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Sample Submission
Company Name:
Email:
Address:
Submission Date:
Date Required By:
Contact Person:
Order No.
Contact Phone:
Analysis testing:
1.
Water Activity
2.
Viscosity
3.
pH
4.
Total Solids (Moisture Content)
5.
Dissolved Solids (Brix)
6.
Gluten
7.
CO2/O2
8.
Other (Please Specify)
Microbiological testing: (subcontracted)
9.
Aerobic Plate Count
10.
Yeast & Moulds
11.
Listeria (Detection/Count)
12.
Salmonella Detection
13.
Other (Please specify)
Analysis required:
N°
Sample Identification
Tests Required
1
2
3
4
5
6
7
8
9
10
Please tick the storage condition for your product:
Ambient
Chilled
Frozen
Special Instructions/Comments:
Security:
SUBMIT
