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Customer Requisition for Lab Testing

This document is a customer requisition form from Material Testing House (India) Ltd requesting various tests be performed on submitted samples. It lists the sample number, details, requested tests, reference code, and quantity. The form includes sections for the customer's name and signature, as well as for the MTH representative to confirm the facility's testing capabilities, sample suitability, test method explanation, and acceptance of the request. It also includes spaces for the requisition number, planned and actual completion dates of the test report, and signature of the person in charge.

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622 views1 page

Customer Requisition for Lab Testing

This document is a customer requisition form from Material Testing House (India) Ltd requesting various tests be performed on submitted samples. It lists the sample number, details, requested tests, reference code, and quantity. The form includes sections for the customer's name and signature, as well as for the MTH representative to confirm the facility's testing capabilities, sample suitability, test method explanation, and acceptance of the request. It also includes spaces for the requisition number, planned and actual completion dates of the test report, and signature of the person in charge.

Uploaded by

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

Form No.

MTH / F/01: Rev: 00


MATERIAL TESTING HOUSE (INDIA) LTD
50-96-4, North Extension, Seethammadhara, Visakhapatnam-530013
Tel: 0891- 2791342, Email: mthindialab@gmail.com
CUSTOMER REQUISITION
From, Date:__________

Sir, We request for the following tests for the samples submitted
Sample No. S- Sample details Tests Ref. Code No./ Qty

Name, Contact No. & Sig. of Customer


or their representative
For Is the facility / Is the Sample Are the test methods
Review skills available suitable for understood & explained to Request Accepted
M of for testing Testing the Customer
Request
Yes Yes Yes Yes
T

H
Requisition No. RQ Date of Completion of Test Report Sig. of In-charge
use As per Customer
Planned Completed
request
only

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