APPLICATION FOR LABORATORY ACCREDITATION IN THE
AFPC
Date of request ____________
Laboratory __________________________
Address _____________________________
City, State, Zip _______________________________________________
Phone Number ________________________
Fax Number __________________________
E-mail _____________________________
Contact Person _____________________
Analytical Parameter/s being requested for accreditation
List Parameter/s _________________________________________________________
Quality Assurance Manual submitted with Application ______Yes
______No
Submit Check sample results for past 12 months with comparison
in table form
________Yes ______No
Check Sample Programs with Laboratory Identification
AFPC Fertilizer No. ________ AFPC Rock No. ________ MAGRUDER
No. _________
COMMITTEE ONLY
Reviewed by: ________________________________________________________
Comments: __________________________________________________________
_____________________________________________________________________
_____________________________________________________________________