Contract
Testing Request Form
We
are currently experiencing some difficulties with this form.
To ensure a prompt response to your request, please send
and email to
info@rheologysolutions.com
providing
your contact details and an overview of the information you
are seeking.
We apologise for any inconvenience caused.
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| Date: |
Confidentiality Agreement Required:
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| Name: |
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| Company: |
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| Phone
Number: |
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State:
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| Email
Address: |
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| REASONS
FOR TESTING: |
INFORMATION
WILL BE USED BY: |
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Sample Characterisation |
QA |
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Process Development / Problems |
R&D |
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Other:
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Production |
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| PROCESS
INFORMATION |
If there is a problem, how does it manifest itself?
(Please provide basic process details before, during and after point
of detection)
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| SAMPLE
INFORMATION |
| Sample(s)
Name / ID: |
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| Number
of Samples: |
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| Corrosive: |
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| Toxic: |
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| pH:
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| Particle
Size Distribution:
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| Concentration
(solids/polymer/ionic etc):
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| Other:
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| Is
an MSDS Sheet included for each different sample? |
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| Special
Disposal Requirements? |
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yes, please supply disposal requirement details: |
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| Sample
Handling / Storage (eg: refrigeration, temperature, mixing, shelf
life, air tight etc): |
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| Sample
Preparation for Testing (eg: pH, mixing, other additives, ingredients,
temperature etc): |
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| Cleaning
Requirements (eg: solvent, detergent, water etc.): |
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| CURRENT
TESTING PROCEDURES |
| Is
there an existing test procedure available? |
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| Is
a copy of the test procedure attached? |
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| Are
test results for this product attached? |
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| TESTING
/ RESULTS REQUIRED |
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| DISSEMINATION
OF RESULTS |
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Data only |
Interpretation & Recommendations |
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Data & Interpretation |
Other eg: Presentation |
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| COMMENTS |
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NOTE:
We will advise within 48 hours of receipt of this form if further
information is required. Additionally, we will provide an overview
of the work we would carry out including an estimate of the projected
time scale and associated fee. Any costs associated with special
sample disposal requirements will be paid and arranged by the
client.
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Request Submitted
by:
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This
request can be automatically sent to Rheology Solutions Pty Ltd
when the Submit Button is clicked. If you would like to keep a copy
of this form, we suggest you print it out before clicking the submit
query button. |
