Schedule- 5
(Relating to Sub-rule (3) of Rule 11)
This is to certify that the sample, attached with the letter with reference
number, sent by that —-office/court, along with the letter with reference
number–and dated— for the purpose of ———–, has been received on —–
-(date) and analyzed/ tested; and the results of the analysis/test are as
follows.
————-
————
————
The situation of the wax seals put on the container and outer cover of the
sample received was as follows:
————-
————
———-
Chief of Department of Food Technology and Quality Control
or public analyst 50
Address:
Date:
Where a report of any particular matter is sought, necessary paragraphs may
also be inserted.