Sample Submission Form


You may submit up to six samples at a time with this form. If you wish to submit fewer than six samples, simply leave unused sample descriptions and analyses boxes blank.

Please note that in order to submit samples, we must have your ACMPR license on file!


Name on license:

Email address:

Phone number:



Sample 1

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents

Sample 2

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents

Sample 3

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents

Sample 4

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents

Sample 5

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents

Sample 6

Plant material
Oil
Sample description:

Analyses requested:
Cannabinoids
Terpenes
Pesticides
Metals
Aflatoxins
Residual Solvents