附表6：
产品抽样单
检验机构名称： 抽样时间： 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>产 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>业 | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企业名称： 电话:( ) normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">传真:( ) | |||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企业地址： 邮政编码： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">法人代表： 企业所在地： normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">联系人： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">主导产品： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企业代码： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">样品名称： 商 标： 规格型号： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">生产日期： 出厂等级： 抽样数量： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">抽样基数： 抽样地点： 抽样方式： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">企业执行标准： | ||||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">年 产 量： 年 产 值： | ||||
normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>经济类型 | normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>企业人数 | |||
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none; mso-pagination: widow-orphan">[ ]国有 [ ]集体 [ ]合作 normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none; mso-pagination: widow-orphan">[ ]私营 [ ]独资 [ ]合资 normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">[ ]股份 [ ]个体 [ ]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">抽封样品过程及件数： 封条号码及总数： | ||||
normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>被检企业 normal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; mso-layout-grid-align: none" align=center>(盖章) | 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>被检企业领导签字 | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> | |
normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none">抽样人员签字 | normal style="LAYOUT-GRID-MODE: char; mso-layout-grid-align: none"> | |||
注：此产品抽样单需报送国家质检总局质量监督司1份。
主题词：质量监督 食品 准入 办法 通知
抄送：各直属检验检疫局。
本局：局领导，认监委，标准委，各司（局），存档（2）。
国家质检总局办公厅 2003年7月7日印发
