LSPro/STD-OPS-07;Ed.0;Rev.

0;2013

INSTITUTE FOR INDUSTRIAL CERTIFICATION

AGENCY FOR INDUSTRIAL POLICY BUSINESS CLIMATE AND QUALITY ASSESSMENT
MINISTRY OF INDUSTRY R.I.

SAMPLING PLAN

ID :
Company Name :
Office Address :
Factory Address :
Responsible Company Name (import only) :
Responsible Company Address (import only) :
Number and date of assignment letter from BSI :
Number and date of Sampling Officer assignment letter from Laboratory (if any) :
Number and date of Sampling Report :
Location of Sampling : Factory Market Port Others :
Certification Process : New Re-certification Surveillance Product Extension
Brand Extension Type Extension Re-sampling Others :
Certification System : System 5 System 1b Others :
Standard Number and Title :
Sampling Method :
Sampling Date :
Name and Address of Sampling Locations :
Represent for Product Sample Total Test Archive
No. Sample Sample Sample Remarks
Brands Types Remarks Brands Types Remarks (Pcs) (Pcs) (Pcs)

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 LSPro/STD-OPS-07;Ed.0;Rev.0;2013

INSTITUTE FOR INDUSTRIAL CERTIFICATION

AGENCY FOR INDUSTRIAL POLICY BUSINESS CLIMATE AND QUALITY ASSESSMENT
MINISTRY OF INDUSTRY R.I.

SAMPLING PLAN

Represent for Product Sample Total Test Archive

No. Sample Sample Sample Remarks
Brands Types Remarks Brands Types Remarks (Pcs) (Pcs) (Pcs)

Sampling Officer, Lead Team/Management, Company/Importer Representative,

( ) ( ) ( )
Position:

Halaman 2 dari 2