| SPEX SamplePrep Mill for Test: | |
| SPEX SamplePrep Grinding or Mixing Container: | |
| Sample Description: | |
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| Sample Composition: | |
| If sample is considered hazardous in any way please include MSDS. |
| Quantity to be Ground or Mixed per Load: | |
| Number of Samples per Day: | |
| Purpose of Grinding: | |
| | Emission Spectroscopy | |
| | X-ray Spectroscopy | |
| | Extraction | |
| | Other | |
| Desired Particle Size after Grinding, if known: | |
| If contamination with certain metals or plastics is objectionable, please list them along with the approximate ppm level(s) of concern: |
| Contaminate | ppm level |
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| Notes or Comments: | |
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| For Return of Sample and Report: | |
| Name and Title | |
| Company Name: | |
| Mailing Address: | |
| Phone: | |
| Date: | |
| Mail to SPEX SamplePrep Sample Prep, 203 Norcross Ave., Metuchen, NJ 08840 |
| PLEASE CONTACT SPEX SamplePrep SAMPLE PREPARATION |
| DEPARTMENT PRIOR TO SENDING IN YOUR TEST SAMPLE |
| 1-800-LAB-SPEX |
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