Lab Request Forms

Lab Request Forms

Assay Technology has a variety of different lab request forms.  Most require similar information, which is necessary for the calculations on reports.  When you buy a badge, we include a Lab Request Form that is specific for the accompanying badge.  However, it is not required that this form be used.

There are other options for providing the necessary information to the lab:

  • A customer could use their own Lab Request Form.  (Be sure to use the badge serial number.)
  • Download our Free SmartBadge app.  Record the sampling event on our app and have the LRF created automatically.
  • Or use the PDF versions of our lab request forms below.  Fill in your report to information and print all that you want.

Lab Request Form (LRF) templates:

LRF : General/IH
Multi Badge LRF : 10 badges, one LRF, easy
525-25:  Organic Vapor TraceAirII® IAQ Panel
525 : Organic Vapor TraceAirII®
543: Acetic Acid
546 : Organic Vapor – High Capacity
549 : Organic Vapor – HCFC
555 : Ethylene Oxide
566 : Organic Vapor
571 : Aldehydes
574: Halogenated Anesthetic Gases
575 : Nitrous Oxide
581 : Aldehyde Trace Air® II
584 : Ammonia
585 : Organic Amines
586 : Ozone
587 : Hydrogen Peroxide
592 : Acrolein
593 : Mercury Vapor
594 : Nitrogen Dioxide
595 : Ethyl 2-Cyanoacrylate
521-25 : Organic Vapor Trace Air® IAQ Panel
521 : Organic Vapor Trace Air®

Filling out your LRF

Things to note on the LRF:

While Assay Technology customer number is an optional field, please note that this is not your phone number but an personal account number assigned to individuals who receive reports. Please feel free to contact us via email or phone if you do not know your number.

It should also be noted that lab reports are typically emailed out. If you would prefer hard copies or a faxed report, please be sure to indicate so.

For larger projects, we recommend either using our online pdfs to fill out sampling information or address labels. This sticker can be placed over the “Send Lab Report To” section. Labels can be provided upon request, simply ask at time of order or contact customer support with your information.
We also recommend trying our SmartBadge App, where project information could be filled in on your device and compiled together automatically. A PDF chain of custody is generated upon project submittal that is automatically sent to the lab while a PDF copy can be emailed to desired email address.
For any other inquiries please call our live customer service department, open M-F 7am-5pm PST at (800) 833-1258 opt. 4 or email us at