Sampling Report Form
Please complete this form for each batch sampled. Ensure all required information is accurately recorded for compliance and traceability.
Scan METRC Source Package Tag
*
Take Photo
*
Scan METRC Testing Tag
*
Take Photo
*
Total Weight of Batch (grams)
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Determined Representative Sample Size to Be Taken (grams)
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Total Number of Containers in Batch
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Number of Sample Increments Taken from Each Container
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For each sample increment, please provide the following details. If using a diagram, upload it below or take a picture below.
Upload Sample Location Diagram (if applicable)
Upload a File
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of
Take Photo of the diagram
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Total Weight Sampled (grams)
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Sampler Identification (last 4 of METRC ID and initials)
*
Sampler Signature
Facility Representative Identification (last 4 of METRC ID and initials)
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Facility Representative Signature
Receiving Laboratory Name
*
Prism Medical - SC 000028
Prism AU - AU-SC 000124
Types of Tests Required or Requested
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Full Compliance
Potency
Microbial
Pesticides
Heavy Metals
Water Activity
Foreign Matter Testing
Terpens
pH
Genetic and Virus testing
Residual Solvents
Other
Submit Sampling Report
Submit Sampling Report
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