苗圃名称___________________________ 抽样地点___________________________
树种_________________ 苗木种类______________________ 苗龄______________
本批苗木数量___________________________株 抽样数量__________________________株
质量等级________________________________ 依据标准___________________________
起苗日期________________________________ 检验日期___________________________
检验员____________________ 检验单位(盖章)____________________ 负责人____________________ |