To ⁽¹⁾

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

I, the undersigned, Official Analyst, hereby certify that on the................................day of................................, 20    , a sample marked ⁽²⁾..............................and weighing (or measuring)⁽³⁾ ................................... was submitted to me by you as a sample of.................................................. for analysis.

I further certify that the sample has been analysed by me, or under my direction, and as a result of the analysis I am of the opinion that –

^{(4)…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………}

Observations.⁽⁵⁾

I certify that the sample has undergone no change which would affect the opinion expressed above.

As witness my hand this..........................day of....................., 20     

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

NOTES

(1)

Insert the name and address of the person submitting the sample for analysis.

(2)

Insert particulars of marking, e.g. date, number etc.

(3)

This may be left unanswered if the sample cannot be conveniently weighed or measured or the weight or measurement is not material to the result of analysis.

(4)

Here the Official Analyst should specify the result of the analysis in the light of the Food Safety (Jersey) Law 1966.

(5)

Here the Official Analyst may insert, at the Official Analyst’s discretion, the Official Analyst’s opinion as to whether the analysis indicates any physical, chemical or other properties bearing on the nature, substance or quality of the article; whether the article is injurious to health or unfit for human consumption; whether and in what respect a label or description or any advertisement relating to the sample is incorrect or misleading; and the Official Analyst may add any other observations that the Official Analyst considers relevant.

(These notes are for guidance only and do not form part of the certificate).