# The Animal Feed (Hygiene, Sampling etc. and Enforcement) (England) Regulations 2015, Schedule 4: Form of Certificate of Analysis

Extent: E+W

“Certificate of Analysis of Animal Feed”
I,……………….……………,(insert name) the undersigned analyst for(1) ………………………. .…………………………………………………………certify that I received on(2)………….…… from(3)……………………………………………………………………………………………….one part of a sample of(4)……………………………………………………………...……………. ……………………………………………………………………………...for analysis, which was duly sealed and fastened up and marked(5)……………………………………………………..
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a label or other documentation or marking (specify as appropriate) containing the following(6)………………………………………………………………………………………….
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and by a signed statement that the sample was taken in the manner prescribed by law.
I declare that the part of the sample has been analysed by me or under my direction, and that the results of the analysis are as follows:(7)……………………………………………………..….… ………………………………………................................................................................................
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Signature of analyst………………………………………………………..Date……………………
Address:………………………………………………………………………………………………
Notes for completion of certificate:
1.
Insert the name of the local authority.
2.
Insert date.
3.
Insert name of person submitting the sample for analysis and mode of transport.
4.
Insert the name or description applied to the material.
5.
Insert the distinguishing mark on the sample and the date of sampling shown.
6.
Indicate the particulars marked, labelled or otherwise documented.
7.
Insert the relevant results, the conclusions drawn from those results and any other relevant observations. Expand this section as necessary.

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Source: https://www.legislation.gov.uk/uksi/2015/454/schedule/4 (the official version)
Page: https://openlegislation.uk/animal-feed-hygiene-sampling-etc-and-enforcement-england-regulations-2015/schedule-4
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.