Service_Request_Moisture Content_Print Service Request Moisture Content Print

User Manual: Service_Request_MoistureContent_Print

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SERVICE REQUEST FORM
WATER ACTIVITY
CONTACT INFORMATION
WATER ACTIVITY INFORMATION
Please fill out this form as completely as you can. Testing cannot
be completed without a signature and date on the last page of the
contract portion of this form.
SAMPLING PROCEDURE
Provide a short description of how the sample is prepared
for testing. (Is it cut, ground, whole, how much sample is
used, etc.)
Please include this form, a copy of the RMA, and the signed contract along with your sample(s).
Have Questions? Contact AquaLab support by email: support@aqualab.com or phone: 1-509-332-5601
(25 °C default)
Acetic acid
Propylene glycol
Ethanol
Other:
Temperature for water activity:
Replicants required if greater than 3:
Does the sample contain volatile compounds?
INTERNAL USE ONLY
RMA#: SO#:
Date: PO#:
Company
Street Address
City
First Name Last Name
Phone Number Email Address
State Zip Code
18 - 11 - 16Have Questions? Contact AquaLab support by email: support@aqualab.com or phone: 1-509-332-5601
SAMPLE INFORMATION
Please provide as much information as possible for each sample.
Sample ID Sample Description
DECAGON DEVICES WATER ACTIVITY LICENSE STANDARD TERMS AND CONDITIONS
1. Contract Formation. All requests for services or testing and or the receipt by Decagon Devic-
es Inc. (“DDI”) of any samples submitted for testing and/or consulting services (the “Services”)
are subject to the customer’s acceptance of these Terms and Conditions. The Customer will be
deemed to have irrevocably accepted these Terms and Conditions upon the rst to occur of the
Customer’s issuance of a Purchase Order and/or request for services and/or receipt of a sample
for testing. The request for services or testing and these Terms and Conditions constitute the en-
tire agreement between the parties (the Agreement”) and unless expressly assented to in writing
by DDI, terms and conditions dierent, therefore, are expressly rejected. No course of dealing
between the parties hereto shall be deemed to aect or to modify, amend or discharge any pro-
visions of this Agreement.
2. Prices and Payment. Invoice prices will be based upon DDI’s prices as quoted or at DDI’s list
price in eect at the time an order is received by DDI. All payments for the Services are due with-
out regard to the results and notwithstanding any early termination of the Agreement by the
Customer. Unless otherwise specied on the invoice, all accounts are due and payable thirty (30)
days from the date of invoice. Unpaid accounts extending beyond 30 days will be subject to a
service charge of 1% per month (12% per annum).
3. Samples. Customer will provide samples for testing. DDI has sole discretion to either dispose
of unused portions of samples or return them to the customer. Any returns of samples shall be
at Customers expense. Customer shall abide by all applicable regulations when shipping sam-
ples to DDI or its designated subcontractor. DDI or its designated subcontractor has the right to
refuse receipt and/or testing of any shipment that, in DDI´s or its designated subcontractors sole
discretion, is hazardous, unsafe, unlawful or has been shipped improperly. Customer shall bear
associated costs including, but not limited to, identication of sample content, damage incurred
by DDI or its designated subcontractor as a result of improper packaging, labeling or omission of
documents, return or disposal of materials.
4. Disclaimer of Warranties. DDI has relied on information supplied by the Customer in render-
ing the services. The results assume the accuracy of such information and that the Customer is
entitled to share such information with DDI and its designated subcontractor. Any information
provided by DDI in the report or in connection with the services is for the benet of the Customer
only and no third party shall be entitled to rely thereon without the prior written consent of DDI.
DDI warrants only that it shall conform the services to the specications set forth in the request.
Because of numerous factors aecting results, DDI makes no other warranty of any kind with
regard to the services or the results either express or implied. Statements made in the report or
in connection with the Agreement shall not be construed as representations or warranties or as
inducements of any kind whatsoever.
5. Limitation of Liability. Customers right to recover damages caused by the negligence or breach
of DDI with respect to any testing or consulting services shall not exceed the amount actually
paid by Customer to DDI. DDI or its designated subcontractor will not be liable for any other
damages whatsoever arising from or in any way connected to the Services or the Data. In no
event shall DDI or its designated subcontractor be liable for any special, indirect, or incidental or
consequential damages of any kind, including without limitation any damages with respect to
loss of income, compensation or prospective prots, any expenditures, investments or commit-
MoistureContentServiceRequest 04/20/15
ments of the Customer, any loss with respect to business reputation or good will, or arising from
the claims of third parties (including, without limitation, product liability claims).
6. Litigation Services. Customer shall notify DDI in writing if any services to be performed is in sup-
port of pending or contemplated litigation and shall further advise DDI of the parties involved in
such litigation prior to DDI commencing the requested Services. In the event employees or con-
tractors of DDI are subpoenaed to testify before any tribunal, panel, ocial, or judicial ocer by
the Customer or by another litigant in connection with the services, Customer shall be responsible
to pay DDI its costs plus the usual customary hourly rate for DDI consulting for the time spent to
travel, attend and appear to so testify.
7. Dispute Resolution. Any controversy or claim arising out of or relating to this Agreement, or the
breach thereof, except for issues of non-payment, shall require mediation as a prerequisite to the
commencement of legal proceedings. The parties shall share equally in the cost of the mediator
and if the parties are unable to agree on a mediator, either party may request that a mediator be
appointed by the Judge of the Whitman County Superior Court. Disputes regarding non-payment
by a Customer for services rendered shall not be subject to the mediation requirement.
8. Governing Law. The Agreement shall be governed by and construed in accordance with the
laws of the State of Washington, without regard to its conict of laws provision, and each party
hereto submits to the jurisdiction of Washington State in any action or proceeding relating to or
arising out of this Agreement.
9. Binding Agreement. Counterparts, and Facsimile. The parties represent that they have re-
viewed this Agreement and agree to abide by its terms, and further agree that this Agreement
shall be binding on the parties, their successors and assigns, and that this Agreement may be ex-
ecuted in counterparts and may be executed electronically or by facsimile. I have read the terms
and conditions set forth above and hereby agree to these terms as set forth herein.
I have read the terms and conditions set forth above and hereby agree to these terms as set forth
herein.
MoistureContentServiceRequest 04/20/15
Customer Signature Date
Customer Name Company Name

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