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Q

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Sample Submission Form

Download the Printable Versions of the Forms Here:

1. Food & Beverages Form
2. Pharmaceuticals, OTCs, Cosmetics, Dietary Supplements, Water, etc. Form

Company Name*
Contact*
Job Title*
Address
City
State
Zip
Phone*
Email*
Q Labs Proposal #
Purchase Order #
Details
Please check option(s) for receiving results (electronic documents will be in Adobe Acrobat (PDF) format)*
- Fax
- Email
- Mail
Turnaround time requested*
- Routine
- Rush
Do you want your cooler returned?*
- Yes
- No
Do you need additional supplies?*
- Yes
- No
Special Instructions
Samples

Sample ID	Sample Type	Analysis to be Performed	Specifications

Contact Us

1930 Radcliff Drive
Cincinnati, Ohio 45204-1823

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