.CGBS/21-22/ST/05-DT.18.01.2022 Kettle ( 50 Lit)-QAP No. CGBS/21-22/ST/01

Satisfactory
6.CGBS/21-22/MT/02-DT.18.01.2022
7.CGBS/21-22/EX/01-DT.18.01.2022  Witnessed Dimensional inspection of Structure with
8.CGBS/21-22/EX/02-DT.18.01.2022 Staircase as per Drawing.
( QAP authorized by Mr. S. U. Zafar, From: Zestha
Biotech) Mixing Tanks ( 200 Lit)-QAP No. CGBS/21-22/MT/02
 Witnessed Visual inspection for Agitator/Shaft as per
Drawing No.: Drawing.
1. 12T00-01,Rev.02,Date:29.11.2019.(Mech)  Reviewed Manufacturer test Certificates for Electric
2. 14T00-01,Rev.02,Date:29.11.2019.(Mech) Motor/Gear Box.
3. 12T00-02,Rev.02,Date:09.03.2018.(Elec.)
4. 14T00-02,Rev.02,Date:09.03.2018.(Elec.) Mixing Vessels ( 200&500 Lit)-QAP No. CGBS/21-22/EX/01 &
02
Reference Standard:
 Witnessed Visual inspection for Agitator/Shaft as per
Approved drawing & P.O. Drawing.
Sampling:  Reviewed Manufacturer test Certificates for Electric Motor/Gear
As per Approved QAP. Box.
M/s. Clean Green email dt : 16.03.2022 & 21.03.2022

Remarks: This is a Stage / Final Inspection Report. Inspected quantity is Rejected / Passed Quantity is Cleared for dispatch. As
per compliance email dated: 21.03.2022.
Deviation accepted (if any): ---
Inspection Identification Location of Inspected By Signature of SGS
Identification Representative

On Equipment near
Sticker of Model No.
“SGS Yellow Sticker” Jaydeep Raval
This inspection has been carried out to the best of our knowledge & our responsibility is limited to the exercise of reasonable care. This Release / Discrepancy Note reflects our findings at the
time & place of inspection and is not intended to relieve the seller from their contractual obligations.

Note : This is the minimum information required by the Industrial Services Sector. Any additional information required at branch level can be incorporated with the
approval of BD / Manager or Incharge of Industrial Services Sector at branch

Form VF-IN-IND-IN-016 Ver. 1.1 /14.11.2020

for SGS India Private Limited
Confidential: Not to be photocopied except by permission of Business Manager Industrial Services Sector, SGS India, Mumbai

This document is issued by the Company subject to its General Conditions of Service
SGS India Private Ltd (http://www.sgs.com/en/Terms-and-Conditions.aspx). Attention is drawn to the limitation of
201, 2 nd Floor,SUMEL II, liability, indemnification and jurisdictional issues established therein.
This document is to be treated as an original within the meaning of UCP 600. Any holder of this
Nr.Gurudwara,Thaltej Cross Roads, document is advised that information contained hereon reflects the Company’s findings at the
Sarkhej-Gandhinagar Highway, time of its intervention only and within the limits of Client’s instructions, if any. The Company’s
Ahmeadbad-380054 sole responsibility is to its Client and this document does not exonerate parties to a transaction
from exercising all their rights and obligations under the transaction documents. Any
Phone: + 91 79 6160 31 00 unauthorized alteration, forgery or falsification of the content or appearance of this document is
Fax: + 91 79 6160 31 11 unlawful and offenders may be prosecuted to the fullest extent of the law.
The authenticity of this document may be verified at
https://sgsonsite.sgs.com/en/v2/common/ecertificate/authenticateeCertificate.jsp.