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Submitter Information
  1. (valid email required)
Invoice Distribution
  1. Invoice Confirmation
  2. (valid email required)
Report Distribution
  1. (valid email required)
  2. (valid email required)
Product Information
Requested Service Time
  1. *Rush Testing is only available for samples received before 10:30 am for same day and next day service. A minimum of three (3) additional samples are needed, check with the lab prior to submitting rush samples to ensure that testing can be completed in the time frame required.
Requested Tests
  1. *Check all appropriate Box(es)
  2. Physical Mechanical Testing
  3. Toxicology
  4. Product Review
  5. Flammability
Analytical Science
  1. Analytical Science
Signature
  1. Return a signed copy of this document with each submitted sample to: MSR Laboratories, LLC; 24 Liberty St. Suite #1, Brockton, MA 02301
  2. Authorized Signature
Internal Use Only
 

 

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