F-ADMIN-06-06 - ARL Chain of Custody – Hemp Date version published: 09/04/2020

ANALYTICAL RESEARCH LABORATORY (ARL) CHAIN OF CUSTODY – HEMP

1. Business name / Client to appear on the results and responsible for all charges^:

2. Sampling authority – a signed copy of the report to be sent to:

Agency:

Address (line 1):

Suburb: State: Postcode:

Contact Name/s:

Phone number/s:

Email/s:

3. Sample details

Source / Grower details:

Client reference #: Hemp licence number*:

Analysis requested**

Cannabinoids - THC - GC (plant material) Drying & milling*** Cannabinoids - HPLC (CBD, CBDA, THC & THCA) GCFID - Terpenoids Cannabinoids - LCMS (Food Stuffs)

*You are required to attach a copy of your hemp licence to this form. **By submitting samples to ARL for analysis, you agree that you have read and understand ARL’s Terms and Conditions, located here: https://www.scu.edu.au/arl/terms-and-conditions.pdf ***ARL reserves the right to complete further drying and milling on your sample/s if we deem it has not been performed adequately upon receipt, and you will be required to pay for this service.

SAMPLE NAME (this will populate on your Certificate of Analysis) SAMPLE ID (this will populate on your Certificate of Analysis)

Signature of sample submitter^: _____________________________________________________________ Date: ______/_______/_________ ^ By submitting samples to ARL you acknowledge that the information provided is true and correct and you agree to pay all incurred fees in advance of any analysis being undertaken. SCU accepts no responsibility for false information included herein. You may be charged for the reissue of a Certificate of Authentication (CofA) where the information provided on this form is incorrect.

SCPS ARL office use only

Consignment accepted by (print name) Signature Date Time

Business name or client name (to appear on CofA and Invoice)

Address (line 1)

Suburb: State: Postcode:

Phone/s:

Email/s:

ABN: Client signature^