Product Testing Request Placeholder Company Name Date of Request Address City State Zip Code Country First Name Last Name Title Work Phone Fax Email Address Product Type Product TypeFoodScienceOther Product Form Product FormSolidLiquidGasOther Description Hazardous Hazardous Yes No If yes, disclose specific hazardous components and handling requirements: Is product sensitive to dry ice? Is product sensitive to dry ice? Yes No Not Sure If your product is not sensitive to dry ice, should dry ice be considered during testing? If your product is not sensitive to dry ice, should dry ice be considered during testing? Yes No Is product sensitive to moisture? Is product sensitive to moisture? Yes No Not Sure If product is sensitive to moisture, what types of absorbent materials are acceptable? Product Length Product Width Product Depth Product Diameter Product Volume Product Weight Other / Misc. Product Dimensions Quantity of Product Per Package Quantity of Packages Per Container Package Width Package Length Package Depth Package Diameter Package Volume Package Weight Container Length Container Width Container Depth Container Diameter Container Volume Container Weight Packaging & Transporting Product Requirements Packaging & Transporting Product Restrictions Package Manufacturer Name Package Manufacturer Specs Package Manufacturer Part Number Package Manufacturer Qty Container Manufacturer Name Container Manufacturer Specs Container Manufacturer Part Number Container Manufacturer Qty Poly Bags Manufacturer Name Poly Bags Manufacturer Specs Poly Bags Manufacturer Part Number Poly Bags Manufacturer Qty Refrigerant Manufacturer Name Refrigerant Manufacturer Specs Refrigerant Manufacturer Part Number Refrigerant Manufacturer Qty 4 + 13 = Submit
