附表6：
產品抽樣單
檢驗機構名稱： 抽樣時間： 年 月 日
normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>生 normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>產 normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>企 normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>業(yè) | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企業(yè)名稱： 電話:( ) normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">傳真:( ) | |||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企業(yè)地址： 郵政編碼： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">法人代表： 企業(yè)所在地： normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">聯(lián)系人： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">主導產品： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企業(yè)代碼： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">樣品名稱： 商 標： 規(guī)格型號： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">生產日期： 出廠等級： 抽樣數量： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">抽樣基數： 抽樣地點： 抽樣方式： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企業(yè)執(zhí)行標準： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">年 產 量： 年 產 值： | ||||
normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>經濟類型 | normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>企業(yè)人數 | |||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none; mso-pagination: widow-orphan">[ ]國有 [ ]集體 [ ]合作 normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none; mso-pagination: widow-orphan">[ ]私營 [ ]獨資 [ ]合資 normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">[ ]股份 [ ]個體 [ ]其它 | normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: left; mso-layout-grid-align: none; mso-pagination: widow-orphan" align=left>[ ]300以上 [ ]200～300 normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: left; mso-layout-grid-align: none; mso-pagination: widow-orphan" align=left>[ ]100～200 [ ]50～100 normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">[ ]10～50 [ ]10以下 | |||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">抽封樣品過程及件數： 封條號碼及總數： | ||||
normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>被檢企業(yè) normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>(蓋章) | normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: left; mso-layout-grid-align: none; mso-pagination: widow-orphan" align=left> normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> | normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: left; mso-layout-grid-align: none" align=left>被檢企業(yè)領導簽字 | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> | |
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">抽樣人員簽字 | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> | |||
注：此產品抽樣單需報送國家質檢總局質量監(jiān)督司1份。
主題詞：質量監(jiān)督 食品 準入 辦法 通知
抄送：各直屬檢驗檢疫局。
本局：局領導，認監(jiān)委，標準委，各司（局），存檔（2）。
國家質檢總局辦公廳 2003年7月7日印發(fā)
