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FORMAT NO. F/7.

5/1/2

LAB TEST REQUISITION


No. To ____________________ _____________________ _____________________ Subject: LABORATORY TESTING OF MATERIAL Dear Sirs, 2..sample(s) of MS ROUNDS 32 MM DIA duly s amped a!d sealed are "ei!# se! $ere%i $. &$e fa'simile of $e seal(s amp is reprodu'ed "elo%. )i!dly e!sure $a $e seal (s amp is i! a' o! re'eip . *ou are re+ues ed o 'arry ou $e follo%i!# es s o! $e sample (s) a!d se!d $e repor i! a sealed 'o,er as early as possi"le o $e a"o,e address S No. /. 2. &es s o "e 'o!du' ed MS ROUND 32 MM DIA 2 SAM012S M234ANI3A1 0RO02R&I2S 342MI3A1 0RO02R&I2S .o,er!i!# spe'ifi'a io! IS 2562725// 2285 A Date....

The remnant sample may either please be returned back duly sealed along with the test report with a mention to this effect in the test report indicating the details of sealing/stamping. Alternatively, the same may please be preserved for six months from the date of issue of test report & return to us on demand. No e- I! 'ase $e rele,a! Spe'ifi'a io!(Dra%i!# is !o a,aila"le %i $ you, please 'o! a' u!dersi#!ed o! 0$o!e No. Do !o u!der a9e es if seal( s amp dama#ed or missi!# Mai! ai! 'o!fide! iali y of es resul s please se!d us $e "ill for es i!# '$ar#es &$a!9i!# you, *ours fai $fully, :as'imile of Seal(s amp o! ma erial :or .roup .e!eral Ma!a#er (I!sp) S2& /- S2;25</<, S2;25</= S2& 2- S2;25</>, S2;25<25

( o "e or! off)

RI&2S 'ase !o .... Name of :irm .Sample dra%! o!.. &es i!# '$ar#es ..'olle' ed ( o "e 'olle' ed I!spe' i!# 2!#i!eer ..

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