FORM BRr-U
[See rule 9(o)]
Account of quantity of beer/wine used for analysis
Name of the ............ Brewery / Manufactory
| Date of drawing samples | Variety of Beer/Wine | Batch No. | Quantity issued | Quantity used for analysis | Quantity brought back to the brewery / manufactory and mixed with the main bulk | Initials of the Brewery Officer/Manufactory Officer | Remarks | |||
|---|---|---|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) Litres | (5) Mililitres | (6) Litres | (7) Mililitres | (8) Litres | (9) Mililitres | (10) | (11) |
Y-373-90