Material Certificate of Analysis (COA) and Compliance (COC) Request

Name

Company

Material

Lot Number for Certificate of Analysis (COA)

Lot number is required to generate a COA. Only a COC will be generated if no lot number is provided.

Enter the lot number exactly as shown on the cartridge, after “L-” (YYYYMMDD format)

Do not include the “L-” Do not include the expiration date Submit one lot per request

Note: BioMed Resins, Dental Resins, and Powders may use slightly different lot number formats

Examples:

Standard resin: 20260422

BioMed/Dental: BW01260422-01 (enter as shown, including two character product code)

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