SALL/JRS

Spectro Analytical Labs Limited

Test request form
Payment Ref. No. Date: 24.9.21

Company Name Bhavnish metal india pvt. Ltd.

Address Bhavnish Metal India Pvt. Ltd. Plot No. 66/5 ,7 ,8 & 9 , Bharat carbon complex , Industrial Area ,NIT Faridabad

Pin Code 121001 Contact Person Baljeet Singh

Contact Number 9654358486 Email Address info@bhvanishmetal.com

GST Number 06AADCB1061E1ZB Fax No.

1. Sample Detail 2. Sample Detail

Sample ID (Lot No/Batch No/ID No. Sample ID (Lot No/Batch No/ID
etc) No. etc)
Sample Description Bus bar ( 3481888700 ) Sample Description

Note : We have marked "A" on the particular area where

roughness test is required
Date of Manufacturing (Where Date of Manufacturing (Where
Applicable) Applicable)
Condition of Packing Condition of Packing
(Loosed/Packed) (Loosed/Packed)
Storage Condition Storage Condition
(Temperature required to be (Temperature required to be
maintained) maintained)

Quantity/Size of sample 1 Quantity/Size of sample

Quantity of the sample is sufficient & if any damages found (Recorded if any deviation or damage)

Test Required (Sample 1) Test Required (Sample 2)

Test Method Test Method
Test Parameter Test Parameter
(IS/ISO/ASTM/JIS etc. (IS/ISO/ASTM/JIS etc.
AS PER ATTACHED QUOTATION & MAIL

If appropriate test method is selected and is capable of meeting the customers' requirements or not Yes/No
Availability of Test Facilities Yes/No

(If Yes) Department Responsible Confidentiality & Impartiality was brief to the customer Yes/No

If Confirmity /Grade Confirmation Required Yes/No Confirmity /Grade Confirmation Required Yes/No
Specification For Confirmation

If Conformity/Grade Conformarion required, then Decision Rule is communicated with the Customer Yes/No Is the Deceision Rule Accepted By the Customer: Yes/No

(If Yes) The Desire Date for Detail of Representative who will
Whether Test Witness Required or not
Test Witness Witnessing the test

NEFT/RTGS/IMPS/Fund
Mode of Payment Cash ( ) Cheque ( ) Wallet Payment ( ) CCRQ ( ) COD ( ) Card Payment ( )
transfer ( )

Mode of Collection of Report Fax ( ) By Hand ( ) Courier ( yes ) E-mail ( yes )

Whether the Remnant Sample Should be Returned Yes/No

Whether Comments/Interpetation
Required

Billing to Name & Address (If

Different from Customer Name)

Any Significant Changes

Laboratory Use Only

Job Number:

Date of Receiving:

Due Date:

Date of Test Witness: Signature of Lab Representative & Designation Customer Signature & Designation

Remark if any:

Issue No: 00 Revision No: 01

Page 1 of 2
Issue Date: 01.08.1999 Revision Date: 29-04-2020
 SALL/JRS

CONDITIONS OF TESTING

Spectro Analytical Labs Ltd., will conduct, the required tests specified on the first page of Test Request Form, at the request of the Customer, in accordance with, and subject to, the following terms and conditions:

1. All requests for tests are subject by the Laboratory, and no order will constitute a binding commitment of the Laboratory unless and until such order is accepted by it, as evidenced by the issuance of a written “Test
Report” by the Laboratory. The Test Report is issued solely by the Laboratory, is intended for the exclusive use of Customer and shall not be published, used for advertising purposes, copied or replicated for distribution
to any other person or entity or otherwise publicly disclosed without the prior written consent of the Laboratory.

2. If Customer anticipates using the Test Report in any legal proceeding, arbitration, dispute resolution forum or other proceeding, it shall so notify the Laboratory prior to submitting the sample for testing.

3. The Test Report will set forth the findings of the Laboratory solely with respect to the test samples identified therein and, unless specifically and expressly indicated in the Test report, the results set forth in such Test
Report will not be indicative or representative of the quality or characteristics of the lot from which a test sample will be taken. The Test Report will reflect the findings of the Laboratory at the time of testing only, and the
Laboratory shall have no obligation to update the Test Report after its issuance. The Test Report will set forth the results of the tests performed by the Laboratory based upon the written information provided to the
Laboratory as set forth in, or attached to, this Test Request Form.The Test Report will represent the entire understanding of the parties hereto with respect to the subject matter of the Test Report and no modification,
extrapolation, variance or conclusion with respect thereto shall be permitted without the prior written consent of the Laboratory.

4. The Laboratory may, in its sole discretion, destroy samples which have been furnished to the Laboratory for testing and which have not been destroyed in the course of testing.

5. Unless a shorter or longer period is provided for on the reverse side of this Test Request Form, payment in full shall be in advance. The laboratory reserves the right, at any time and from time to time, to revoke any
credit extended to client.

6. Sample Not Drawn By Our Laboratory. The Results Relate Only To The Items Tested

Issue No: 00 Revision No: 01

Page 2 of 2
Issue Date: 01.08.1999 Revision Date: 29-04-2020