Conditioning Sample Submission Sheet

Below are fields that are necessary to write the report(s) for your sample(s). Please fill out all fields to the fullest extent. If a field does not apply to your test sample, please enter “N/A” and we will remove that field from the report.

Company Name(Required)

Quote Number

Number of Samples(Required)

Unit 1

Unit 1: Product Name(Required)

How the product will be identified in the report

Unit 1: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 1: Associated ID Numbers:

Unit 1: Reference Number(s)

Unit 1: Model Number(s)

Unit 1: Serial Number(s)

Unit 1: Part Number(s)

Unit 1: Other (Please Specify)

Unit 1: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 1: Additional Comments

Unit 2

Unit 2: Product Name(Required)

How the product will be identified in the report

Unit 2: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 2: Associated ID Numbers:

Unit 2: Reference Number(s)

Unit 2: Model Number(s)

Unit 2: Serial Number(s)

Unit 2: Part Number(s)

Unit 2: Other (Please Specify)

Unit 2: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 2: Additional Comments

Unit 3

Unit 3: Product Name(Required)

How the product will be identified in the report

Unit 3: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 3: Associated ID Numbers:

Unit 3: Reference Number(s)

Unit 3: Model Number(s)

Unit 3: Serial Number(s)

Unit 3: Part Number(s)

Unit 3: Other (Please Specify)

Unit 3: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 3: Additional Comments

Unit 4

Unit 4: Product Name(Required)

How the product will be identified in the report

Unit 4: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 4: Associated ID Numbers:

Unit 4: Reference Number(s)

Unit 4: Model Number(s)

Unit 4: Serial Number(s)

Unit 4: Part Number(s)

Unit 4: Other (Please Specify)

Unit 4: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 4: Additional Comments

Unit 5

Unit 5: Product Name(Required)

How the product will be identified in the report

Unit 5: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 5: Associated ID Numbers:

Unit 5: Reference Number(s)

Unit 5: Model Number(s)

Unit 5: Serial Number(s)

Unit 5: Part Number(s)

Unit 5: Other (Please Specify)

Unit 5: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 5: Additional Comments

Unit 6

Unit 6: Product Name(Required)

How the product will be identified in the report

Unit 6: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 6: Associated ID Numbers:

Unit 6: Reference Number(s)

Unit 6: Model Number(s)

Unit 6: Serial Number(s)

Unit 6: Part Number(s)

Unit 6: Other (Please Specify)

Unit 6: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 6: Additional Comments

Unit 7

Unit 7: Product Name(Required)

How the product will be identified in the report

Unit 7: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 7: Associated ID Numbers:

Unit 7: Reference Number(s)

Unit 7: Model Number(s)

Unit 7: Serial Number(s)

Unit 7: Part Number(s)

Unit 7: Other (Please Specify)

Unit 7: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 7: Additional Comments

Unit 8

Unit 8: Product Name(Required)

How the product will be identified in the report

Unit 8: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 8: Associated ID Numbers:

Unit 8: Reference Number(s)

Unit 8: Model Number(s)

Unit 8: Serial Number(s)

Unit 8: Part Number(s)

Unit 8: Other (Please Specify)

Unit 8: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 8: Additional Comments

Unit 9

Unit 9: Product Name(Required)

How the product will be identified in the report

Unit 9: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 9: Associated ID Numbers:

Unit 9: Reference Number(s)

Unit 9: Model Number(s)

Unit 9: Serial Number(s)

Unit 9: Part Number(s)

Unit 9: Other (Please Specify)

Unit 9: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 9: Additional Comments

Unit 10

Unit 10: Product Name(Required)

How the product will be identified in the report

Unit 10: Manufacturer(Required)

Manufacturers of any of the sample components that need to be listed in report

Unit 10: Associated ID Numbers:

Unit 10: Reference Number(s)

Unit 10: Model Number(s)

Unit 10: Serial Number(s)

Unit 10: Part Number(s)

Unit 10: Other (Please Specify)

Unit 10: Conditioning Information(Required)

Conditioning temperatures and duration

Unit 10: Additional Comments

Package Testing Types

Package Testing Capabilities

Cold Chain

Aging

Industries

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