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Customer Information


Test Sample Information

Requested Test

(Validation of customer provided, non-standard test methods must be specifically requested)


Sample(s) Disposal After Test

Sign and Date

We appreciate the opportunity to provide your testing, calibration or inspection needs and look forward to being of service to you. Services provided will be governed by the Applied Technical Services, Inc (ATS) General Conditions of Service available at: www.atslab.com/salesorderacknowledgement.pdf

Services performed outside the scope of Applied Technical Services, Inc's (ATS') accreditation are certified to ISO 9001 requirements only.

ATS 057 03/10

Click Here to print your form BEFORE submitting — please include the printed copy, filled out with the above information, in the shipping box containing your specimen.