Victorian Consolidated Regulations

FOOD (FORMS AND REGISTRATION) REGULATIONS 2015 - SCHEDULE 3

Schedule 3—Certificate of analysis

Regulation 8

Food Act 1984

Food (Forms and Registration) Regulations 2015

CERTIFICATE OF ANALYSIS

I, [ full name ]

of [ address ],

a person authorized under the Food Act 1984 to undertake this type of analysis, certify the matters set out below.

    (1)     On [date of receipt of sample]     , I received
from [name and address of person submitting sample ]

        a sample—

*sealed and with seal intact

*with seal broken

*unsealed

and marked [ insert marking ].

    (2)     I have *analysed the sample/supervised the analysis of the sample.

    (3)     The result of the analysis is as follows:

[ insert analytical results ].

    *(4)     I am of the opinion that no change has taken place in the constitution of the sample which would affect the proportion of any constituent set out above.

[ If there is a prescribed apparatus to be used or method to be observed, insert the following: ]

*I declare that I have used the prescribed apparatus or observed the prescribed method. [Insert details of prescribed apparatus or method. ]

Signature of analyst:

Laboratory:

Date:

*Strike out words not applicable.