Infused Product Submission Form
Edibles, Beverages, Topicals, Sublinguals
Please do not submit this form until a sampling date and time has been agreed upon by Green Peaks Analytical
If you need to schedule a sampling please email support@greenpeaksanalytical.com
Name
*
First Name
Last Name
Company Name
*
License #
*
CV or CC
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Scheduled Sampling Date
*
-
Month
-
Day
Year
Please confirm date and time with Green Peaks Lab before submitting form.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Number of Samples
Sample #1
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #2
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #3
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #4
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #5
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #6
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #7
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #8
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Total Batch Packages
*
Please enter in Units
Total Servings per Package
*
Manufacture Date
*
-
Month
-
Day
Year
Date
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #9
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #10
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #11
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #12
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #13
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Total Batch Weight
*
If product is pre-packaged please report in Units (not Grams) This includes vape carts and pre-rolls
Is This a Retest?
*
Please Select
Yes
No
Has batch been tested previously?
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #14
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #15
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #16
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #17
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #18
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #19
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #20
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #21
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #22
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #23
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #24
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #25
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #26
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #27
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #28
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
If product is pre-packaged please report in Units (not Grams) This includes vape carts and pre-rolls
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #29
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #30
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Add another sample?
Yes
No
Back
Next
Sample #31
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #32
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #33
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #34
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #35
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #36
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #37
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #38
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #39
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #40
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #41
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #42
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #43
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #44
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #45
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #46
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #47
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Quantity
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #48
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #49
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
*
Please enter in units
Total Servings per Package
*
Sample Type
*
Please Select
Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
Add another sample?
Yes
No
Back
Next
Sample #50
Sample Name (Metrc Batch Package/Process Lot Name)
*
Ex: Blue Dream Brownies
Sample Matrix
*
Please Select
Baked Good
Chocolate
Hard Candy / Lozenge
Gummy
Beverage
Topical
Sublingual
Please pick closest matrix to your product
Cannabinoid Source
*
Please Select
CO2 Distillate
Coconut Oil
MCT Oil
Rosin Oil
Butter
Soy Lechitin
Alcohol Extraction
Metrc Batch Package #
*
Please type entire batch number including any letters (each sample must have a unique batch number)
Manufacture Date
*
-
Month
-
Day
Year
Date
Total Batch Packages
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Total Servings per Package
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Sample Type
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Rhode Island State Compliance
R+D (Non-Compliance)
Desired Testing:
*
Cannabinoid Profile (Potency)
Full Panel Microbial Plating {Required on flower harvested after 3/16/21}
Water Activity {Required on flower harvested after 5/24/21}
Heavy Metals (Required on any product harvested/manufactured after 12/30/21)
Pesticides (Required on any product harvested/manufactured after 6/30/22)
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