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Sample Submission Form

For sample submissions sent into the lab for testing, please use the attached form.   There are four sample forms to a page and one needs to be filled out completely (to the best of your ability) for each individual sample.

 

Click here for forms Fuel Analysis Request Form 
 
 
 
 
 
Please call us at 260-489-2551 if you have any questions.
New Customer Information
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Need more than a one time test performed on your fuel? Even if the frequency is only once or twice a year, avoid the pre-payment requirement and get your credit terms established first.
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Sample Submission
Download (28 KB)
Need send in a diesel fuel sample for testing? Download our Fuel Analysis Request form, fill it out (there are four per page) completely, and return one for each sample you are submitting. First time customers, please contact us directly first at...
Read More
  • Contact Us
  • New Customer Application
  • Invoice Payment
  • Sample Submission Form
  • Home
  • About Us
    • About Us
    • Emergency Generator/Monitoring Program
    • #2 Diesel Fuel "Summer" Testing Package
    • #2 Diesel Fuel "Winter" Testing Package
    • Diesel Fuel Additive Comparison Testing
  • News
  • FAQs
  • Contact Us
    • Contact Us
    • New Customer Application
    • Invoice Payment
    • Sample Submission Form
Research Laboratories
6209 Discount DriveFort Wayne, IN 46818
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T:260.489.2551
F:260.489.9834
  • Monday: 8:30 – 5:00
  • Tuesday: 8:30 – 5:00
  • Wednesday: 8:30 – 5:00
  • Thursday: 8:30 – 5:00
  • Friday: 8:30 – 12:30
  • Saturday: Closed
  • Sunday: Closed
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