Microbiology Request Analysis Form


Identification of Sample(s):

*Please provide detailed instructions on how products should be composited if required. Please note that a composite fee may apply depending on sample type and size.*


PATHOGENS:

INDICATORS:

*Minimum Sample Size 25g for each analysis unless otherwise specified.*

**Screen method is picked based on price quote or

MICRO IDENTIFICATION:


MICRO WATER ANALYSES:

HPC (8 Hour Holding Time from Sampling) Coliform (30 hour Holding Time from Sampling)


USP (SUPPLEMENTS/ COSMETICS)

SWABS

*All swab analyses require one swab per pathogen and have a holding time of 24 hours from swabbing*


NOTES:

*Please provide detailed instructions on how products should be composited if required. Please note that a composite fee may apply depending on sample type and size.*

**A $75.00 Minimum charge per submission applies.**

***Please specify any special reporting requirements.***




CHEMISTRY ANALYS IS REQUEST FORM

Please fill out and return with sample. Use separate Analysis Request Forms if analyses vary per sample.


Identification of Sample(s):

MICRO IDENTIFICATION:


ALLERGENS:

Tree Nuts:

DAIRY ANALYSES:

FILTH/DECOMPOSITION:

VITAMIN:

GENERAL CHEMISTRY ANALYSES:

**Michelson Laboratories, Inc. performs over 400 tests. If you do not see your test here, please contact us.**

FDA Detained Products:

*Contact us if test is not listed sampleorders@michelsonlab.com

MINERALS & METALS:

NUTRITIONAL LABELING:

*Minimum sample size of 1 pound (454g) or 16 oz. is required.*