1. FORM VII
( See Rule 7 )
( Memorandum to Public Analyst )
No.Food/09/ dated
From :
Civil Surgeon-Cum-Local Health Authority,
Ferozpur
To
The Chief Public Analyst,The King Institute of Guindy
Guindy -CHENAI
The Samples described below are sent herewith,for analysis under Section 13 (2) E of the Prevention of
Food Adulteration Act,1954.
SLIP No. / CODE No. PLACE / NATURE AND
LHA No. Of OF DATE OF NATURE OF QUANTITY OF
SAMLPE. SAMPLE COLLECTION SAMPLE PRESERVATIVE IF
OF SAMPE ANY ADDED TO THE
SAMPLE
26871/DK/69/09 1/DK/09 Ferozpur Angoori Petha NIL
26872/DK/70/09 2/DK/09 Ferozpur Dry Petha NIL
26873/DK/71/09 3/DK/09 Ferozpur Sugar NIL
26878/DK/09 4/DK/09 Abohar Petha NIL
26879/DK/09 5/DK/09 Abohar Angoori Petha NIL
26880/DK/09 6/DK/09 Abohar Dry Petha NIL

2. A copy of this memo and a specimen impression of the seal used to seal the packet of
samples is being sent separately
CIVIL SURGEON –CUM - LOCAL HEALTH AUTHORITY,
FEROZPUR