CCIC-AI-QRD(WI001)-04检验记录表

INSPECTION RECORD SHEET

检验记录表

Inspection Date and Time: / / (dd/mm/yy) am/pm PSI Application No.:

Applicant: Qty/Wt declared: × ft’/ mts

Inspection Site: Ctr/Request No.:

平凡见证伟大

Catalogue： □Ferrous/nonferrous □ 抑菌中国电镀信息网Paper scrap □Mixed metal scrap □ Plastic scrap □ Other:	Quantity present for inspection： □ All cargo are ready for inspection □ 马血清Quantity present：
Packing： □ Load in Loose; □ Load in Bales. Weight for each bale kgs. □ Other：	Appearance： □ Outdoor □ Indoor 1）Main content in container： 2）Cleanness, dryness: □ Normal □ Not normal
Standard of Inspection GB16487.-2005 Carried waste 1) Prohibitive materials: □ Not found □ Found 2) Limited Materials: □ Not found □ Found 3) Other carried waste: □ Not found □ Found Photograph: □ Both door open □ One door open □ Seal number Radiation inspection: Model of detector: Average Ambient background: Average Cargo level:
Containers/seals: size/type: □ 20’ □ 40’ c: s: 南锣鼓巷胡同节 c: s: c: s: c: s: c: s: c: s:
Conclusion: □Pass □Reject Remark:____________________________________________________________________________ _ Inspector: Date： Distance Driven: (KMs) Signature of Contact person on site： Name in Print：

印度将中国领土划入直辖区

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