CM/PF 251June 1992
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BUREAU OF INDIAN STANDARDS
REPORT OF PERIODIC INSPECTION/LOT INSPECTION( Put
√
tick mark on the appropriate nature of inspection )( ____________ inspection since the grant of licence/renewal )Licence No. CM/L- IR No.Valid upto : Date of writing IR1. a) LicenseeISProduct :Size/Grade/Type/Variety :b) Other Licences heldCM/L-No IS No Producti) CM/L-ii) CM/L-Cheque/Draft details2. Special Inspection Charges , if applicable How Realised/ Not Realised3. Date of Inspection4. Person(s) contacted5. Previous Inspectiona) Date b) Conducted byc) Conclusions and Recommendationsd) Despatch details of last two samplesSl No Date of drawal of samples Date of dispatch of samples Test Result : Pass/Fail (if available)1.2.6. Action on advice rendered in previous inspectionor otherwise asked for while granting licence / Renewal of the licenceREMARKS OF THE REVIEW OFFICER1.2.3.Signature :Review Officer’s Name & Designation :Date of Review :
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