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Bioanalytica
TGA RegisteredAPVMA Approved
Bioanalytica Pty Ltd
ABN: 87 688 371 842
2/2 Acacia Place
Notting Hill, VIC 3168, Australia
T: +61 3 9000 0000
E: info@bioanalytica.com.au
W: www.bioanalytica.com.au
Analysis Request Form
Client Information
Sample Information
#Sample Name / DescriptionBatch / Lot No.Quantity SubmittedExpiry / Mfg DateStorage ConditionsSample Type
1
2
3
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5

Sample types: FP = Finished Product  |  RM = Raw Material  |  IP = In-Process  |  ST = Stability  |  OT = Other

Tests Required
Microbiology
Total Aerobic Microbial Count (TAMC)
Total Combined Yeast & Mould Count (TYMC)
Escherichia coli
Salmonella spp.
Staphylococcus aureus
Pseudomonas aeruginosa
Bile-tolerant gram-negative bacteria
Candida albicans
Chemistry & Physical
pH
Assay / Identification (HPLC)
Heavy Metals (ICP-MS)
Residual Solvents (GC-HS)
Water Content (Karl Fischer)
Viscosity / Rheology
Particle Size Distribution
Appearance / Colour / Odour
Special Testing
Preservative Efficacy Test (PET)
Container Closure Integrity Testing
Extractables & Leachables
Dissolution / Drug Release
Method Development
Method Validation
Stability Study Support
Other (specify in special instructions)
Turnaround Required
Standard (7–10 business days)
Priority (3–5 business days)
ASAP (Contact laboratory)
Sample Disposal After Testing
Return to Client
Retain for 30 Days
Dispose Immediately
Special Instructions / Safety Hazards
Terms & Conditions
By submitting samples, the client agrees that: (1) All information provided is accurate and complete; (2) Samples are submitted in compliance with relevant regulations; (3) Bioanalytica Pty Ltd holds no liability for sample damage, loss or degradation after 30 days of report issue; (4) Invoices are payable within 30 days; (5) Results apply only to the samples as submitted. Enquiries: info@bioanalytica.com.au  |  www.bioanalytica.com.au/terms
Client Authorisation
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