FORM XII CENTRAL BOARD FOR THE PREVENTION AND CONTROL OF WATER POLLUTION Notice of intention to have sample analysed See rule 31 To, _______________________ Take notice, that it is intended to have analysed the sample of water/ sewage effluent/ trade effluent which is being taken today the ____________ day of ________ 19____ from (I) _______________________________ Name and designation of the person who takes the sample (I) Here specify the stream, well, plant, vessel or place from where the sample is taken. To __________________________ |