AR No.: ……………………………………….
Quotation No.: …………………………..
ANALYTICAL REQUEST
(F404.01.01)
FOR CUSTOMER
Company
Address
(1):
(1):
FOR INVIVO-LABS VIETNAM
…………………………………………………………………………Tax code: ……………………………….
Sample received by: …………………………………………………………………….
………………………………………………………………………………………………………………………..
From:
Post delivery service
Customer
IVL collecting service
………………………………………..Sample sent by: …………………………………………………..
Date and Time of reception: ……………………………………………………………
Phone: …………………………Fax: ……………………Email: ……………………………………………………………….
Expected date of sending result: ………………………………………………………
Contact
Person(1):
Very urgent
Remarks: …………………………………………………………………………………
Other request: …………………………………………………………………………………………………………………….
…………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………….
Request on Test Report:
No.
English
Sample Name (1)
Vietnamese
Request on Lead time (2):
Analytical Requests
Urgent
Method (3)
IVL Code
Sample delivery status
(1): Please fill up clearly all information which will be displayed in the test report. Name of customer and sample will not be changed after the test report issued.
(2): Request on lead time will be negotiated in terms of price and turnaround time depending on test(s).
(3): Analytical method will be decided by Invivo-labs Việt Nam in case of no specified method by customer.
(4): Time-limit of storage: 3 weeks from reporting date.
LABORATORY INVIVO VIETNAM - Tel: (084) 650 3714930 - Mail to: contact@invivo-labs.vn - Fax: (084) 650 3714929 - Website:www.invivo-labs.vn
Hamlet 1B, An Phu, Thuan An, Binh Duong, Vietnam
Quantity
Storage (4)
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