Analysis/Quotation Request Form Analysis/Quotation Request Form Notify Customer Information Company 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 Address Address Line 2 City State / Province ZIP / Postal Code Country Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belau Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba 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Northern Mariana Islands Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo (Brazzaville) Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) United States (US) Minor Outlying Islands United States (US) Virgin Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe PreviousNext Samples Number of samples for analysis 1 sample 2 samples 3 samples 4 samples Sample 1 Sample 1 Reference Sample 1 Description Would you like Sample 1 back? Yes No What is Sample 1 intended for? Human consumption Animal consumption Will the test results from Sample 1 be used for instrument calibration / verification purposes? Yes No Will the test results from Sample 1 be measured against a specific Regulatory level? Yes No Specify 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 2 Sample 2 Reference Sample 2 Description Would you like Sample 2 back? Yes No What is Sample 2 intended for? Human consumption Animal consumption Will the test results from Sample 2 be used for instrument calibration / verification purposes? Yes No Will the test results from Sample 2 be measured against a specific Regulatory level? Yes No Specify 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 3 Sample 3 Reference Sample 3 Description Would you like Sample 3 back? Yes No What is Sample 3 intended for? Human consumption Animal consumption Will the test results from Sample 3 be used for instrument calibration / verification purposes? Yes No Will the test results from Sample 3 be measured against a specific Regulatory level? Yes No Specify 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 4 Sample 4 Reference Sample 4 Description Would you like Sample 4 back? Yes No What is Sample 4 intended for? Human consumption Animal consumption Will the test results from Sample 4 be used for instrument calibration / verification purposes? Yes No Will the test results from Sample 4 be measured against a specific Regulatory level? Yes No Specify 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
