CTSL-1014-5

Trilogy’s laboratory and offices will be closed for a corporate development day on July 6.
Expedited laboratory services will unavailable on July 6.

Trilogy will also be closed on July 4 for Independence Day.

We value your feedback! Please help us improve our services by answering the following questions:

Mycotoxin Binder Study Form

Company Name*
SEND THE BILL TO:
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
SEND THE REPORT TO:
Send the report to:*
Click + to add multiple recipients.
First Name Last Name Email
Trilogy offers CoA retrieval capabilities through our online portal. Sample Submission Forms and Certificate of Analysis Reports will be uploaded and real-time notifications can be received via email. If you would like to receive results through the online portal please check the box and an activation link will be sent to all parties listed above.
- Yes, please send us an activation link.
ANALYSIS REQUESTED:
Sample Identification*
Sample Description*
Analysis Requested*
Toxin Type: Toxin Concentration: Inclusion Rate: Adsorption pH: Desorption pH:
Submit more than one analysis?
- Yes
Sample Identification*
Sample Description*
Analysis Requested*
Toxin Type: Toxin Concentration: Inclusion Rate: Adsorption pH: Desorption pH:
Submit more than two analyses?
- Yes
Sample Identification*
Sample Description*
Analysis Requested*
Toxin Type: Toxin Concentration: Inclusion Rate: Adsorption pH: Desorption pH:
Special Instructions
*Please note that all information is required to begin analysis.

Qbench New Client Request

Submit this form to be added into the Qbench system.

Name(Required)

First Last

Email(Required)

Company(Required)

Company Mailing Address(Required)

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

Billing Address

Same As Mailing Address

Address

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

Sample Submission Form

Sample Submission Form for Testing Allergens, Mycotoxins, Biogenic Amines, and Animal Drug Residues

For Mycotoxin Binder Study Testing, please complete the Mycotoxin Binder Study Form here.
Company Name*
Company Location or Division*
What email address would you like to send the form submission details to?*
SEND THE BILL TO:
Name*
First Last
P.O. Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
SEND THE REPORT TO:
Send the report to:*
First Name Last Name Email
Trilogy offers CoA retrieval capabilities through our online portal. Sample Submission Forms and Certificate of Analysis Reports will be uploaded and real-time notifications can be received via email. If you would like to receive results through the online portal please check the box and an activation link will be sent to all parties listed above.
- Yes, please send us an activation link.
ANALYSIS REQUESTED:
Click the + to add multiple Analysis Requests.*
Turnaround Service Options: Routine (3-5 Business Days) / One Day / Same Day
Sample Identification Sample Description Analysis Requested Turnaround Service
Special Instructions

*Please note that samples for which expedited service is needed must be received by Trilogy Analytical Laboratory by 9 AM; however, sample receipt by 9 AM does not guarantee same-day results.

Contact the Trilogy Analytical Lab Team

Name*
First Last
Organization Name (optional)
Email*
Phone*
Briefly describe how we can help you.*
CAPTCHA

Inquire About Custom Analytical Standards

Name
First Last
Phone*
Email*
Location*
Toxin(s)
Solvent
Liquid or Insitu?
- Liquid
- Insitu
Volume
Notes:*

Inquire About Custom Quality Control Materials

Name
First Last
Phone*
Email*
Location*
Material Commodity
Toxin(s)
Approximate Concentration Range(s)
Quantity Requested
Notes:*

10 µg/mL Aflatoxin G2 in Acetonitrile

Description

Certificate of Analysis

SDS

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Trilogy Analytical Lab Headquarters

Trilogy Analytical Laboratory Latino America SRL

Trilogy Analytical Laboratory Pvt. Ltd.

Trilogy Europe B.V.

SEND THE BILL TO:

SEND THE REPORT TO:

ANALYSIS REQUESTED:

Sample Submission Form for Testing Allergens, Mycotoxins, Biogenic Amines, and Animal Drug Residues