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. : __________5__________

Tel. No. : _________0223892476_________ Date : _____20/7/2019_____

Fax. No. : _________0224041940_________

Kindly arrange Equipment repair as per the following request:

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

1 Calorimeter IKA C6000 1 No temperature raise
Oxygen leakage

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

Year / Page No.