Fuel Sample Submission FormReport/Bill to: (New clients please complete ALL information) Company Name: * Order Number: Email(s): * Phone: * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Billing Email: * Sampled By: * Sample Description * Sampling Date * MM DD YYYY Analysis Priority: * Normal Urgent (ETA ~3-5 Days & 20% extra fee applies) Required Testing: * Total Moisture PROX (Inherent Moisture, ash, volatile, fixed carbon) Ash % CV – Gross Net (requires ash, CHN and possibly sulphur) Ultimate (CHN) Chlorine Wood pellets disaggregated size distribution Wood pellets durability Ash constituents by XRF (Major oxides) Ash Fusion Temperatures (Reducing atmosphere) Ash Fusion Temperatures (Oxidising atmosphere) Bulk density Particle size distribution Other Thank you!