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(PRC‐JUST) Jordan University of Science and Technology (JUST) Pharmaceutical Research Center (PRC) 1.Client Details: Name: Research No. Address: Contact: Phone: Fax: E-mail: Company: Additional Info. : 2.Analysis request details. No. of samples: Samples Hazardous (If yes, MSDS must be supplied) Yes No Recommended Sample Storage: Room Temp. 4˚C -20˚C other_____ The samples should Return to the client. Yes No (samples will stored Only 3 months) # Sample Identification: (eg. Lot Number, Date) PRC-JUST Sample Code Sample Description and/or required analysis 1 2 3 4 5 Notes________________________________________________________________________ _______________________________________________________________________. Client Name & Signature: PRC-JUST Director & signature:
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2.Analysis request details. - just.edu.jo · PDF fileYes No Recommended Sample Storage: ... PRC-JUST Sample Code Sample Description and/or ... PRC Analysis Form. A.B.A. Title:

Feb 01, 2018

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Page 1: 2.Analysis request details. - just.edu.jo · PDF fileYes No Recommended Sample Storage: ... PRC-JUST Sample Code Sample Description and/or ... PRC Analysis Form. A.B.A. Title:

 (PRC‐JUST)  Jordan University of Science and Technology (JUST) Pharmaceutical Research Center (PRC)

1.Client Details:

Name: Research No.

Address:

Contact: Phone: Fax:

E-mail: Company:

Additional Info. :

2.Analysis request details.

No. of samples: Samples Hazardous (If yes, MSDS must be supplied)

Yes No

Recommended Sample Storage: Room Temp. 4˚C -20˚C other_____

The samples should Return to the client. Yes No (samples will stored Only

3 months)

# Sample Identification:(eg. Lot Number, Date)

PRC-JUST Sample Code

Sample Description and/or required analysis

1

2

3

4

5

Notes________________________________________________________________________

_______________________________________________________________________. 

Client Name & Signature: PRC-JUST Director & signature:

Aishah waheed
Typewritten Text
PRC Analysis Form
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text
A.B.A
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text
Aishah waheed
Typewritten Text