Bio-Science Technologies (Pty) Ltd

ISO / IEC 17025 Accredited Independent Testing Laboratories

Established 2003

In association with ISO/IEC 17025 accredited Chem-Science Laboratories cc

Food Technologists and Microbiologists, Hygiene Auditors and HACCP Consultants

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Please complete (per product) online and submit to us, or email, or print out and fax to us:

Also please attach relevant Material Data Sheet (MSDS) for your product.

Disinfectants and Sanitiser evaluations Information Form

Company name:

Name of contact person:

Email address:

Type or class of product:
e.g. detergent

Dilutions to be tested, if any:
e.g. 10ml to 1 litre

What are the active ingredients in your product?:
e.g. chlorine

What is the purpose or use of your product in the marketplace?:
e.g. sterilising medical equipment

What are the instructions for use of your product by your customer?:
e.g. soak for 5 minutes

What are your own special requirements with regards to your standard or quality of bactericidal efficacy?:
e.g. 99.9% kill rate

Are there any specific test methods or standards that you require us to test for bactericidal efficacy?:
e.g. Rideal Walker Coefficient

Please list formulation below:
e.g. 10% sodium hypochlorite

Are there any specific microorganisms or other mandatory requirements to be used in our evaluation of your product?:
e.g. E. coli

I acknowledge that the above information is correct: Signature

Date:

NOTE: All information supplied to Bio-Science Technologies (Pty) Ltd is treated as strictly confidential.

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