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Insecticides Rules, 1971

FORM XX

INTIMATION TO PERSON/ LICENCEE FROM WHOM
SAMPLE IS TAKEN
[Rule 33]

To
___________________________
____________________________

I have this day taken from the premises of _____________________ situated at ______________ samples of the insecticides specified below for the purposes of test or analysis.

 

Date._________________            Insecticides Inspector


Details of samples taken_____________________________


Date._________________            Insecticides Inspector

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