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LITHIUM
BAT TERY
SERVICE
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Version 2/2019 © This form was provided by www.lithium-battery-service.com
LITHIUM BATTERY TEST SUMMARY AND SUPPLIER INQUIRY
IN ACCORDANCE WITH SUB-SECTION 38.3
OF MANUAL OF TESTS AND CRITERIA
1. Name/Description of battery
1a. Name/Description of the cells inside the battery
The test summary of the cells inside the battery must either be presented or under checkpoint 9 and 9a it must
be confirmed that the UN 38.3 test summary for the cells is available.
2. Manufacturer of battery
Name
Address
Phone
Email
Website
2a. Manufacturer of the equipment (if the battery is contained in equipment)
Name
Address
Phone
Email
Website
3. Test laboratory of battery
Name
Address
Phone
Email
Website
4. ID-number and date
Unique test report identification number Date of test report
N/A = Not Applicable
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