000000Legal Entity- Spectro Analytical Labs Private Limited

Test Request Form ES/F/03

ADDRESS REQUIRED ON REPORT ADDRESS REQUIRED ON INVOICE

Company Name Narain Cooling Technologies Pvt Ltd Company Name

Contact Person Gajanand Bhatia Contact Person

Address Address

F-6 INDUSTRIAL ESTATE ,SITE -B , OPP-REFINERY GATE

City
NO-9,
City State-
State MATHURA U.P PIN
PIN 281005 Contact No
Contact No 9587257839 E-mail (To share invoice)
E-mail (To share final report) quality@naraincooling.com Quotation reference No

Payment Reference No. GST No.

Sample Detail
Sl. Sample Name/ Particulars (Description, Sample Test Parameter (if place is insufficient please Special Instructions/ Test Confirmity /Class/Grade JobNo./Sample Id
No. Batch no, Mfg. Date, Supplier Detail etc) (TO Quantity/Size attach annexure) Method Recommended/ Confirmation Required? (If (FOR LABORATORY
BE MENTIONED ON TEST REPORT) (IS/ISO/ASTM/JIS/ENetc.) AA-6063 6061 &'O' TEMPER USE ONLY)
Yes, Then Grade
Specification No.)

1 material cumposition test

ALUMINIUM FOIL   317x63.23x2mm ( Length x Width x Thickness )
2 material cumposition test AA3003 'O' TEMPER
ALUMINIUM FOIL 242.55x88.02x1.5 mm ( Length x Width x Thickness )
3 material cumposition test AA3003 'O' TEMPER
ALUMINIUM FOIL 290.17x61x1.5 mm  ( Length x Width x Thickness )
4 material cumposition test AA3003 – H116 'O' TEMPER
ALUMINIUM FOIL 48X0.08 mm  ( Width x Thickness )
5 material cumposition test AA-6063 6061 'O' TEMPER
INLET PIPE 65X19X1.80MM ( Length x Width x Thickness )
AA-6063 6061 'O' TEMPER
6 material cumposition test
Outlet Pipe 65.30X15.86X1.80 MM  ( Length x Width x Thickness )
7 TUBE 332X22X2MM   ( Length x Width x Thickness ) material cumposition test AA3003 'O' TEMPER -H112
Pl mention Storage Condition if any-
Each part sample 01
Any specific requirements other than above, please ensure same is provided in separate sheet along with samples.
Mode of Payment- Cheque ( ) NEFT/RTGS/IMPS/Fund transfer ( ) Wallet Payment ( ) Card Payment ( ) CCRQ ( )

Issue No: 03 Revision No: 00

Page 1 of 3
Issue Date: 26.11.2022 Revision Date: __.__.__
 000000Legal Entity- Spectro Analytical Labs Private Limited
Test Request Form ES/F/03

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

Whether the Remnant Sample Should be Returned* Yes ( ) No ( ) NA ( )
Whether Test Witness Required or not Yes ( ) No ( )
In case of site testing/Sampling done by Lab, additionally form to be filled by customer
I confirm that the instructions on this form are correct Customer's Signature/ Company Seal - Date

FOR LABORATORY USE ONLY

Sample Quantity/Size- Condition of Test Parameter & Test method to be adopted are applicable to product - Conformity /Grade
Packing- (In case of new requirement to be check with Technical) Confirmation or Not-
Ok ( ) Ok ( ) Ok ( ) Required ( )
Not Ok ( ) Not Ok ( ) Not Ok ( ) Not Required ( )
In case of site testing additionally Form is Yes ( ) In case of Sampling by lab additionally Form is Yes ( )
received along with TRF No ( ) received along with TRF No ( )
NA ( ) NA
( )
Request reviewed by Signature & Date:
(NAME OF PERSON):

Term & Conditions

Spectro analytical labs Pvt Ltd. (formally Spectro analytical labs Ltd) will conduct, the required tests specified on the 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. The sample description is not verified in all cases and is given “as described by customer”. Sample not drawn by us and analysis conducted on “as received bases”. Unless specified otherwise
7. *Sample will be destroyed after one month from the date of release of test report unless specified by regulatory or lab and the customer have agreed in writing on the terms of ES retention of the sample. Lab also can dispose
of or destroy the samples after the agreed upon retention period, without further notice and at customer's cost, should an extra cost for lab arise to comply with any regulation (for example, with respect to disposal of hazardous
waste). If the customer requests the return of unneeded sample material, Lab will return them to the customer, at the customer's cost and risk. Also No retest request will be accepted after return of tested sample.

Issue No: 03 Revision No: 00

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Issue Date: 26.11.2022 Revision Date: __.__.__
 000000Legal Entity- Spectro Analytical Labs Private Limited
Test Request Form ES/F/03

8 Test report certificate shall not be reproduced wholly or in parts and cannot be used as an evidence in a court of law and shall not be used in adverting media, without written permission of laboratory

Issue No: 03 Revision No: 00

Page 3 of 3
Issue Date: 26.11.2022 Revision Date: __.__.__