■ 환경분야 시험ㆍ검사 등에 관한 법률 시행규칙 [별지 제4호의2서식] <개정 2022. 8. 18.>
Import Declaration of Environmental Instrument
								(front)
receipt number		receipt date				process		7 days
[ ] vehicle [ ] air [ ] water [ ] noiseㆍvibration [ ] soil [ ] drinking water [ ] indoor air quality
Applicant	Vendor
	Name		Date of Birth(or Business registration number)
	Address (Phone : )
	Business address (Phone : )
Application information	Certificate No		Issue date
	Company		Country
	Product		Type
	Model Name		Measuring range minimum : maximum :
	Minimum scale		Bias ±
	Method and Principle
I hereby declare the import of an environmental instrument as stated above under the Article 9 Section 2ㆍ7 of the law on Environmental Test and Inspection and the enforcement regulation of Article 6 Section 1 of the same law.
mm/dd/yyyy
applicant:				name signature
National Institute of Environmental Research
<confirmation by an official> a certificate of import declaration(A reporter submits a copy of the certificate if he/she doesn't agree to confirmation)							no fee
I hereby agree that an official concerned checks the information stated above through information-sharing under the Article 36 Section 1 of the E-Government Law. applicant(name) signature
210mm×297mm[백상지 80g/㎡]