Get the free Form ref XXXX - Elemental Microanalysis - microanalysis co

Sample Submission Form Please submit one form for each sample 4260 Please do not mark above this line Your Details Company Account No. Contact Name Address Tel. No. Fax no. E-mail: CC: Purchase Order

Vapour-forming. Carcinogenic by inhalation Not toxic Chemical by skin Contact dermatitis to skin, sensitive and immunocompromised, Contact with high pH or high hydrogen. Not recommended for use by children. Unsafe For infants, children and pregnant women Not known to cause cancer. High toxicity in children, but with low fatality rate. Possible long term reproductive effects in children Not known to pose an unreasonable risk to human health. Toxic/toxic in animal studies. Can cause fetal impairment if consumed in high concentrations. Not recommended. Inhalation: Acute respiratory problems, cough, pharynx irritation. Ingestion: Can cause abdominal pain. 1. Sample must be enclosed in a clear, resourced, air-tight and unbreakable resealable vial within an airtight container as directed by manufacturer and/or its agent. This vial must contain no more than 1 ml. 2. All sample submissions must be clearly labelled and accompanied by the sample preparation form. 3. Sample must be submitted with the vial intact, vial not open on front. 4. The vial must be securely sealed and not opened from the exterior (e.g. by opening the top, bottom or side). 5. The sample must be properly sealed and kept away from the environment. 6. Sample must be labelled and clearly labelled in the presence of the inspector. It is understood that samples will be taken on a voluntary basis. 7. Sample size must not exceed 1 ml. 8. All Sample submissions must be submitted before the expiry of 30 days from the date of arrival of the sample to the laboratory/testing firm/testing company. 9. All sample submissions should be accompanied by the original certificate on the subject sample(s) as well as all required forms, instructions, and additional documents. All samples must be accompanied by the required samples and equipment which were used with the sample under test, as well as other materials (e.g. samples, equipment, chemicals, etc) which are relevant to the analysis of the sample. 10. Sample submissions must be submitted in accordance with the instructions specified in the standard laboratory invoice (i.e. sample preparation form, sample and equipment specification, sampling equipment, sample documentation, etc). For the purpose of this Rule any invoice containing sample and equipment specifications, samples, documentation, etc., need not be submitted and a request for samples may be made separately, by email, post or fax. 11.

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