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

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(ii) Physical Appearance:-<br />

...................................................................................................................................<br />

...................................................................................................................................<br />

(iii) Label:-<br />

....................................................................................................................................<br />

....................................................................................................................................<br />

Serial<br />

Number<br />

Quality<br />

Characteristics<br />

Name <strong>of</strong><br />

Method <strong>of</strong> test<br />

used<br />

Result<br />

Prescribed st<strong>and</strong>ards as<br />

per ………..(Rule <strong>of</strong><br />

FSSA Rules,)<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

Opinion ***:-<br />

Signed this.................day <strong>of</strong>..............20........<br />

(Signature)<br />

<strong>Food</strong> Analyst<br />

(Seal)<br />

Address........................................................<br />

* strike out whichever is not applicable.<br />

** Give details <strong>of</strong> the senders<br />

*** When opinions <strong>and</strong> interpretation are included, document the basis upon which the<br />

opinions/interpretations have been made.<br />

63

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