Fuel Sample Submission Form

Report/Bill to: (New clients please complete ALL information)

Company Name:

Order Number:

Email:

Phone:

(###)

###

####

Billing Email:

Sampled By:

Sampling Date

YYYY

Required Testing:

Total Moisture

Instructions and Other Tests:

PROX (Inherent Moisture, ash, volatile, fixed carbon)

Instructions and Other Tests:

Ash %

Instructions and Other Tests:

CV – Gross Net (requires ash, CHN and possibly sulphur)

Instructions and Other Tests:

Ultimate (CHN)

Instructions and Other Tests:

Chlorine

Instructions and Other Tests:

Particle size distribution (Please indicate range of interest/grade)

Instructions and Other Tests:

Wood pellets disaggregated size distribution

Instructions and Other Tests:

Wood pellets durability

Instructions and Other Tests:

Ash constituents by XRF (Major oxides)

Instructions and Other Tests:

Ash Fusion Temperatures (Reducing or Oxidising atmosphere)

Instructions and Other Tests:

Bulk density

Instructions and Other Tests:

Received By:

Date Received:

YYYY