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Sample Request Form: Doc No: Revno: Effective Date: Date of Request: Request by

This is a sample request form used by a company to request product samples from their quality control laboratory. The form collects information like the document and revision number, date of request, requested product details including name, grade, quantity, customer information and any special remarks. Spaces are provided to record the date and signature for sample issued and received. In this instance, the form is requesting a 500gm sample of second quality Lithium Grease EP-3 in blue color.

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Abdul Ghafoor
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© © All Rights Reserved
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Download as XLSX, PDF, TXT or read online on Scribd
53 views

Sample Request Form: Doc No: Revno: Effective Date: Date of Request: Request by

This is a sample request form used by a company to request product samples from their quality control laboratory. The form collects information like the document and revision number, date of request, requested product details including name, grade, quantity, customer information and any special remarks. Spaces are provided to record the date and signature for sample issued and received. In this instance, the form is requesting a 500gm sample of second quality Lithium Grease EP-3 in blue color.

Uploaded by

Abdul Ghafoor
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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SAMPLE REQUEST FORM

SR. NO:
DOC NO: REV NO : EFFECTIVE DATE:
DATE OF REQUEST : REQUEST BY :

SR. NAME OF THE PRODUCT GRADE / CLASSIFICATION QUANTITY CUSTOMER NAME & IF, ANY SPECIAL RE
LOCATION REASON FOR SA

5
DATE OF SAMPLE GIVEN & SIGN: SAMPLE RECEIVED BY :
(Q.C LABORATORY) DEPARTMENT :
LITHIUM GREASE EP-3(BLUE) 500Gms of SECOND QUA

PECIAL REMARK /
N FOR SAMPLE
SECOND QUALITY

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