NACT506.2M As Received Sample Analysis Request Form Pricing Guide- Cost
Transcription
NACT506.2M As Received Sample Analysis Request Form Pricing Guide- Cost
NACT506.2M As Received Sample Analysis Request Form st Effective from 1 July 2014 - Payment is required before report is issued Admin to fill in details Pricing Guide- Please select service required Prices are subject to change without notice •Prices are for homogenous samples only (no soils or dusts) •Prices and turnaround for 10+ samples to be agreed with Laboratory Manager IF MAILING: Turnaround starts from date samples are received Business Clients Cost (includes GST) 5 business days turnaround 2 business days turnaround Next business day turnaround Same business day turnaround (please check with lab) $132.00 $44.00 $154.00 $66.00 $176.00 $88.00 1st sample Each additional sample 1st sample Each additional sample 1st sample Each additional sample $220.00 1st sample $132.00 Each additional sample Purchase Order Number: (Please also attach sheet) Payment Details: Our Fee: $ Agreed To By Client: incl GST NAA Approved By: Total No. of Samples: _______ Report due: / / 20 Exact Cash Credit card: Visa MasterCard TAX INVOICE REQUIRE Payment Method: Card Holders Name: Card Expiry Date: Card Number : Business ABN: CCV Number: Payment Processed Date: (Required for tax invoice) Contact information: Please attach your business card then complete those fields not provided on your card Date: / /20 Client/Business Name: Report Attention to: Postal Address : Client to fill in details Post Code: Email Address for report: Phone / Mobile/ Fax: Email Mail Fax & Phone Call Send Report by: Sample Details: As Above or please specify below Street/Site Address: Post Code: Specific Sample Location: (eg. Bathroom Floor) 1. 5. 2. 6. 3. 7. 4. 8. Laboratory Use Only: Day, Date Received: Client No: Analyst Name Initial Job No: Approved Signatory Date Name Initial Date BSA Box: Phone Msg Result to Client Name Initial Date Email Mail Fax Prepared SEE OVERPAGE FOR RECOMMENDATIONS FOR SAMPLE COLLECTION CONTROLLED DOCUMENT Issue No. 7M Issue Date: July 2014 Authorised By: Jessica Brunner Page 1 of 2 I:\Quality Management System\Business Quality Manual\Business Management Quality System\Forms\Word versions\NACT506.2M As Received Sample Analysis Request Form V7.doc NACT506.2M As Received Sample Analysis Request Form When taking samples, we recommend: Wearing a P2 dust mask and disposable gloves; these can usually be purchased from hardware stores; Sampling at edges where material may already be loose, to minimise disturbance; Dampening down the material with fine mist water spray to minimise fibre release; Collecting a 2 inch square quantity only. (Samples smaller than this may not be sufficient for our analysts to make a determination; samples larger than this pose shipping, handling and storage problems and cost.) Collecting each sample into a separate, labelled clip-lock clear plastic bag for accurate identification; Placing all samples into a second group clip-lock clear plastic bag; Delivering samples to our laboratory/ sending via courier to avoid potentially dangerous goods in the mail. Including the filled out request form with the samples, and Addressing the package attention to ‘Laboratory’, so the package is not opened outside of laboratory conditions. PLEASE NOTE: Samples received that do not conform with the above conditions will not be accepted or analysed. Examples of unacceptable practices are bare samples, samples in shopping bags, samples in envelopes, large samples in builders’ plastic or asbestos waste bags. Laboratory Address: Level 1 / 677 High Street Kew East Vic 3102 If you’ve any queries, please feel to free to call our Laboratory Manager on (03) 9896 8761 . CONTROLLED DOCUMENT Issue No. 7M Issue Date: July 2014 Authorised By: Jessica Brunner Page 2 of 2 I:\Quality Management System\Business Quality Manual\Business Management Quality System\Forms\Word versions\NACT506.2M As Received Sample Analysis Request Form V7.doc