Sample Receipt Acknowledgement 2025MWW01R2 Please fill out this form within 2 days of receiving your PT sample. If not received within this timeframe, it will be assumed that the sample is intact, and no complaints will be entertained later. For any concerns, report immediately via email. pt@envirocare.co.in All fields are mandatory. Sample Receipt Form PT Round(Required)2025MWW01R2I received this PT item on(Required) DD dot MM dot YYYY Lab Code Allotted(Required) Lab Code is allotted in Hard Copy in PT Item Box Use Lab code in all future correspondences. Condition of the received PT item(Required)Intact and fit for analysisDamaged or Not FitThird ChoiceDescribe the damageYesNoNot ApplicablePhotographic Evidence of the Damaged PT item Drop files here or Select files Max. file size: 512 MB. Remarks if any:Name of Participating Laboratory/ Organization:(Required) Name of the contact person(Required) First Last Designation(Required) Email(Required) Mobile No.(Required)Consent(Required) I confirm the information provided in this form. Correspondence Information All correspondence should be done by the key person/contact person as per the registration form. For any clarification, email us at pt@envirocare.co.in.
