Request for Quote - Sanitation - LabTest Certification Inc

Applicant Information for Sanitation Testing

Company Name

Website

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name

Title

Email

Phone

Manufacturing Location

If different than Applicant Information

Company

Website

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name

Title

Email

Phone

Product Information

Product’s description and specific use/application:

Type of product:

Cooking product (gas and/or electrical)
Plumbing product (potable water)
Material approvals to NSF 51
Material approvals to NSF 61
Other

Dimensions/Weight:

Model Name/Number:

Parts in contact with food/water:

Cleaning Instructions:

Classification of Food Zone

Food Zone 1
Food Zone 2
Other

Test Objective – Indicate applicable standards, if known:

NSF 51
NSF 61
NSF 2
NSF 4
NSF 8

Test will be -

Attended by the customer
Unattended by the customer

Please list your intended markets

Agency Certification Marks requested

cLC (Canada)
LCus (United States)
cLCus (Canada and United States)
CE Mark (European Union)
Other

To help us provide you with an accurate and quick proposal, provide as many of the following as possible

Drawings with BOM of components/fittings · Product schematics · Block diagram · Previous test data & reports · Product photograph(s) · Operating manual · Target completion date · Installation manual

File

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Phone

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Product Schematics	Product brochure	Operating Manual
Target completion date	Previous test data & reports	Installation Manual
Black diagram	Product photographs(s)

RFQ – Sanitation

Applicant Information for Sanitation Testing

Manufacturing Location

Product Information