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Reference TOTL-SP03-F05

Office Egypt

ISO/IEC 17025 Form Issue n° / Date 00 / 01 April 19


Clause 6.4 Author / Approver K. Ahmed / M. Abd Elrazek

Equipment Page n° Page 1 of 1

Equipment Maintenance Requisition Through a Third Party


Attn. (Vendor / Supplier name) : _________Salzburg___________ Requisition No. : _____2______________

Tel. No. : ___0223892476____ Date : _13/6/2019__________

Fax. No. : ____0224041940______

Kindly arrange Equipment repair as per the following request:

No. Equipment Name Quantity Failure Description (1) Signature Remarks


IKA C6000 Calorimeter Leakage of oxygen during stabilizing stage
1 Isoperibol

(1)
Failure description should be as informative as TOTL team can (up to the best knowledge of TOTL personnel).

Year / Page No.

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