Testing Certificate # 2563.02
Our lab is accredited by A2LA.Scope
A2LA Letter of Accreditation (PDF)

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Name

Company Name

Address

City

State

Zip

Phone Number

Email

Part Description

Sample Dimensions ( Length x Width x Height)

Number of Samples

Material/Substrate

Type of Desired Testing

Specifications

Spec Rev

Customer Requirements (if applicable) (ex: No pass/fail, report observations)

Duration of Test (If Applicable)

Orientation or significant surface

Photos Required?

Yes No

Frequency of Photos

Special Instructions

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Testing Certificate # 2563.02
Our lab is accredited by A2LA.Scope
A2LA Letter of Accreditation (PDF)