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CvSU MANUAL OF OPERATIONS
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                          Research Lab Form No. 3b


                          Request form for laboratory test/analysis

                          (For Non-university personnel; faculty members, staff and students)


                          Request Number: _____________________

                          Date Requested: ______________________


                          Date Released: _______________________

                          Name of Faculty/Staff/Student_______________________________


                          School/Agency: ______________________________________________

                          Laboratory Test/Analysis:  ____________________________________


                          Details/Specifications of Request:

                          _____________________________________________________________________
                          _____________________________________________________________________
                          _________________________________________________________

                          Recommending Approval:


                          ________________________
                                                                             ________________________

                          Department Chairman                                  Director for Research


                          Approved:

                          ________________________
                                                                             ________________________

                          VP, RECETS                                                 University President











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