P-42, r. 10 - Regulation respecting medicinal premixes and medicinal foods for animals

Schedule Disposition versions

2023-01-01

SCHEDULE VI

(Revoked)

O.C. 1633-92, s. 21; O.C. 1829-93, s. 5; O.C. 1443-2022, s. 27.

2012-09-01

SCHEDULE VI

(s. 30.2)

ANALYSIS REPORT

	ANALYSIS REPORT
	pursuant to:		* Animal Health Protection Act (chapter P-42, s. 55.15)
		* Marine Products Processing Act (chapter T-11.01, s. 45, par. 5)
	*	Other Act

Name and address of person in charge	Report No.

	A- INFORMATION ON SAMPLES	
Project No.		Sampling minutes No.	
Application for analysis No.		dated	
Offence report No. 		signed by	
Seals No.		Samples No.		
		
PERSON NAMED IN MINUTES
	
(name and address)	
	
	B- DESCRIPTION OF SAMPLES TO BE ANALYSED
		
(quantity, nature of sample - product or animal species - and others)	
	
	C- CONDITIONS OF SAMPLES AND SEALS ON RECEIPT
The samples, shipped * or delivered * to the laboratory by 	have been received
 on                      by	, in good condition, at room temperature *, refrigerated * or frozen *, in closed containers, with unbroken seals affixed thereto, the whole in relation to the above-mentioned minutes.	
	
	D- BREAKING OF SEALS AND PRESERVATION OF SAMPLES BEFORE ANALYSIS
I broke the seals affixed to the sample containers and I forwarded the samples to a room to be kept at room 
temperature *, refrigerated * or frozen * until the analysis.	
	
	E- ANALYSIS AND FINDINGS
   (Remarks of a scientific nature according to professional practice in that matter - operations - findings)	

On                               , I analysed the samples described in B and, on the basis of the data and results that I have personally observed and written on the document attached hereto, I submit the following findings:	
	
	
	
	
	
F- CONCLUSIONS	
	
	
	
	
Made in triplicate at 		R Document(s) attached
(place)	


SIGNATURES	
I have personally observed the facts, actions and conclusions mentioned in  *A 	*B *C *D *E *F 	I have personally observed the facts and actions mentioned in  *A 	*B *C *D *E *F 
Person authorized to act as analyst for the purposes of the Act	Person authorized to act as analyst for the purposes of the Act
Surname and given names (in block letters)	Surname and given names (in block letters)
Specialty	Specialty
Signature	Signature
(Form prescribed by regulation to be used as documentary evidence)	

O.C. 1633-92, s. 21; O.C. 1829-93, s. 5.