Smoke analysis web order form

Smoke analysis order form

Company name:(Required)

Contact person:(Required)

Email:(Required)

Contact phone(Required)

Customer order #:

Affinity Labs quote # (if applicable)

Will these samples be delivered to a regional laboratory or drop-off point?

Affinity Labs has a regional laboratory in the Murray-Darling region (Merbein) and also uses regional partners to help facilitate the movement of customer samples to our Adelaide laboratory. For more information on this free service, contact customer service.

Will these samples be delivered to a regional drop-off point?(Required)

Sample type?(Required)

Grapes

Juice (use plastic containers only)

Ferment (use plastic containers only)

Table wine

Sparkling wine

Non-alcoholic wine

Other (please specify):

Other sample type

IMPORTANT SAFETY NOTE: juice and ferment samples submitted in glass will not be accepted. These samples must be submitted in plastic containers and will be processed at the discretion of Affinity Labs; any sample deemed to be unsafe will not be analysed.

Is the sample(s) coming from South Australia?(Required)

South Australia

Outside South Australia

Is the sample(s) coming from a phylloxera control area?(Required)

Phylloxera Infested Zone (PIZ)

Phylloxera Interim Buffer Zone (PIBZ)

Phylloxera Risk Zone (PRZ)

Phylloxera Exclusion Zone (PEZ)

For samples coming from South Australia, the following treatment and documentation is required:

Samples should be refrigerated unless they are likely to take more than three days to reach the laboratory, in which case they should be frozen.
Include a copy of your order confirmation with your samples. No further documentation is required.

Samples collected from within a Phylloxera Infested Zone (PIZ), Phylloxera Interim Buffer Zone (PIBZ) or a Phylloxera Risk Zone (PRZ) must follow procedure C in the National Phylloxera Management Protocol. Treatment and documentation required are:

Samples must undergo disinfestation by a procedure that involved freezing at -18C for at least 24 hours, prior to packaging on cold packs for transport. (Note that dry ice is considered a hazard by some transport companies.)
A permit for Phylloxera Control Areas is required to move grape material out of these zones. A copy of the certificate and permit must be sent with the grapes. A permit application form for Host Material movement into or from a Phylloxera Control area is available from the relevant State Department of Agriculture/Primary Industries. Samples from a PIZ, PIBZ or PRZ shipped without relevant documentation cannot be processed and will be destroyed.
A Plant Material Movement Declaration Form must be completed and shipped with the sample. This is a requirement of the CA12 accreditation granted by Primary Industries and Resources of South Australia (PIRSA) that allows the importation of grapevine material by Affinity Labs for testing purposes.
Include a copy of your order confirmation with your samples.

Samples collected from within a Phylloxera Exclusion Zone (PEZ) require the following treatment and documentation:

A Plant Material Movement Declaration Form must be completed and shipped with the sample. This is a requirement of the CA12 accreditation granted by Primary Industries and Resources of South Australia (PIRSA) that allows the importation of grapevine material by Affinity Labs for testing purposes.
Include a copy of your order confirmation with your samples.

How many samples do you want to submit?

Each sample submitted on this form must be of the same sample type. If you wish to submit multiple sample types for analysis, a new form is needed for each type. All requested tests will be performed on each listed sample. The sample descriptions entered below will appear on your report.

If you have more than 20 samples, please list them in a spreadsheet and email to customerservice@affinitylabs.com.au

Number of samples

Sample 1 description(Required)

Variety(Required)

Region(Required)

Sample 2 description(Required)

Variety(Required)

Region(Required)

Sample 3 description(Required)

Variety(Required)

Region(Required)

Sample 4 description(Required)

Variety(Required)

Region(Required)

Sample 5 description(Required)

Variety(Required)

Region(Required)

Sample 6 description(Required)

Variety(Required)

Region(Required)

Sample 7 description(Required)

Variety(Required)

Region(Required)

Sample 8 description(Required)

Variety(Required)

Region(Required)

Sample 9 description(Required)

Variety(Required)

Region(Required)

Sample 10 description(Required)

Variety(Required)

Region(Required)

Sample 11 description(Required)

Variety(Required)

Region(Required)

Sample 12 description(Required)

Variety(Required)

Region(Required)

Sample 13 description(Required)

Variety(Required)

Region(Required)

Sample 14 description(Required)

Variety(Required)

Region(Required)

Sample 15 description(Required)

Variety(Required)

Region(Required)

Sample 16 description(Required)

Variety(Required)

Region(Required)

Sample 17 description(Required)

Variety(Required)

Region(Required)

Sample 18 description(Required)

Variety(Required)

Region(Required)

Sample 19 description(Required)

Variety(Required)

Region(Required)

Sample 20 description(Required)

Variety(Required)

Region(Required)

General analysis

Smoke

Volatile and non-volatile smoke markers

Forward report to Helpdesk?(Required)

Please forward a copy of my report to the AWRI Helpdesk to assist with results interpretation.

Yes

This field is hidden when viewing the form

Untitled

Please forward a copy of my report to the AWRI Helpdesk to assist with results interpretation.

General analysis End

Sensory analysis

Smoke sensory evaluation

Sensory analysis End

Comments

Please review the AWRI's terms and conditions and privacy policy.

hereby acknowledge(Required)

I hereby acknowledge that the person submitting this form is an authorised representative of the company. I have read and agree to the terms and conditions.

Regional drop-off point acknowledgement(Required)

I agree that by using a regional drop-off point, my submitted information will be disclosed to the collection partner for the purpose of facilitating the delivery of samples to Affinity Labs.

Smoke analysis web order form

Smoke analysis order form

Will these samples be delivered to a regional laboratory or drop-off point?

Affinity Labs has a regional laboratory in the Murray-Darling region (Merbein) and also uses regional partners to help facilitate the movement of customer samples to our Adelaide laboratory. For more information on this free service, contact customer service.

How many samples do you want to submit?

General analysis

General analysis End

Sensory analysis

Sensory analysis End

Expertise

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