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Full Implementation Assistance Transition Assistance Internal Auditing Training General Consulting Other Describe: COMPANY/CONTACT INFORMATION Company Name:*Contact Name:* First Last Address:* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone:*Email:* Website: If More Than One Location, Please Provide The Address(es) Here:Please Indicate Your Target Date To Achieve Accreditation By: Date Format: MM slash DD slash YYYY How Did You Hear About PJC?WebsiteReferralTradeshow ORGANIZATION Is The Main Location Certified To ISO 9000?*YesNoIs This Laboratory Internal To A Larger Company Doing Other Activities?*YesNoIf Yes, Describe The Main Facility Activities:Please Indicate The Industry(ies) You Service:* Agriculture Automotive Aerospace Construction Consumer Product Safety Commission (CPSC) Cosmetic Cannabis DoD Drug Environmental EPA Energy Star Food Forensic Medical Nuclear Textile Industry(ies) You Service Other Than Those Listed Above: STAFF EMPLOYED BY THE ORGANIZATION # Of Technicians:*# Of Support Staff:*Total #:*How Many Technicians Are Performing Services Outside Of Your Facility?*How Many Shifts Of Employees Are Involved With Your Activities?* CALIBRATION - COMPLETE THIS SECTION Type Of Calibration (Check All That Apply):Electrical Calibration – (i.e. Voltage, Current, Amperage): On-Site Client Dimensional Calibration – (i.e. Gage Block, CMM, Caliper, Pin Gage, Micrometer, Optical Comparator): On-Site Client Time & Frequency Calibration – (i.e. Stopwatch, Frequency Counter): On-Site Client Acoustic Calibration – (i.e. Sound, Vibration): On-Site Client Mass Calibration – (i.e. Balances, Weight Sets): On-Site Client Thermodynamic – (i.e. Thermocouple, Relative Humidity Meter, Thermometer): On-Site Client Chemical Calibration – Calibration of instrumentation used for chemical analysis (i.e. pH Meter, Conductivity Meters and IR Spectrophotometer): On-Site Client Mechanical Calibration – (i.e. Hardness Machines, Force, Torque, Tension, Flow Meter, Colorimeter, Gloss Meter, Pressure Gauges): On-Site Client TESTING - COMPLETE THIS SECTION Number Of Tests: Type Of Test (Check All That Apply):Acoustical Testing – Measurements of noise, vibration, and sound level testing: On-Site Client Mechanical Testing – Test, measurements and evaluation of physical properties of materials, components and assemblies: On-Site Client Microbiological Testing - Microbiological tests and methods used for bacteriological analysis: On-Site Client Optical Testing – Tests for the performance of fiber optic components, cable plants and systems: On-Site Client Thermodynamic Testing – Tests of measurements and transformations of energy to heat: On-Site Client Chemical Testing – Chemical analysis and detection including instrumental and automated methods: On-Site Client Biological Testing – Biological, microbiological and biochemical testing and measurement: On-Site Client Electrical Testing – Test of an electrical and electronic nature performed on instruments, equipment, appliances, components and materials: On-Site Client Dimensional Inspection – Determination of dimensional parameter to establish magnitude or for comparison to defined nominal: On-Site Client Environmental Testing – Tests for constituents in various environmental media: On-Site Client Non-Destructive Testing – Examination of materials, components and assemblies to detect discontinuities without damaging the material, component or assembly: On-Site Client