Test Specimen Shipping Form
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Customer Information
Test Sample Information
Requested Test
*MSDS must accompany any liquid, powder, or potentially hazardous material submitted
Sample(s) Disposition After Test
Return Shipment Method - Not a guaranteed service. This is dependent upon carrier.
*An Applied Technical Services, Inc (ATS) representative will contact requestor for further information
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 scope of Applied Technical Services, Inc (ATS) accreditation are certified to ISO 9001 requirements only.

ATS 057 03/10

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