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PT.

ProfessionaN Technology Specialist


Works Order Form
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sample Receive Date:
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teceiving Coordinator: CI Requester Name: ,41y-f llkQ Person to Bill


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v Scope of Work
PTS Sample lD Description Orientation Ouantit! Tvoes of Soecimen Condition Remarks Summarv of Revision

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Other iniblmation:
*Your signature below indicates that you have understood the test method used by
Name & Signature of Sender:....... Date & Tirnr: ('
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QM/WOF/11Febuary2020-Revo6 Paee f of 6
Ocopyright reserued PT.PTS

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