Client Name __________________

Sample ID ___________________
Tests Requested (Please Indicate All)

• [  ] Static SPF  – FDA Protocol
• [  ] WR40 SPF  – FDA Protocol
• [  ] WR80 SPF  – FDA Protocol
• [  ] Critical Wavelength  – FDA Protocol
• [  ] Static SPF  – ISO Protocol
• [  ] WR40 SPF  – ISO Protocol
• [  ] WR80 SPF  – ISO Protocol
• [  ] Broad Spectrum  In-Vitro – ISO Protocol
• [  ] Broad Spectrum  In-Vivo – ISO Protocol
• [  ] In-Vitro Static SPF – Bell Protocol
• [  ] In-Vitro Water Resistance 40 – Bell Protocol
• [  ] In-Vitro Water Resistance 80 – Bell Protocol
•