Canna test form Written by Sage Chittick on 17 March 2020. Posted in Uncategorised Save and Continue Later Send Please check to indicate you understand and accept the following: Payment is required at the time of sampling. Juniper Analytics currently accepts cash or check, no credit card payments are accepted at this time. Please ensure your team has payment ready when field technicians come to sample. Testing will not begin until payment is received in full. Please ensure that the spelling of all names (business name, sample name, product name, etc.) are correct as these will be displayed on your COA. There will be a fee for any requested spelling changes after the COA has been reported. Once payment is received, your 5 business day turnaround time will be begin. First Name * Last Name * Business Name Business, or organization name if applicable Recreational/Medical License * Phone Number * Email * Address * City * State * Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip code * Number of Batches Sample Name * Production Date * Batch Size * Testing * Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Select Potency Only R&D (Please note the Sample Name and requested tests below) Other (Please note the Sample Name and requested tests below) Notes (Please note the "Sample Name" and testing requirements for any samples labeled "R&D" or "Other." If any of the samples listed above are part of a control study or post control study, please indicate that here.) If you are testing this product for the first time, please include an equal amount of non-spiked baseline product. This will be extracted and run in parallel to provide a baseline for the product. Please indicate in the box below if a baseline is included (only if applicable) What method was used to make your product? What is your target potency? (If there are multiple samples on this form, please indicate the target potency for each) Has your source material been tested? Would you be willing to share the data from that with us? (For cannabinoid products and concentrates) Pickup Date Requested (specific date may not fit our Field Collection route, but we'll do everything we can to get as close as possible). If this is for a date you've already scheduled a pickup for, please indicate the scheduled pickup date. Next