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Request for Analysis Lexachrom
Request for Analysis Lexachrom Analytical Laboratory
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Lexachrom Analytical Laboratory LLC
Registered Organization/ Adult Use Licensee Name:
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Submitted By:
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Email:
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Phone:
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Type of Cannabis Product:
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Lot/Batch Number:
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ETA of Delivery of product to lab:
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MM
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DD
/
YYYY
Lot/Batch Size:
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Dose information (Including Weight/Volume of Total dose, tTHC and tCBD, specific gravity if applicable):
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Any Additional Information:
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Please give the names of any Pesiticides or PGRs used in the manufacturing of this Lot:
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Analyses Requested:
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Cannabinoid Potency/Profile
Metals/Metalloids
Microbial Contamination
Pesticides/ Fungicides/ Plant Growth Regulators (PGRs)
Mycotoxins (Fungal toxins)
Required
Reason Requested:
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Lot Verification / QC
Stability
R&D
Adverse Event
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