Food Safety and Standards Authority of India Ministry of Health ...

(See Rule ……...)
Memorandum to Notified Accredited Laboratory
From
..............................................
..............................................
To,
The Incharge,
Food Laboratory............
....................................
No……………………
Dated the............................
MEMORANDUM
The sample described below was taken under Rule …….of the Food Safety and
Standards Rules, 2000, from the Food Business Operator and sent to Food Analyst for
analysis. Whereas, the Food Business Operator has requested for analysis of the sample
by Accredited Laboratory. The sample with following detail is sent here with for analysis
under Rule ……….of the Food Safety and Standards Rules, 2008 alongwith analysis fee
of Rupees ……….(Demand Draft attached)
1. Code number and serial No. of Designated Officer…………………………..
2. Date and place of collection..............................................................................
3. Nature of article submitted for analysis............................................................
4. Nature and quantity of preservative, if any, added to the sample.....................
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