Please click here for the PDF version of the Analysis
Transkript
Please click here for the PDF version of the Analysis
SkopBio Laboratories ANALYSIS REQUEST FORM COMPANY INFORMATION COMPANY NAME ADDRESS/BILLING ADDRESS PHONE/FAX E-MAIL CONTACT PERSON PRODUCT SAMPLES AND ANALYSIS INFORMATIONS *SAMPLE NO SAMPLE NAME/KIND/BATCH NO *PACKAGE AMOUNT PRODUCTION/BEST BEFORE DATE/ BATCH NO *SAMPLE DELIVERY CONDITION REQUESTED ANALYSIS *SAMPLE ARRIVAL DATE: *SAMPLE ARRIVAL METHOD: DIRECT [ ] CARGO [ ] POST [ ] *REPORT DATE: RESULT OF ANALYSIS SUBMISSION: DIRECT [ ] CARGO [ ] E-MAIL [ ] FAX [ ] WILL YOU SEND A SPECIAL REPORT FORMAT? YES[ ] if yes, we kindly request you to send us the model report with wet signature and your company sealed. NO [ ] *SAMPLE CONDITION: ACCEPTED [ ] REJECTED[ ] ANALYSIS PRICE: *Marked fields will be filled by our laboratory. We kindly request you to fill this form for every analysis request and deliver to our laboratory with desired communication method. Please contact our company for price offers of the mentioned analysis.The customer who fills and signs this form will be deemed to have accepted the working conditions of the laboratory and this form is assumed as a contract with between the laboratory and the customer. In case of an objection about the samples or the reports, the laboratory must be contacted within 5 (five) days, clear information on the objection request must be transmitted and the laboratories objection confirmation or denial must be waited. We kindly request the analysis mentioned above for …… (number) of product samples delivered. SAMPLE DELIVERED BY 5 (beş) gün içerisinde laboratuvar ile görüşülmelidir SAMPLE RECEIVED BY Herhangi bir itiraz durumunda en fazla ve itiraz talebi hakkında açık bilgi verilerek laboratuvarın itiraz onayı ya da reddi beklenmelidir. Please fill the form and fax to number +90 (216) 324 85 87 or scan the form and e-mail to: lab@skopbio.com SkopBio Laboratories Limited Company, Altinsehir Mah. Tavukcuyolu Cad. Okyanus Sok. No:3 Umraniye, Istanbul, Turkiye FM404_02 R0302/11/2015 Sayfa 1 / 1