ࡱ> gvbjbj`` x\ x\ ` ` 000DDD8|D D%" $$$$$$$>')X$Q0"$$80$$:%#,#q4Q#o$$0%i#.L*L*##L*0#$$%L*` F : CUMHUR0YET N0VERS0TES0 0LER0 TEKNOLOJ0 UYGULAMA VE ARA^TIRMA MERKEZ0 Cumhuriyet niversitesi, Kamps 58140 S0VAS HYPERLINK "mailto:cutam@cumhuriyet.edu.tr"cutam@cumhuriyet.edu.tr http://cutam.cumhuriyet.edu.trTERMOGRAV0METR0K ANAL0Z (TGA) TALEP FORMUTalep Edilen Analiz BilgileriMETOT DENEY PARAMETRELER0 Is1tma H1z1 ((C/dk.): S1cakl1k Aral11 ((C): Deney Atmosferi: & Azot & Oksijen & Hava & lm Belirsizlii deeri istiyorum.*DENEY 0LE 0LG0L0 EK 0STEKLER:* lm Belirsizlii deeri istendiinde birden fazla analiz yap1laca1ndan yeterli miktarda numune gnderilmelidir. lm Belirsizlii istendii takdirde en az deney ile hesap yap1laca1ndan her deney iin ayr1 cretlendirme yap1lacakt1r.Numune BilgileriEtiket NoNumune Ad1Fiziksel Yap1s1Erime Noktas1 ((C)lm S1ras1nda 1kacak Gazlar0102Numune geri isteniyor mu? % Evet % Hay1r Numunenin (Varsa) zel Saklama Ko_ullar1: *Numune ve analizi ile ilgili kullan1c1, evre ve cihaza zarar verme a1s1ndan al1nmas1 gereken nlemler var m1? Varsa a1klay1n1z. (& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & )Analizi Talep Eden Ki_i veya Kuruma Ait BilgilerAd1 Soyad1: Adres: Telefon ve Fax: E-mail: 0MZAAnaliz creti deme Bilgilerideme yapacak ki_i veya kurulu_un ad1: Varsa Proje No: Adres-Tel: Analiz cretinin yat1r1laca1 hesap no: TR63 0001 0015 0739 8770 6050 35Raporun ve Faturan1n Al1c1ya Gnderilme ^ekli % Elden %Posta* % Kargo* *Raporun ve/veya faturan1n posta veya kargoya verilmesi durumunda deme al1c1ya aittir. -Ba_vuru bu form doldurulup 0leri Teknoloji Uygulama ve Ara_t1rma Merkezine iletildikten sonra i_leme al1nacakt1r. -Gnderilen numune cam, plastik veya metal bir kaba konulmal1d1r. Po_et, torba, vb _ekilde konularak gnderilen numune iade edilecektir. Dklmeye kar_1 gerekli tedbirler al1narak gnderilmelidir. -Kullan1c1ya ve cihaza zarar verme ols1l11 olan rnekler kabul edilmeyecektir.AdetBirim Fiyat1 (TL)Toplam Fiyat (TL)Analizi Gerekle_tirilen Numune Toplam 0ndirim Miktar1 %18 KDVGenel Toplam0leri Teknoloji Uygulama ve Ara_t1rma Merkezi Taraf1ndan DoldurulacakKay1t No.Geli_ TarihiBiti_ TarihiAnaliz Tutar1Analizi Yapan1n 0mzas1 Uzman Laboratuvar Mdrnn 0mzas1 Prof. Dr. Mehmet ^im_ir  CTAM Hizmet Szle_mesi Bu szle_me CTAM Laboratuvar1 ile M_teri aras1ndaki Hizmet Szle_mesidir CTAM dan hizmet talebinde bulunan tm ki_i ve kurulu_lar  M^TER0 olarak, Merkez Laboratuvar1 ise  CTAM olarak adland1r1lm1_t1r. Deney _artlar1na uygun _ekilde numune gnderme i_lemi m_teriye aittir. Numune ald1rma talebinde bulunabilir. Numuneler, ilgili laboratuvar ile konu_ulduktan sonra istenilen miktarda gnderilmelidir. Numunenin CTAM a kabulne kadar geen sre zarf1nda uygun ko_ullarda ta_1nmas1, ambalajlanmas1 ve muhafazas1 m_terinin sorumluluundad1r. Bu etkenlerden dolay1 deney sonular1nda olu_acak olumsuzluklardan CTAM sorumlu tutulamaz. M_teri, numuneleri kodlamal1 ve s1ralamal1d1r. Kodlama silinmeyecek _ekilde numunelerin zerine yaz1lmal1d1r. 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Ba_vuru Formu ve ilgili Deney 0stek Formlar1n1n doldurulup imzalanmas1yla m_teri, deneye gnderilen numunenin (varsa) insan ve evre sal11na olan zararl1 etkilerini beyan ettiini, etmedii takdirde olu_acak uygunsuzluklardan KEND0S0N0N sorumlu olaca1n1 kabul eder. Deneyler ve cretleri, numune kabul kriterleri ve deme _artlar1, deneyi gerekle_tirecek uzman/retim yesi kabul ve Merkez Mdr onay1 ile belirlenir. M_teri taraf1ndan iadesi talep edilen numuneler de analiz sonras1nda orijinal veya modifikasyonlar yap1lm1_ numune artm1_ ise gnderi masraflar1n1 m_terinin kar_1lamas1 suretiyle iade edilir. Numunelerin iadesi deney raporunun teslimi ile birlikte yap1l1r. Bu numuneler bir hafta iinde teslim al1nmad11 takdirde imha edilir. Her trl posta/kargo masraf1 m_teriye aittir. Deney ve hizmet cretinin dendiine dair belge CTAM a ibraz edilmeden deney ba_lamaz ve rapor dzenlenmez. Birden ok ayn1 analiz numunesi ba_vurusunda ilk numunenin uygunsuzluu durumunda dier numunelerin analizi iin m_teriyle ileti_ime geilir. M_terinin istei dorultusunda analiz i_lemlerinin sreci belirlenir. Dier numunelerin analizinin iptal edilmesi durumunda ilk analiz bedeli al1narak kalan bedel iade edilir. Tek analiz ba_vurular1nda, analiz sonucu elde edilemese dahi analiz bedeli iade edilmez. Her deney sonucunda, oklu numune bile olsa, tek deney raporu dzenlenir. 0lave raporlar, sonular1 yorumlama ve farkl1 sonu formatlar1n1n her biri %50 ek crete tabidir. M_terinin deney sonular1na itiraz1 durumunda yap1lan deney tekrarlar1nda ayn1 sonular1n bulunmas1 durumunda m_teriden tam hizmet bedeli tahsil edilir. Analiz cretlerinde niversiteler ve kamu kurum ve kurulu_lara 0ND0R0M yap1ld11 durumlarda ilgili kurumdan CTAM gerekli belgeleri isteyebilir. Analiz sonular1n1n bilimsel bir yay1nda kullan1lmas1 halinde bu analiz(ler)in yap1ld11 yerin Cumhuriyet niversitesi 0leri Teknoloji Uygulama ve Ara_t1rma Merkez i olduunun yap1lan yay1n(lar)da/tez(ler)de belirtilmesi gerekmektedir. Sunduunuz yaz1l1/szl, ulusal/uluslararas1 al1_malar1n1z1n bir kopyas1n1 da merkezimize vermeniz gerekmektedir. Analiz talep eden ki_i/kurum, deney sonular1n1n sadece deneyi yap1lan numuneye ait olduunu, ticari bir amala kullan1lmayaca1n1 ve reklamlarda CTAM 1n ad1n1n zikredilerek ve/veya sz konusu rnn CTAM, Cumhuriyet niversitesi Laboratuvarlar1 vb. taraf1ndan onayland11 anlam1na gelecek _ekilde kullan1lmayaca1n1 taahht eder. Anla_mazl1k durumunda S0VAS mahkemeleri yetkilidir. BU FORMDA BEL0RTM0^ OLDUUM B0LG0LER0N DORULUUNU VE CTAM H0ZMET SZLE^MES0 NDEK0 HKMLER0 AYNEN KABUL ETT00M0 BEYAN EDER0M. 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