Analysis/Quotation Request Form Analysis/Quotation Request Form Notify Customer InformationCompany name:Order number:Name of person to receive the test report:Name of person to receive a copy of the test report:Email address:Telephone number:Fax number:Postal address:Street AddressAddress Line 2CityState / ProvinceZIP / Postal CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo 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ProvinceZIP / Postal CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePreviousNextSamplesNumber of samples for analysis 1 sample 2 samples 3 samples 4 samplesSample 1Sample 1 ReferenceSample 1 DescriptionWould you like Sample 1 back? Yes NoWhat is Sample 1 intended for? Human consumption Animal consumptionWill the test results from Sample 1 be used for instrument calibration / verification purposes? Yes NoWill the test results from Sample 1 be measured against a specific Regulatory level? Yes NoSpecify the Regulatory reference here or...Upload the Regulatory document.File Upload If product mixtures are applicable to Sample 1, please list the different components.List of Analyses for Sample 1 100 Kernel Mass - Maize 1000 Kernel Mass - Wheat Additional Calculations on Request (eg. as is / dry basis / 12% moisture basis) Air Drying and Milling of Bread Alveogram Alveogram (Extended Method) Amino Acid (Lysine) Amino Acid (Tryptophan) Amino Acids (Cysteine and/or Methionine) Amino Acids (Total Amino Acids profile) Ash Baking Test (100 g) - Wheat Flour Baking Test (700 g) (Commercial) Baking Worth Bran Content - Brown Bread Flour Bread Volume Breakage Susceptibility – Maize Bühler Extraction - Wheat Bühler Extraction (Including Dockage & Vitreous Kernels) - Wheat Carbohydrates (by difference), g/100g (Cal. value) Cleaning of Wheat on the Dockage Tester Colour - Hunterlab Colour - Kent Jones (KJ) Colour - Konica Minolta CM-5 Consistogram Crude Fibre (Acid-base digestion - 3 days) Crude Protein – Other, % Dumas (Leco) Crude Protein (On Wet Samples) Cysteine and/or Methionine Damaged Starch Defective Kernels - RSA Diastatic Activity (Maltose) Dietary Fibre (total) Dry Solids Determination of Bread Energy Value (Metabolizable), kJ/100g (Cal. value) Ergot Extensigram (45 min) Extensigram (90 min & 135 min) Falling Number Farinogram Fat Crude (Petroleum Ether Extraction) (Soxhlet) Folic Acid (Vitamin B9) Foreign Matter Free Amino Acids Fungi (Field/Storage) Gluten (wet and/or dry) Gluten Index Grading - Grain Sorghum (Full RSA Grain Sorghum Grading) Grading - Maize (Full RSA Maize Grading) Grading - Maize (USA Maize Grading) Grading - Oats (Full RSA Oats Grading) Grading - Soybean (Full RSA Soybean Grading) Grading - Sunflower (Full RSA Sunflower Grading) Grading - Wheat (Full RSA Wheat Grading without cultivar identification) Grading - Wheat (USA Wheat Grading) Grain Sorghum Grading (Full RSA Grain Sorghum Grading) Granulation/Particle Size - Maize products Granulation/Particle Size - Wheat Flour Heat Damaged Kernels Heavily Frost Damaged Kernels Hectolitre mass (Kern: 222) Hunterlab Colour Immature Kernels Insect Damaged Kernels Iron (Fe) - Qualitative Method (Yes/No) Iron (Fe) (Total) Karnal Bunt Kent Jones (KJ) (Colour) Kernel Size - Maize Konica Minolta CM-5 Colour Lemon Yellow Lysine (Amino Acid) Maize Grading (Full RSA Maize Grading) Maize Grading (USA Grading) Melamine Milling Index – Maize Milling Worth – Wheat (Calculation) Mixogram Moisture (milled sample/flour sample) Moisture (whole grain moisture) Multi-Mycotoxins Mycotoxins (Multi-Mycotoxins) Noxious Seeds Oats Grading (Full RSA Oats Grading) Other Grain and Unthresed Ears Pap Cooking Test - Maize Meal Particle Size/Granulation - Maize products Particle Size/Granulation - Wheat Flour pH Quadromat Milling – Durum Quadromat Milling - Wheat Röff 150 - Maize RVA - Stirring Number Profile RVA - Viscosity Screenings Screenings - Wheat (USA) Sieve Test - Maize (USA) Sodium (Na) (Total) Sodium (Na) (Total) - In Bread Sorghum Grading (Full RSA Grain Sorghum Grading) Soybean Grading (Full RSA Soybean Grading) Speck count - Maize Meal Sprouted Kernels Starch content Stress Cracks - Maize, % Sunflower Grading (Full RSA Sunflower Grading) Total Amino Acids profile Total Digestable Nutritional Value, % (Cal. value) Tryptophan (Amino Acid) Undesirable Odours Vitamin A (Retinol Saphonication) Vitamin B (Vitamin B1, B2, B3, B6) Vitamin B9 (Folic Acid) Vitamin D2 (Bread / Yeast) Vitamins - Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Vitreous Kernels - Wheat Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Wheat Grading (Full RSA Wheat Grading without cultivar identification) Wheat Grading (USA Grading) Whiteness Index - 87:13 Sifted Whiteness Index - Sifted & Unsifted Whiteness Index - Unsifted Zinc (Zn) (Total)Sample 2Sample 2 ReferenceSample 2 DescriptionWould you like Sample 2 back? Yes NoWhat is Sample 2 intended for? Human consumption Animal consumptionWill the test results from Sample 2 be used for instrument calibration / verification purposes? Yes NoWill the test results from Sample 2 be measured against a specific Regulatory level? Yes NoSpecify the Regulatory reference here or...Upload the Regulatory document.File Upload If product mixtures are applicable to Sample 2, please list the different components.List of Analyses for Sample 2 100 Kernel Mass - Maize 1000 Kernel Mass - Wheat Additional Calculations on Request (eg. as is / dry basis / 12% moisture basis) Air Drying and Milling of Bread Alveogram Alveogram (Extended Method) Amino Acid (Lysine) Amino Acid (Tryptophan) Amino Acids (Cysteine and/or Methionine) Amino Acids (Total Amino Acids profile) Ash Baking Test (100 g) - Wheat Flour Baking Test (700 g) (Commercial) Baking Worth Bran Content - Brown Bread Flour Bread Volume Breakage Susceptibility – Maize Bühler Extraction - Wheat Bühler Extraction (Including Dockage & Vitreous Kernels) - Wheat Carbohydrates (by difference), g/100g (Cal. value) Cleaning of Wheat on the Dockage Tester Colour - Hunterlab Colour - Kent Jones (KJ) Colour - Konica Minolta CM-5 Consistogram Crude Fibre (Acid-base digestion - 3 days) Crude Protein – Other, % Dumas (Leco) Crude Protein (On Wet Samples) Cysteine and/or Methionine Damaged Starch Defective Kernels - RSA Diastatic Activity (Maltose) Dietary Fibre (total) Dry Solids Determination of Bread Energy Value (Metabolizable), kJ/100g (Cal. value) Ergot Extensigram (45 min) Extensigram (90 min & 135 min) Falling Number Farinogram Fat Crude (Petroleum Ether Extraction) (Soxhlet) Folic Acid (Vitamin B9) Foreign Matter Free Amino Acids Fungi (Field/Storage) Gluten (wet and/or dry) Gluten Index Grading - Grain Sorghum (Full RSA Grain Sorghum Grading) Grading - Maize (Full RSA Maize Grading) Grading - Maize (USA Maize Grading) Grading - Oats (Full RSA Oats Grading) Grading - Soybean (Full RSA Soybean Grading) Grading - Sunflower (Full RSA Sunflower Grading) Grading - Wheat (Full RSA Wheat Grading without cultivar identification) Grading - Wheat (USA Wheat Grading) Grain Sorghum Grading (Full RSA Grain Sorghum Grading) Granulation/Particle Size - Maize products Granulation/Particle Size - Wheat Flour Heat Damaged Kernels Heavily Frost Damaged Kernels Hectolitre mass (Kern: 222) Hunterlab Colour Immature Kernels Insect Damaged Kernels Iron (Fe) - Qualitative Method (Yes/No) Iron (Fe) (Total) Karnal Bunt Kent Jones (KJ) (Colour) Kernel Size - Maize Konica Minolta CM-5 Colour Lemon Yellow Lysine (Amino Acid) Maize Grading (Full RSA Maize Grading) Maize Grading (USA Grading) Melamine Milling Index – Maize Milling Worth – Wheat (Calculation) Mixogram Moisture (milled sample/flour sample) Moisture (whole grain moisture) Multi-Mycotoxins Mycotoxins (Multi-Mycotoxins) Noxious Seeds Oats Grading (Full RSA Oats Grading) Other Grain and Unthresed Ears Pap Cooking Test - Maize Meal Particle Size/Granulation - Maize products Particle Size/Granulation - Wheat Flour pH Quadromat Milling – Durum Quadromat Milling - Wheat Röff 150 - Maize RVA - Stirring Number Profile RVA - Viscosity Screenings Screenings - Wheat (USA) Sieve Test - Maize (USA) Sodium (Na) (Total) Sodium (Na) (Total) - In Bread Sorghum Grading (Full RSA Grain Sorghum Grading) Soybean Grading (Full RSA Soybean Grading) Speck count - Maize Meal Sprouted Kernels Starch content Stress Cracks - Maize, % Sunflower Grading (Full RSA Sunflower Grading) Total Amino Acids profile Total Digestable Nutritional Value, % (Cal. value) Tryptophan (Amino Acid) Undesirable Odours Vitamin A (Retinol Saphonication) Vitamin B (Vitamin B1, B2, B3, B6) Vitamin B9 (Folic Acid) Vitamin D2 (Bread / Yeast) Vitamins - Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Vitreous Kernels - Wheat Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Wheat Grading (Full RSA Wheat Grading without cultivar identification) Wheat Grading (USA Grading) Whiteness Index - 87:13 Sifted Whiteness Index - Sifted & Unsifted Whiteness Index - Unsifted Zinc (Zn) (Total)Sample 3Sample 3 ReferenceSample 3 DescriptionWould you like Sample 3 back? Yes NoWhat is Sample 3 intended for? Human consumption Animal consumptionWill the test results from Sample 3 be used for instrument calibration / verification purposes? Yes NoWill the test results from Sample 3 be measured against a specific Regulatory level? Yes NoSpecify the Regulatory reference here or...Upload the Regulatory document.File Upload If product mixtures are applicable to Sample 3, please list the different components.List of Analyses for Sample 3 100 Kernel Mass - Maize 1000 Kernel Mass - Wheat Additional Calculations on Request (eg. as is / dry basis / 12% moisture basis) Air Drying and Milling of Bread Alveogram Alveogram (Extended Method) Amino Acid (Lysine) Amino Acid (Tryptophan) Amino Acids (Cysteine and/or Methionine) Amino Acids (Total Amino Acid profile) Ash Baking Test (100 g) - Wheat Flour Baking Test (700 g) (Commercial) Baking Worth Bran Content - Brown Bread Flour Bread Volume Breakage Susceptibility – Maize Bühler Extraction - Wheat Bühler Extraction (Including Dockage & Vitreous Kernels) - Wheat Carbohydrates (by difference), g/100g (Cal. value) Cleaning of Wheat on the Dockage Tester Colour - Hunterlab Colour - Kent Jones (KJ) Colour - Konica Minolta CM-5 Consistogram Crude Fibre (Acid-base digestion - 3 days) Crude Protein – Other, % Dumas (Leco) Crude Protein (On Wet Samples) Cysteine and/or Methionine Damaged Starch Defective Kernels - RSA Diastatic Activity (Maltose) Dietary Fibre (total) Dry Solids Determination of Bread Energy Value (Metabolizable), kJ/100g (Cal. value) Ergot Extensigram (45 min) Extensigram (90 min & 135 min) Falling Number Farinogram Fat Crude (Petroleum Ether Extraction) (Soxhlet) Folic Acid (Vitamin B9) Foreign Matter Free Amino Acids Fungi (Field/Storage) Gluten (wet and/or dry) Gluten Index Grading - Grain Sorghum (Full RSA Grain Sorghum Grading) Grading - Maize (Full RSA Maize Grading) Grading - Maize (USA Maize Grading) Grading - Oats (Full RSA Oats Grading) Grading - Soybean (Full RSA Soybean Grading) Grading - Sunflower (Full RSA Sunflower Grading) Grading - Wheat (Full RSA Wheat Grading without cultivar identification) Grading - Wheat (USA Wheat Grading) Grain Sorghum Grading (Full RSA Grain Sorghum Grading) Granulation/Particle Size - Maize products Granulation/Particle Size - Wheat Flour Heat Damaged Kernels Heavily Frost Damaged Kernels Hectolitre mass (Kern: 222) Hunterlab Colour Immature Kernels Insect Damaged Kernels Iron (Fe) - Qualitative Method (Yes/No) Iron (Fe) (Total) Karnal Bunt Kent Jones (KJ) (Colour) Kernel Size - Maize Konica Minolta CM-5 Colour Lemon Yellow Lysine (Amino Acid) Maize Grading (Full RSA Maize Grading) Maize Grading (USA Grading) Melamine Milling Index – Maize Milling Worth – Wheat (Calculation) Mixogram Moisture (milled sample/flour sample) Moisture (whole grain moisture) Multi-Mycotoxins Mycotoxins (Multi-Mycotoxins) Noxious Seeds Oats Grading (Full RSA Oats Grading) Other Grain and Unthresed Ears Pap Cooking Test - Maize Meal Particle Size/Granulation - Maize products Particle Size/Granulation - Wheat Flour pH Quadromat Milling – Durum Quadromat Milling - Wheat Röff 150 - Maize RVA - Stirring Number Profile RVA - Viscosity Screenings Screenings - Wheat (USA) Sieve Test - Maize (USA) Sodium (Na) (Total) Sodium (Na) (Total) - In Bread Sorghum Grading (Full RSA Grain Sorghum Grading) Soybean Grading (Full RSA Soybean Grading) Speck count - Maize Meal Sprouted Kernels Starch content Stress Cracks - Maize, % Sunflower Grading (Full RSA Sunflower Grading) Total Amino Acids profile Total Digestable Nutritional Value, % (Cal. value) Tryptophan (Amino Acid) Undesirable Odours Vitamin A (Retinol Saphonication) Vitamin B (Vitamin B1, B2, B3, B6) Vitamin B9 (Folic Acid) Vitamin D2 (Bread / Yeast) Vitamins - Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Vitreous Kernels - Wheat Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Wheat Grading (Full RSA Wheat Grading without cultivar identification) Wheat Grading (USA Grading) Whiteness Index - 87:13 Sifted Whiteness Index - Sifted & Unsifted Whiteness Index - Unsifted Zinc (Zn) (Total)Sample 4Sample 4 ReferenceSample 4 DescriptionWould you like Sample 4 back? Yes NoWhat is Sample 4 intended for? Human consumption Animal consumptionWill the test results from Sample 4 be used for instrument calibration / verification purposes? Yes NoWill the test results from Sample 4 be measured against a specific Regulatory level? Yes NoSpecify the Regulatory reference here or...Upload the Regulatory document.File Upload If product mixtures are applicable to Sample 4, please list the different components.List of Analyses for Sample 4 100 Kernel Mass - Maize 1000 Kernel Mass - Wheat Additional Calculations on Request (eg. as is / dry basis / 12% moisture basis) Air Drying and Milling of Bread Alveogram Alveogram (Extended Method) Amino Acid (Lysine) Amino Acid (Tryptophan) Amino Acids (Cysteine and/or Methionine) Amino Acids (Total Amino Acids profile) Ash Baking Test (100 g) - Wheat Flour Baking Test (700 g) (Commercial) Baking Worth Bran Content - Brown Bread Flour Bread Volume Breakage Susceptibility – Maize Bühler Extraction - Wheat Bühler Extraction (Including Dockage & Vitreous Kernels) - Wheat Carbohydrates (by difference), g/100g (Cal. value) Cleaning of Wheat on the Dockage Tester Colour - Hunterlab Colour - Kent Jones (KJ) Colour - Konica Minolta CM-5 Consistogram Crude Fibre (Acid-base digestion - 3 days) Crude Protein – Other, % Dumas (Leco) Crude Protein (On Wet Samples) Cysteine and/or Methionine Damaged Starch Defective Kernels - RSA Diastatic Activity (Maltose) Dietary Fibre (total) Dry Solids Determination of Bread Energy Value (Metabolizable), kJ/100g (Cal. value) Ergot Extensigram (45 min) Extensigram (90 min & 135 min) Falling Number Farinogram Fat Crude (Petroleum Ether Extraction) (Soxhlet) Folic Acid (Vitamin B9) Foreign Matter Free Amino Acids Fungi (Field/Storage) Gluten (wet and/or dry) Gluten Index Grading - Grain Sorghum (Full RSA Grain Sorghum Grading) Grading - Maize (Full RSA Maize Grading) Grading - Maize (USA Maize Grading) Grading - Oats (Full RSA Oats Grading) Grading - Soybean (Full RSA Soybean Grading) Grading - Sunflower (Full RSA Sunflower Grading) Grading - Wheat (Full RSA Wheat Grading without cultivar identification) Grading - Wheat (USA Wheat Grading) Grain Sorghum Grading (Full RSA Grain Sorghum Grading) Granulation/Particle Size - Maize products Granulation/Particle Size - Wheat Flour Heat Damaged Kernels Heavily Frost Damaged Kernels Hectolitre mass (Kern: 222) Hunterlab Colour Immature Kernels Insect Damaged Kernels Iron (Fe) - Qualitative Method (Yes/No) Iron (Fe) (Total) Karnal Bunt Kent Jones (KJ) (Colour) Kernel Size - Maize Konica Minolta CM-5 Colour Lemon Yellow Lysine (Amino Acid) Maize Grading (Full RSA Maize Grading) Maize Grading (USA Grading) Melamine Milling Index – Maize Milling Worth – Wheat (Calculation) Mixogram Moisture (milled sample/flour sample) Moisture (whole grain moisture) Multi-Mycotoxins Mycotoxins (Multi-Mycotoxins) Noxious Seeds Oats Grading (Full RSA Oats Grading) Other Grain and Unthresed Ears Pap Cooking Test - Maize Meal Particle Size/Granulation - Maize products Particle Size/Granulation - Wheat Flour pH Quadromat Milling – Durum Quadromat Milling - Wheat Röff 150 - Maize RVA - Stirring Number Profile RVA - Viscosity Screenings Screenings - Wheat (USA) Sieve Test - Maize (USA) Sodium (Na) (Total) Sodium (Na) (Total) - In Bread Sorghum Grading (Full RSA Grain Sorghum Grading) Soybean Grading (Full RSA Soybean Grading) Speck count - Maize Meal Sprouted Kernels Starch content Stress Cracks - Maize, % Sunflower Grading (Full RSA Sunflower Grading) Total Amino Acids profile Total Digestable Nutritional Value, % (Cal. value) Tryptophan (Amino Acid) Undesirable Odours Vitamin A (Retinol Saphonication) Vitamin B (Vitamin B1, B2, B3, B6) Vitamin B9 (Folic Acid) Vitamin D2 (Bread / Yeast) Vitamins - Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Vitreous Kernels - Wheat Water Soluble Vitamins (Vitamin B1, B2, B3, B6) Wheat Grading (Full RSA Wheat Grading without cultivar identification) Wheat Grading (USA Grading) Whiteness Index - 87:13 Sifted Whiteness Index - Sifted & Unsifted Whiteness Index - Unsifted Zinc (Zn) (Total)Notes: Previous Submit DOWNLOAD FORM PDF DOWNLOAD FORM WORD
