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FormVII A

The document is a food analysis report template that includes spaces to provide information such as the report number, name of the food analyst and location, sample details including code and serial numbers, condition of seals on receipt, category and item number of the sample, date of analysis, and results or reasons if not fit for analysis. The report provides a standardized format for a food analyst to document the analysis of a food sample.
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0% found this document useful (0 votes)
40 views

FormVII A

The document is a food analysis report template that includes spaces to provide information such as the report number, name of the food analyst and location, sample details including code and serial numbers, condition of seals on receipt, category and item number of the sample, date of analysis, and results or reasons if not fit for analysis. The report provides a standardized format for a food analyst to document the analysis of a food sample.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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FORM VII A

[Refer rule 2.4.4(6)]


REPORT OF THE FOOD ANALSYT

Report No--------------------------------------------

Certified that I _______________________ (Name of the Food Analyst)


duly appointed under the provisions of Food Safety and Standards Act, 2006 (34 of
2006), for _________________________ (name of the local area) have received
from _______________________* a sample of ____________, bearing Code
number and Serial number __________________________ of Designated Officer
of __________________ on ________________ ( date of receipt of sample) for
analysis.

The condition of the seal on the container and outer covering on receipt was
as follows:-
Intact/ damaged/ missing (delete wherever inapplicable)

I found the sample to be __________________ (category of the sample) falling


under item No. ____________________ of Chapter 5 of Food Safety and
Standards regulations. The sample was in a condition fit for analysis and has been
analysed on ______________ (give date of starting and completion of analysis)
and the results of its analysis is given below/ was not in a condition fit for analysis
for the reasons given below:

Reasons

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