Feed Sample Submission Form

FEED SAMPLE SUBMISSION FORM V3

Form for the Submission of Feed Samples

Client name (company):*
Telephone number:*
Fax number:
Client contact person:*
E-mail address:*
Client No. (Account No.)*
Sampling date*
Date Format: MM slash DD slash YYYY
Vat No.

For Laboratory Use Only:
Samples received by:
Delivery date and time:
	Courier	Post	Delivered
Samples send via:

Condition upon arrival: (acceptable/or specify)

Submission of the FEED SAMPLE SUBMISSION FORM constitutes acceptance of the terms, conditions and fees for the analyses requested with the fees becoming due upon the receipt of the samples by CAL as requested in this form.
ANALYSES REQUESTED

*** WHEN SELECTING A PACKAGE PLEASE INDICATE SPECIES REQUIRED ***
Tests
No samples will be accepted without being accompanied by a FEED SAMPLE SUBMISSION FORM

***All proximate analyses in packages will be predicted by NIR.***
***Alle naaste analises in die pakkette word deur die NIR beraam.***
### For the list of available products please contact CAL. ###
### Skakel CAL vir die lys van beskikbare produkte. ###
Finished Feed Basic***
- Test Required
(NIR Protein, NIR Moisture, Ca and P)
Finished Feed Basic Sample 1 Order Number
Finished Feed Basic - Sample 1 Description
Finished Feed Basic Sample 2 Order Number
Finished Feed Basic - Sample 2 Description
Finished Feed Basic Sample 3 Order Number
Finished Feed Basic - Sample 3 Description
Finished Feed Basic Sample 4 Order Number
Finished Feed Basic - Sample 4 Description
Finished Feed Complete***
- Test Required
NIR Complete (all analytes within the database) + Total Mineral Package (Ca, P, Na, Cu K, S, Mg, Fe, Mn and Zn)
Finished Feed Complete Sample 1 Order Number
Finished Feed Complete - Sample 1 Description
Finished Feed Complete Sample 2 Order Number
Finished Feed Complete - Sample 2 Description
Finished Feed Complete Sample 3 Order Number
Finished Feed Complete - Sample 3 Description
Finished Feed Complete Sample 4 Order Number
Finished Feed Complete - Sample 4 Description
Comments
Please print this out, sign it in the box below and fax it to +27 11 474 0846 or email it to feeds@calsa.co.za.

Submitter signature:

Disclaimer | Privacy Policy | Terms and Conditions

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Feed Sample Submission Form

FEED SAMPLE SUBMISSION FORM V3

For Laboratory Use Only:

Samples received by:

Delivery date and time:

Courier

Post

Delivered

Samples send via:

Condition upon arrival: (acceptable/or specify)

ANALYSES REQUESTED

Tests

Please print this out, sign it in the box below and fax it to +27 11 474 0846 or email it to feeds@calsa.co.za.

Submitter signature: