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    Gas Request Form

    Gas Request Form

    (Must be completed by Customer prior to quote and processing)

    "*" indicates required fields

    1Gas Technology Center
    2Type of Testing
    3Product Information
    4Processing Requirements
    This field is for validation purposes and should be left unchanged.

    STEP 1: Select your Gas Technology Center

    Select a Gas Technology center(s) from the following:*

    (1) Product Received From (Originator):

    Originator Address*

    (2) Product Belongs To (Customer):

    Customer Contact Details*
    Pick whether the Customer contact details are the same as Originator or not. If it is not same as Originator, select "None of the Above" and you will be prompted to fill in the correct details
    Customer Address*

    (3) Send Invoice To (Party To Be Billed):

    Invoice Contact Details*
    Pick whether the invoice contact details are the same as Originator or Customer. If none of the above, select "None of the Above" and you will be prompted to fill in the correct details
    Invoice Address*

    (4) Ship Processed Product To:

    Shipping Details*
    Pick whether the shipping contact details are the same as Originator, Customer or Billing. If none of the above, select "None of the Above" and you will be prompted to fill in the correct details
    Shipping Address*

    Primary Contact For Trial Documentation

    Batch Record*
    The sample will be returned with a batch record.
    The Customer will be notified of any deviation from the process specification.
    Please specify if documentation needs to be returned to any additional groups or emails

    STEP 2: Type of Testing

    It should be noted that any product ran in a non-validated cycle CANNOT be labelled as sterile product and CANNOT be used for human or veterinary use.
    Please describe how the product will be evaluated post-processing. If your evaluation requirements are currently unknown, please leave this section blank.
    Please note: BI numbers will be as per STERIS standard for the product volume. If you have bespoke requirements not already included in a Protocol/Trial instruction, please advise in the special instructions.

    STEP 3: Product Information

    All fields are required. Information MUST be present for pricing and processing)
    (if dimensions, weight, etc. are unavailable/unknown (e.g. product sent directly from lab) please indicate "Price Upon Arrival" in special instructions) *
    It is the Customer's responsibility to inform STERIS of any known registration/ certification/ license requirements. Only those stated by the Customer will be reviewed by STERIS prior to product processing.*
    Product Information (EO) - Americas*
    Number of boxes
    Dimensions (LxWxH) (inches)
    Weight (lbs)
    Lot #
    Product code
    Description
     
    No bubble wrap. EO/VHP-suitable, breathable packaging only. Please specify units for Dimensions & Weight. (Americas should be in inches & lbs. Europe should be in mm & kgs respectively).
    Product Information (EO) - Europe*
    Number of boxes
    Dimensions (LxWxH) (mm)
    Weight (kgs)
    Lot #
    Product code
    Description
     
    No bubble wrap. EO/VHP-suitable, breathable packaging only. Please specify units for Dimensions & Weight. (Americas should be in inches & lbs. Europe should be in mm & kgs respectively)
    Product Information (VHP) - Europe*
    Number of Samples
    Dimensions (LxWxH) (mm)
    Weight (kgs)
    Lot #
    Product code
    Description
     
    No bubble wrap. EO/VHP-suitable, breathable packaging only. For VHP processing, product must be presented in its primary packaging. Please specify units for Dimensions & Weight. (Americas should be in inches & lbs. Europe should be in mm & kgs respectively)
    Please advise of any pre-processing storage requirements*
    Please advise of any post-processing storage requirements*
    Internal Process Challenge Device, Dataloggers, & Chemical Indicators (if applicable)*

    Safety Data Sheet (SDS)

    Please attach any appropriate SDS to the outside of the box upon shipping, as well as uploading onto the Sterilink portal.
    Drop files here or
    Max. file size: 32 MB.
      Please note, powder components cannot be processed at Spartanburg EO GTC.

      STEP 4: Processing Requirements

      All cycle requests will be reviewed during a technical meeting with the GTC team.
      Processing Priority
      Check all options you would like to be quoted for
      Note: Processing times are in business days, excluding weekends, holidays, and day of shipment
      Note: Some quantities and/or cycles may not be available for high priority. Subject to lab availability if testing is required
      Standard Cycles
      The GTC offers two standard cycles for EO and VHP. These standard cycles are representative of a standard sterilization cycle in a commercial EO line and VHP chamber; for full cycle parameter specifications, please contact the relevant GTC team.
      Please select one of the standard cycles, or alternatively, if you require a different set of specifications, please complete the section below.
      Do you have an established set of processing requirements?
      If you are not sure what your processing requirements are, please leave the below section blank.
      Drop files here or
      Accepted file types: pdf, xlsx, xls, xlsm, Max. file size: 32 MB.
        Please upload a map of your BI placements to the portal . If no BI map is provided the a standard map will be used. If unsure, please refer to the GTC team for assistance.

        STEP 5: Shipping Details (US Only)

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