Client Information (To Appear on Report) Comments/Special Instructions Company or Client Name Contact Phone # Person Address E-mail Report To Client Purchase Reference Order # Max 15 characters Max 15 characters Submitter Submitter Test Packs Phone # (if not Client) Write the pack code in the PACK’ column to select ‘TEST Submitter multiple tests for a sample at a discounted price. E-mail Invoice To Pack Code (if not client) E E-mail Invoice EXTRACTION PACK 3in1, 3in1 Forecast (Growth), – To MPI 5 Attributes, Tutin 5 Sample Composite, C4 Screen P Include Excel Report PROCESSING PACK 3in1, 3in1 Forecast (Shelf Life), Provide Each Sample on – MPI 5 Attributes, Tutin Individual, C4 AOAC Individual Report Office Use Only Laboratory ID Number Date Received Received By Report Sent Invoice Sent Other Manuka Tests General Tests Tests NE- Nectar code) Your Sample Identification # Markers (To Appear on Report) Forecast DNA (indicate AOAC Screen - - Only 3in1 Moisture, groups Composite Metals Conductivity Individual PACK - Manuka & - DHA/MG/HMF/NPA Chemical Sugars Sugars Manuka MPI MPI Moisture Brix Heavy TEST 3in1 Tutin Tutin C4 C4 Colour, Leptosperin Identify 1 2 3 4 5 6 7 8 9 10 11
Client Information (To Appear on Report) Comments/Special Instructions Company or Client Name Contact Person Phone # Address E-mail Report To Client Reference Max 15 characters Purchase Order # Max 15 characters Submitter (if not Client) Submitter Phone # Test Packs Write the pack code in the ‘TEST PACK’ column to select multiple tests for a sample at a discounted price. Submitter E-mail Invoice To (if not client) Pack Code E-mail Invoice To EXTRACTION PACK – 3in1, 3in1 Forecast (Growth), MPI 5 Attributes, Tutin 5 Sample Composite, C4 Screen E Provide Each Sample on Individual Report Include Excel Report PROCESSING PACK – 3in1, 3in1 Forecast (Shelf Life), MPI 5 Attributes, Tutin Individual, C4 AOAC P Office Use Only Laboratory ID Number Date Received Received By Report Sent Invoice Sent # Your Sample Identification (To Appear on Report) TEST PACK (indicate code) Manuka Tests General Tests Other Tests 3in1 DHA/MG/HMF/NPA Manuka 3in1 Forecast Leptosperin MPI Chemical Markers MPI Manuka DNA Tutin - Individual Tutin - Composite Identify groups C4 Sugars - AOAC C4 Sugars - Screen Colour, Moisture, Brix & Conductivity Moisture Only Heavy Metals NE- Nectar 1 2 3 4 5 6 7 8 9 10 11
Analysis%20Request%20Form_Honey%20V12.docx