sample submission in ms word - Cumberland Valley Analytical

CumberlandValley
ValleyAnalytical
AnalyticalServices
Services
Cumberland
Lab Use
Date
www.foragelab.com
1•800•CVAS•LAB
[email protected]
301-790-1980
4999
Zane A. Miller Drive
Waynesboro, PA 17268 USA
UPS/FedEx
Address:
Mailing
Address:
www.foragelab.com
[email protected]
14515 Industry Drive
P.O. Box 669
1•800•CVAS•LAB
301-790-1980
Hagerstown,
MD 21742
Maugansville, MD
International
Sample Submittal Form
Copy 1
Party to Bill
Account #
Account #
Name
Name
Name
Address
Address
Address
Reporting
Method(s):
Batch
Copy 2
Account #
City
Time
Reporting
Method(s):
City
Reporting
Method(s):
City
Country
Mail
Country
Mail
Country
Mail
Phone
Fax
Phone
Fax
Phone
Fax
Fax
Email
Fax
Email
Fax
Email
Email
Internet
Email
Internet
Email
Internet
Lab #
Farm Name
Sample #
Description (will appear on report)
Cutting Year
Date Sampled
Test Code(s) or Write in Test(s)
1
2
3
4
5
NIR
Wet Chemistry
Invitro Digestibility
A1 - NIR 1
B1 - Standard
C1 -
A2 A3 A4 A5 A6 A7 A8 A9 -
B2 B3 B4 B5 B6 B7 B8 -
C2 - 12 Hr NDF
C3 - 24 Hr NDF
C4 - 30 Hr NDF
C5 - 48 Hr NDF
C6 - 96 Hr NDF
C7 - 120 Hr NDF
C8 2 Hr DMD
NIR 2
NIR 3
NIR 4
NIR 5
NIR 6
NIR 7
NIR 8
NIR 9
A10 - TMR Mixer Evaluation
NIR Options
(add to NIR code)
P - Plus Option
C - CPM Option
CPM Plus
RFV
Basic NDF
Beef
Minerals Only
TMR Diagnostic
Animal Protein
Insitu
Not available
on International
samples
6 Hr NDF
Starch Digestibility
D1 D2 D3 D4 -
2 Hr Starch
7 Hr Starch
24 Hr Starch
30 Hr Starch
Proximate
Options
Components
E1 - TAG 1
F1 - Fermentation
G1 - ADF
G16 - aNDF
E2 E3 E4 E5 E6 E7 E8 E9 -
TAG 2
TAG 3
TAG 4
Protein Only
Moisture Only
Crude Fat
Acid Hyd. Fat
Crude Fiber
F2 F3 F4 F5 F6 F7 F8 F9 -
G2 G3 G4 G5 G6 G7 G8 G9 -
G17 G18 G19 G20 G21 G22 G23 -
E10 - CA, P
E11 - Karl Fischer Moisture
E12 - Micron Size
F10 F11 F12 F13 -
Mycotoxins
Fatty Acid Profile
Free Fatty Acids
Heavy Metals
CNCPS
Byproduct
Mold Count
Mold ID
DCAD (CL, S)
CSPS
PENDF
Particle Size
(Penn State)
G10 G11 G12 G13 G14 G15 -
ADFom (ash free)
ADF-CP
Aflatoxin
Ammonia
Ash
Chloride
Protein
Deg. Protein
Insitu RUP
Equine Energy
Fumonisin
Fecal Starch
Lignin
Molybdenum
aNDFom (ash-free)
NDF-CP
NDR
Nitrate
NPN
PDI/Urease/KOH
PDI/Urease
G24 - Selenium
G25 - Soluble Protein
G26 G27 G28 G29 G30 -
Starch
Sugar
Sulfur
Urease Activity
Vomitoxin (DON)
Directions: Use a separate sheet where account o r
copy-to information is different. Label each bag wi th the
corresponding sample number and record packag e and
option code information in the spaces provided.
Incomplete information may delay the reporting of your
results. Enter standard package code and desired
option codes next to each sample. Do not send monies
with samples. Samples will be billed bi-monthly.