This document is a sampling report form from Studio Gallian in Recco, Italy. It records the sampling of a product or commodity, including the date, location, origin of sampling, samples taken with numbers and seals, who received the samples, and serves as a record signed by those present for the sampling.

1. STUDIO GALLIAN –Salita Priaro 3 – 16036 Recco GE (ITALIA)
Tel. 0185 1872208 – Mob. 3477862550 – C.F. GLLGLC77L07D969I – P. IVA 01992910990
E-mail: gianluca.gallian@gmail.com – www.cargoclaims.blogspot.com
VERBALE CAMPIONAMENTO
SAMPLING REPORT FORM
Prodotto / Commodity: _____________________________
Qualità / Grade: _____________________________
Data / Date: _____________________________
Presso / At: _____________________________
Campionamento da / Origin: _____________________________
Sono stati prelevati i seguenti campioni / Following samples have been taken:
Campione n. / Sample no. Sigillo / Seal Consegnato a / Delivered to:
Note / Remarks: __________________________________________________
__________________________________________________
__________________________________________________
In contraddittorio con / Jointly with _____________________________
_____________________________
_____________________________
_____________________________