EMBLEM FORM 'L' [See Clause 30(2)] Analysis Report of Fertiliser Sample No. Government of (Name of the Laboratory) Date : To The Fertiliser Inspector ...................................... ...................................... The analysis report of the fertiliser sample forwarded vide your reference No......... dated........ is as per details given below: 1. Name of fertiliser, grade and brand ........................................... 2. Date of sampling ........................................................................ 3. Serial No. of samples as indicated by the Inspector .................... 4. Code No. of samples as indicated by the Inspector .................... 5. Date of receipt of the sample in the laboratory ........................... 6. Laboratory sample No. ................................................................ 7. Date of analysis of sample ........................................................... 8. Chemical analysis of fertiliser (on fresh weight basis except in the case of Urea on dry weight basis) ................................... Sl.No. Specification Composition as per Variation Permissible as per F.C.O. analysis. tolerance limit 1. 2. 3. 4. 5. (I) Moisture (ii) Total N (iii) NH4 N (iv) NH4 + NO3 H (v) Urea N (vi) Total P2O5 (vii) Nitrate Ammonium Citrate Soluble P2O5 (viii)Citric Acid Soluble P2O5 (ix) Water Soluble P2O5 (x) Water Soluble K2O (xi) Particle Size (xii) Others Remarks :-The sample is/is not according to specifications. Signature of the In-charge Fertiliser Quality Control Laboratory Copy to : Director of Agriculture, ....................................
