檢品名稱 Product Name
送檢單位 Submission Unit
生產廠家 Manufacturer
檢品數量 Quantity of samples
采樣地點/日期 Sampling place/Date
送檢日期 Submission Date
檢測類別{送檢} Submission Type (For testing)
檢測及評價依據 Basis of testing and evaluation
生活飲用水標準檢驗方法
Standard Testing Method for Drinking water
感官性狀和物理指標
Organolepic characteristics and physical specifications
本欄應空白 Leave this column unfilled.
該檢品共分析22項
22 items of this sample are analyzed.
該檢口所檢項目合格
This item of the sample is acceptable.
報告編制
Drawing up the Reportt
校對
Proofreading
簽發
Signing and issue