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1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />~,~,' CORE LABORATORIES <br />Western Atlea <br />International <br />. ~~o.~ w. <br />IT IT IE <br />ANALYTICAL CHEMISTRY DIVISION QUALITY ASSURANCE MANUAL <br />SOP N0. REVISION N0. EFFECTIVE DATE PAGE <br />Figure 14-2 Non-Conformance Report Form <br />l70N-CONFORMANCE REPORT tNCR7 Page of <br />NCR No.: Reference No. (if applicable): <br />Location: Issued By: <br />Date issued: Position: <br />I. AREAS AFFECTED <br />Laboratory Section: <br />Parmeters/Matrices: <br />Sample Nos.• <br />Other: <br />IZ. DESCRIPTION AND IMPACT OF NON-CONFORMANCE: <br />III. ACTION REQUIRED: <br />Personnel Assigned <br />Responsihility: <br />IV. ACTION TAIC£N AND RESOLUTION: <br />Completed By: <br />V. DISTRIBUTION: <br />Laboratory Manager/Supervisor <br />Laboratory Section Supervisor <br />QA/QC Coordinator <br />Time Schedule <br />for Action: <br />Date: <br />Client/ProjecC File <br />Staff Members <br />Division/Regional Manager/QA Director <br />