Project 6 FedEx A Test Request Form

Please fill in the blanks below and then choose a test procedure and desired turn-around time so that an accurate quote may be provided.

Accounts Payable Information (Person receiving Invoice)

Purchase Order Number:
Method of Payment:CheckACHCredit CardOther
Name:
Company:
Phone:
Email:

Contact Information (Person receiving report)

Contact Name:
Street Address:
City:
State:
Postal Code:
Country:
Phone Number:
Alternate Phone Number:
Contact Email:

Quote (Please provide quote.)

If you would like a quotation to perform the required tests, please complete the test request form and submit in order to receive an accurate quote. If you need assistance completing the input forms or have any questions, I would be glad to help you. Contact Manuel Rosa Jr. at 618-277-1160

General

• Testing can be used to evaluate the protective performance of a packaged-product related to vibrations, shocks and other stresses normally encountered during handling and transportation in the Sam’s Club distribution system.
• Tests and levels are generally based on the survey, observation and measurement program described above
• The package and product are considered together and not separately
• Some conditions of transit, such as moisture, pressure, or unusual handling may not be covered

Other ISTA Procedures or Projects may be appropriate for different conditions or to meet different objectives.

Samples

Samples should be an untested actual package and product, but if one or both are not available, the substitutes shall be as identical as possible to actual items.One sample is required for this test procedure.

Note: In order to ensure testing in perfect condition, products and packages for testing shall be:

Note: It is important to thoroughly document the configuration, materials and construction of the tested product
and package.

Choose Packaged-Product Type

FlatElongatedRegular

Package Identification

Size

Length: (inches)
Width: (inches)
Height: (inches)
Gross Weight as shipped: (lbs.)
Type:ElectronicPoweredMedicalOther
Shipped:ElectronicPoweredMedicalOther

Product Damage Tolerance and Package Degradation Allowance

What constitutes damage to the product?

What damage tolerance is allowable?
The correct methodology to determine product condition at the conclusion of the test:(Visual/Functional check)
Acceptable package condition at the end of the test.

Inspection

Do you want Pro-Pack to open the package and inspect product before testing?YesNo

Do you want Pro-Pack to open the package and inspect product after testing?YesNo

Return Information

Is this packaging to be returned following testing?YesNo

If yes, please indicate method of shipment and account numbers were applicable:

Ship back to me via:
Account Number:

Turn-Around Time

Our standard turnaround time is 5-10 business days but we do offer an express service which will guarantee test results sooner for an additional charge. Please indicate the desired turnaround time below. The additional charge for the express service is based upon how fast test results are needed. If our work load allows us to get the tests completed sooner than 5 days there will be no express charge.

Standard Turn-Around time (5-10 business days)
Express Service (indicate desired turn-around time below)*
24 hours (only if atmospheric condition is NOT chosen.)2 Days (only if atmospheric conditioning is NOT chosen.)3 Days4 Days

* All Express services guarantee test results ONLY in the time frame indicated. Depending on the test series chosen, a full test report may not be possible in which case the test report will typically follow 2 to 3 days following testing.

Additional Notes: