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Microbiological Test Request Form
Name of Applicant (or Report Title):
Address:
Person to Contact:
Tel:
Ext.:
Invoice to:
same as above
Address:
Person to Contact:
Tel:
Ext:
Sample General Description
(ex. Polyester Material)
Return Sample:
No
Yes (1.
(Default: No if unselected) 2.
Intertek Internal use only
Project No.:
E-mail:
Please e-mail this completed
form or any questions to
[email protected]
E-mail:
Item/Style No.
(ex. PES598-BL31)
Quantity of Sample Submitted
By client within one month after report issued or sample will be destroyed automatically;
By Intertek with client shipment account:
Bacterial Test Methods
Fungal Test Methods
AATCC 147 for Textiles: Antibacterial Activity Assessment of Textile
Materials: Parallel Streak Method
AATCC 30 Test III for Textiles: Antifungal Activity, Assessment on
Textile Materials: Mildew and Rot Resistance of Textile Materials
Added Glucose
AATCC 100 for Textiles: Assessment of Antibacterial Finishes on
Textile Materials
IAC Recommended Method (K.pneumonia replaced by E.coli)
ASTM G21 for Synthetic Polymeric Materials: Determining
Resistance of Synthetic Polymeric Materials to Fungi
JIS L1902 for Textiles: Testing Antibacterial Activity and Efficacy on
Textile Products (Qualitative Method)
ASTM D3273 for Interior surface coatings: Standard Test Method
for Resistance to Growth of Mold on the Surface of Interior Coatings in
an Environmental Chamber
JIS L1902 for Textiles: Testing Antibacterial Activity and Efficacy on
Textile Products (Quantitative Plating Method)
ASTM C1338 for Insulation materials: Standard Test Method for
Determining Fungi Resistance of Insulation Materials and Facings
JIS Z2801 for Plastics: Testing Antibacterial Activity and Efficacy on
Textile Products
ASTM D4300 for Adhesives: Ability of Adhesive Films to Support or
Resist the Growth of Fungi
Procedure for Meeting Government Specifications?
ASTM E1428 for Plastics: Standard Test Method for Evaluating the
Performance of Antimicrobials in or on Polymeric Solids Against Staining
by Streptomyce species
ASTM E2149 for Textile/Plastics: Standard Test Method for
Determining the Antimicrobial Activity of Antimicrobial Agents Under
Dynamic Contact Conditions
ASTM E2180 for Non-porous Materials: Standard Test Method for
Determining the Activity of Incorporated Antimicrobial Agent(s) In
Polymeric or Hydrophobic Materials
ASTM G22 for Synthetic Polymeric Materials: Standard Practice for
Determining Resistance of Plastics to Bacteria
ISO/DIN 20743 for Textiles : Textiles -- Determination of antibacterial
activity of textile products
Others:
ISO 846 Method B (fungi resistance): Plastics – Evaluation of the
Action of Microorganisms
MIL 810G 508.7 Fungus (Table I Organisms) – Contact for Pricing
and chamber availability prior to sample submission
Others:
Test Protocol Information
All tests will proceed utilizing the default organisms and
incubation parameters specified by the selected standard unless
otherwise noted. Additional organisms are avalable upon
request, up to and including BSL-2 bacteria, fungi and virus.
Intertek will provide default negative and positive control
material if not provided by the client.
Sample Requirements
Textile Test Method – 0.5 yards of fabric
Polymeric/Plastic Test Method – 9 pieces of 2 x 2 inch
ASTM D4300 – 250mL of Sample
ASTM D3273 – 3 x 4 inch in triplicate.
Sample Shipment Information
Attention: Nicholas Unger
Intertek Testing Services
1717 Arlingate Lane, Columbus, Ohio, 43228
Report Options :
Photo on report of representative sample
Photos on report of before and after test
Photo request of microbes in agar plate :
No
Yes
Default: No if unselected
[Charged Additionally]
Separate reports generated per sample? :
No
Yes
Default: No if unselected
[250.00 USD Per Report]
Turnaround time: Bacterial Test Methods 7-10 Business Days. Fungal resistance : 28-35 Business Days (Based on 28 day
incubation time required by standard). Extra 3-5 Business days will be added when a test modification is requested.
(Authorized signature)
(Date):
Intertek Testing Services
1717 Arlingate Lane, Columbus, Ohio, 43228
Tel: 614-279-8090 Fax: 614-279-4642 Web: www.intertek.com
Valued Quality Delivered