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CT F : 27
CUSTOMER INFORMATION REPORT AND SAMPLE INFORMATION
Palsani Green Power LLP ULR No : TC76952000000001F
87/110 Dr. Radha Krishnan Road Mylapore Test Report No : R191200414.001 Test Report Date : 02-1-2020
Date Sampled : 26-12-2019 Received Date : 30-12-2019
Chennai-600004, Date Analysed : 31-12-2019
TAMIL NADU, India Sample Type : Ad Blue
Kind Atn :Dhairya Palsani Conditon : Sample received in plastc container
Reference No.: Sample Desc : Batch No-1912201227
Reference Date: 31-12-2019
Note : 1. Sampling is done by the party. The Test Result pertain to the sample(s) received for testng ithout preeudice of its lot, batches, source or process.
2. Comments given in the report are advisory only & shall not be used in case of legal maters. Test Reports shall not be reproduced ithout riten consent of Chem-Tech.
3. Sample ill be retained for one month from the date of testng unless other ise specifed by the customer.
4. The Laboratory is accredited under ISO/IEC 17025.#Indicates that the analyte is not mentoned in the published method scope. § Indicates that the method is not in Scope of
Accreditaton of the laboratory.
S – 22, Parvat Industrial Estate, Pune – Satara Road, Pune - 411009, Maharashtra.
Tel No.: +91 20 24228820, +91 20 24229020, Telefax: +91 20 24228020 Email: info@chemtechlabs.co.in, .chemtechlabs.com
PAGE 1 OF 2
TEST REPORT
CT F : 27
CUSTOMER INFORMATION REPORT AND SAMPLE INFORMATION
Palsani Green Power LLP ULR No : TC76952000000001F
87/110 Dr. Radha Krishnan Road Mylapore Test Report No : R191200414.001 Test Report Date : 02-1-2020
Date Sampled : 26-12-2019 Received Date : 30-12-2019
Chennai-600004, Date Analysed : 31-12-2019
TAMIL NADU, India Sample Type : Ad Blue
Kind Atn :Dhairya Palsani Conditon : Sample received in plastc container
Reference No.: Sample Desc : Batch No-1912201227
Reference Date: 31-12-2019
Authorized By
Saneay Da are
Senior Laboratory Manager
Note : 1. Sampling is done by the party. The Test Result pertain to the sample(s) received for testng ithout preeudice of its lot, batches, source or process.
2. Comments given in the report are advisory only & shall not be used in case of legal maters. Test Reports shall not be reproduced ithout riten consent of Chem-Tech.
3. Sample ill be retained for one month from the date of testng unless other ise specifed by the customer.
4. The Laboratory is accredited under ISO/IEC 17025.#Indicates that the analyte is not mentoned in the published method scope. § Indicates that the method is not in Scope of
Accreditaton of the laboratory.
S – 22, Parvat Industrial Estate, Pune – Satara Road, Pune - 411009, Maharashtra.
Tel No.: +91 20 24228820, +91 20 24229020, Telefax: +91 20 24228020 Email: info@chemtechlabs.co.in, .chemtechlabs.com
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