Requester InformationName KAUST ID No #Contact DetailsDepartment/LFO

Cost Center/Pocket ID New Requester Y N

Manager/PI Name&ID Job Request Information

Type of Service Calibration Measurement Others____________________________________

Job Request Details/Special Instructions

Declaration

I hereby certify that these instrument(s) and/or part(s) are safe for human handling, free from any radioactive, hazardous, or otherwise dangerous substances and/or if applicable have been decontaminated by approved methods.

Requester Signature:Date:

Operating Cost by MET/CAL StaffPLEASE NOTE: Prices assume that the instruments(s) submitted to be calibrated as requested are suitable for calibration. If defects are determined to exist and the instrument(s) cannot be calibrated and/or beyond economically repair, Metrology Laboratory will to stop the work order, return the instrument(s), and bill for actual time incurred, develop an estimate for cost of replacement of replacement instrument(s).

Cost in US$ Materials/Spare parts Labor Total Completion DateEstimateActual

Acknowledged by Requestor Y N N/A

R e m a r k s

Delivery, Acceptance & Evaluation by RequesterRemarks/Comments Signature

Date

Central Workshops Metrology Laboratory+966 12 808 0815 · metcal@kaust.edu.sa

Job Request Form