LMS 100NP, Programmable Instruction Manual, Page: 31 / 31

APPLICATION FOR QUOTATION TO SERVICE LABORATORY EQUIPMENT
NAME OF APPLICANT:
COMPANY NAME:
ADDRESS:
DATE:
TEL NO:
FAX NO:
TYPES OF EQUIPMENT WHICH CAN BE SERVICED, CALIBRATED OR UKAS ACCREDITED BY LMS:-
AUTOCLAVE C02 INCUBATOR
GLASS WASHER PUMP
CENTRIFUGE DIGESTION BLOCK INCUBATOR STERILIZER
CHILLER FREEZER LABORATORY FRIDGE WATER BATH
CLIMATIC CHAMBERS FRIDGE/FREEZER LABORATORY OVEN
COOLED INCUBATOR FURNACE MEDIA PREPARATOR
PLEASE LIST THESE AND ANY OTHER TYPE OF EQUIPMENT YOU WISH TO BE CONSIDERED
TYPE of EQUIPMENT MANUFACTURER MODEL YEAR SERIAL NO UKAS?
PLEASE COMPLETE AND RETURN TO:
LMS LTD, THE MODERN FORGE, AMHERST HILL,
FAX: 01732 450127 RIVERHEAD SEVENOAKS, KENT TN13 2EL
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