Product Information Submission Sheet • Keystone Package Testing

Product Information Only 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(Required)

Number of Unique Packages to be Tested(Required)

Unique Unit Type 1

Unit 1: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 1

Unit 1: Product Description(Required)

Describe product and its use or application

Unit 1: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 1: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 1: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 1: Additional Comments

Unique Unit Type 2

Unit 2: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 2

Unit 2: Product Description(Required)

Describe product and its use or application

Unit 2: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 2: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 2: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 2: Additional Comments

Unique Unit Type 3

Unit 3: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 3

Unit 3: Product Description(Required)

Describe product and its use or application

Unit 3: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 3: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 3: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 3: Additional Comments

Unique Unit Type 4

Unit 4: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 4

Unit 4: Product Description(Required)

Describe product and its use or application

Unit 4: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 4: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 4: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 4: Additional Comments

Unique Unit Type 5

Unit 5: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 5

Unit 5: Product Description(Required)

Describe product and its use or application

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 5: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 5: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 5: Additional Comments

Unique Unit Type 6

Unit 6: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 6

Unit 6: Product Description(Required)

Describe product and its use or application

Unit 6: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 6: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 6: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 6: Additional Comments

Unique Unit Type 7

Unit 7: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 7

Unit 7: Product Description(Required)

Describe product and its use or application

Unit 7: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 7: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 7: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 7: Additional Comments

Unique Unit Type 8

Unit 8: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 8

Unit 8: Product Description(Required)

Describe product and its use or application

Unit 8: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 8: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 8: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 8: Additional Comments

Unique Unit Type 9

Unit 9: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 9

Unit 9: Product Description(Required)

Describe product and its use or application

Unit 9: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 9: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 9: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 9: Additional Comments

Unique Unit Type 10

Unit 10: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 10

Unit 10: Product Description(Required)

Describe product and its use or application

Unit 10: Manufacturer(Required)

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: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 10: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 10: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 10: Additional Comments

Unique Unit Type 11

Unit 11: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 11

Unit 11: Product Description(Required)

Describe product and its use or application

Unit 11: Manufacturer(Required)

Unit 11: Associated ID Numbers

Unit 11: Reference Number(s)

Unit 11: Model Number(s)

Unit 11: Serial Number(s)

Unit 11: Part Number(s)

Unit 11: Other (Please Specify)

Unit 11: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 11: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 11: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 11: Additional Comments

Unique Unit Type 12

Unit 12: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 12

Unit 12: Product Description(Required)

Describe product and its use or application

Unit 12: Manufacturer(Required)

Unit 12: Associated ID Numbers

Unit 12: Reference Number(s)

Unit 12: Model Number(s)

Unit 12: Serial Number(s)

Unit 12: Part Number(s)

Unit 12: Other (Please Specify)

Unit 12: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 12: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 12: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 12: Additional Comments

Unique Unit Type 13

Unit 13: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 13

Unit 13: Product Description(Required)

Describe product and its use or application

Unit 13: Manufacturer(Required)

Unit 13: Associated ID Numbers

Unit 13: Reference Number(s)

Unit 13: Model Number(s)

Unit 13: Serial Number(s)

Unit 13: Part Number(s)

Unit 13: Other (Please Specify)

Unit 13: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 13: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 13: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 13: Additional Comments

Unique Unit Type 14

Unit 14: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 14

Unit 14: Product Description(Required)

Describe product and its use or application

Unit 14: Manufacturer(Required)

Unit 14: Associated ID Numbers

Unit 14: Reference Number(s)

Unit 14: Model Number(s)

Unit 14: Serial Number(s)

Unit 14: Part Number(s)

Unit 14: Other (Please Specify)

Unit 14: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 14: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 14: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 14: Additional Comments

Unique Unit Type 15

Unit 15: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 15

Unit 15: Product Description(Required)

Describe product and its use or application

Unit 15: Manufacturer(Required)

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

Unit 15: Associated ID Numbers

Unit 15: Reference Number(s)

Unit 15: Model Number(s)

Unit 15: Serial Number(s)

Unit 15: Part Number(s)

Unit 15: Other (Please Specify)

Unit 15: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 15: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 15: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 15: Additional Comments

Unique Unit Type 16

Unit 16: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 16

Unit 16: Product Description(Required)

Describe product and its use or application

Unit 16: Manufacturer(Required)

Unit 16: Associated ID Numbers

Unit 16: Reference Number(s)

Unit 16: Model Number(s)

Unit 16: Serial Number(s)

Unit 16: Part Number(s)

Unit 16: Other (Please Specify)

Unit 16: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 16: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 16: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 16: Additional Comments

Unique Unit Type 17

Unit 17: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 17

Unit 17: Product Description(Required)

Describe product and its use or application

Unit 17: Manufacturer(Required)

Unit 17: Associated ID Numbers

Unit 17: Reference Number(s)

Unit 17: Model Number(s)

Unit 17: Serial Number(s)

Unit 17: Part Number(s)

Unit 17: Other (Please Specify)

Unit 17: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 17: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 17: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 17: Additional Comments

Unique Unit Type 18

Unit 18: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 18

Unit 18: Product Description(Required)

Describe product and its use or application

Unit 18: Manufacturer(Required)

Unit 18: Associated ID Numbers

Unit 18: Reference Number(s)

Unit 18: Model Number(s)

Unit 18: Serial Number(s)

Unit 18: Part Number(s)

Unit 18: Other (Please Specify)

Unit 18: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 18: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 18: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 18: Additional Comments

Unique Unit Type 19

Unit 19: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 19

Unit 19: Product Description(Required)

Describe product and its use or application

Unit 19: Manufacturer(Required)

Unit 19: Associated ID Numbers

Unit 19: Reference Number(s)

Unit 19: Model Number(s)

Unit 19: Serial Number(s)

Unit 19: Part Number(s)

Unit 19: Other (Please Specify)

Unit 19: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 19: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 19: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 19: Additional Comments

Unique Unit Type 20

Unit 20: Product Name(Required)

How the product will be identified in the report

Qty. of Samples for Unique Unit Type 20

Unit 20: Product Description(Required)

Describe product and its use or application

Unit 20: Manufacturer(Required)

Unit 20: Associated ID Numbers

Unit 20: Reference Number(s)

Unit 20: Model Number(s)

Unit 20: Serial Number(s)

Unit 20: Part Number(s)

Unit 20: Other (Please Specify)

Unit 20: Package Description(Required)

Ex: “Corrugated Cardboard Container” or “Pallet with wrap and metal banding”

Unit 20: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 20: Weight(Required)

Specify: lbs., kgs, or other

Will Keystone open the package for inspection once testing is completed?(Required)

Yes

Unit 20: Additional Comments

Package Testing Types

Package Testing Capabilities

Cold Chain

Aging

Industries

About

Product Information Only Sample Submission Sheet

Unique Unit Type 1

Unique Unit Type 2

Unique Unit Type 3

Unique Unit Type 4

Unique Unit Type 5

Unique Unit Type 6

Unique Unit Type 7

Unique Unit Type 8

Unique Unit Type 9

Unique Unit Type 10

Unique Unit Type 11

Unique Unit Type 12

Unique Unit Type 13

Unique Unit Type 14

Unique Unit Type 15

Unique Unit Type 16

Unique Unit Type 17

Unique Unit Type 18

Unique Unit Type 19

Unique Unit Type 20

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