Intention to have sample analysed

Updated atDecember 2009

To

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......................

The sample of ................................ which has been taken today, the ............................ day of ..................20......... from [mention the name of the officer/authority from whom the sample was taken] ................. for analysis.

The same was in a condition fit for analysis as reported below.

I further certify that I have analysed the aforementioned sample on ............. and declare the result of the analysis to be as follows:

[Please mention complete details of analysis and kindly refer to method of analysis]

.......................................................................................................................

.......................................................................................................................

The condition of seals, fastening of sample on receipt was as follows:

...

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