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Guidelines for Certification of Compliance with
Industrial Safety and Health Law GLP concerning Test Facilities, etc.
In Japanese

Form 2

No.
Date

To: Applicant for Certification of Compliance

Director-General of Labour Standards Bureau,
Ministry of Health, Labour, and Welfare

Certification of compliance with Industrial Safety and Health Law GLP
concerning Test Facilities, etc.

This is to inform you that judgment has been made as follows with respect to the captioned subject applied on mm dd yy.

Note

	1		Name of the test facilities subject to the certification of compliance
	2		Name of the test item subject to the certification of compliance
	3		Date of inspection executed (from mm dd yy to mm dd yy)
	4		Judgment results
	5		Term of validity subject to the certification of compliance
	6		Remarks