JAS GRADING RECORD

ASOSIASI PERKUMPULAN PETANI ORGANIK WONOAGUNG WONOGIRI

SECTION 1 : GENERAL INFORMATION

Buyer : Transport Date :
PO Number : Transport Mode :
Destination : Transport/Vehicle Number :
SECTION 2 : TRANSACTION INFORMATION
Product Name : Quantity : Lot Number :

SECTION 3 : VERIFICATION OF JAS ORGANIC INTEGRITY

Please indicate if the following information has been verified for this lot/load of product : Yes No
Cleaning and packaging record are maintained
Catatan untuk pembersihan dan kemasan sudah tersedia
The Records maintained verify there was no comingling with conventional products:
Catatan sudah memverifikasi bahwa tidak tercampur produk konvensional:
The Records maintained verify there was no chemical contamination:
Catatan sudah verifikasi bahwa tidak ada kontaminasi kimia:
Inventory control records for products bearing the JAS label or seal are maintained
Catatan untuk kontrol inventaris produk yang berlabel atau segel JAS tersedia dan terkontrol.
FINAL DECISION :
The lot/load is JAS compliant and JAS label will be attached :
Lot produk ini sudah sesuai dengan JAS dan label JAS dilampirkan:
SECTION 4 : AFFIRMATION
I affirm that all statements made in this application are true, correct, and complete to the best of my knowledge.

Grader Name Grader Signature Grading Date