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04 Request For Analysis

The document contains a 3 page form from CADD Station Technologies Pvt Ltd. for analyzing samples. It requests details of the sample indenter and address, date received, sample type and description. It also contains sections to record examination of the sample, parameters to be analyzed up to 25, who inspected and received the sample, and a lab code and status.

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cadd
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45 views3 pages

04 Request For Analysis

The document contains a 3 page form from CADD Station Technologies Pvt Ltd. for analyzing samples. It requests details of the sample indenter and address, date received, sample type and description. It also contains sections to record examination of the sample, parameters to be analyzed up to 25, who inspected and received the sample, and a lab code and status.

Uploaded by

cadd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CSTPL/TF/17/01

CADD STATION TECHNOLOGIES PVT LTD., MYSORE

Acknowledgment

# Particulars Details
1 Sample Indenter Mr./Ms./Mrs.

2 Address

3 Contact No

Date of sample
4
received

5 Sample type

Description of the
6 
sample

7 Sample received by

Seal & Signature

Document Name : Forms & Formats


Issue No.:01 Issue Date: 01-03-2014 Prepared By: QM Page 1 of 3
Amend. No.:01 Amend date: 20-07-2018 Approved By: CE Issued By: QM
CSTPL/TF/17/01

Request for Analysis


# Particulars Details
Sample
1 Mr./Ms./Mrs.
Indenter

2 Address

3 Contact no.
Date of sample
4
received
5 Sample type

Description of
6 
the sample

Observations Yes No
 Does the container suits for parameter to be
analyzed
 Any damage/leakage of the container has been
observed
Examination of  Does date and time of sample collection
7
Sample satisfactory for parameters to be analyzed
 Is proper labeling/stickers maintained
 Does the quantity/volume of the sample suits for
analysis of the desired parameters
 Does sample preserved as per the requirement
Sample
8
inspected by
Sample
9
received by
10 Lab Code

11 Status

Document Name : Forms & Formats


Issue No.:01 Issue Date: 01-03-2014 Prepared By: QM Page 2 of 3
Amend. No.:01 Amend date: 20-07-2018 Approved By: CE Issued By: QM
CSTPL/TF/17/01

Parameters to be analyzed are as follows.

Sl.No Parameters
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Document Name : Forms & Formats


Issue No.:01 Issue Date: 01-03-2014 Prepared By: QM Page 3 of 3
Amend. No.:01 Amend date: 20-07-2018 Approved By: CE Issued By: QM

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