Address:

 

  

City:

State:

Zip: 

Country:

Phone:

Fax: 

E-mail:

 

 1.Product Information:

  • Type of Product:  INCLUDE DESIRED SHEEN

  • VOC Requirements: 

  • Color: 

  • Annual Volume of this product in gallons: 

  • Order Size: 

  • Type of Containers:  

  Gallons

  Fives

  Drums

  Totes

 

2. Substrate to be coated is:


If other, please describe:


3. Current condition of substrate is best described as having:
 

    a temporary wax, oil or grease coating
    no paint or coating
    failure in present coating
    failure in small areas
    intact but needs renewing
    other
    If other or 'failure in present coating' is chosen, please describe the present coating or situation here...


  4.  Substrate is:

interior
exterior
other...
If other, please explain


5. Height of structure to be surfaced is:

less than 50 feet / 15 meters high
more than 50 feet / 15 meters high
not applicable


6. Maximum temperature coating will be exposed to:

up to 150°F
up to 200°F
up to 250°F
up to 350°F
up to 750°F
up to 12000°F
over  1200°F


7. Surface is exposed to condensation:
 

rarely
occasionally
frequently
continuously while in use


8. Is the surface exposed to concentrated chemical fumes and vapor generated by a local process?

no
yes
If yes, which chemical fumes or vapors?



9. Is the surface abraded?

rarely
mild abrasion
moderate abrasion
severe abrasion



10. The surface:

does not contact food or potable water
has incidental contact with food or potable water
has direct contact with food or potable water


11. The minimum ambient temperature in the field during the curing of the coating is:

at or above 55°F / 13°C
32 to 55°F / 0 to 13°C
0 to 32°F / -18 to 0°C
below 0°F / -18°C


12. Generally, the normal relative humidity in the field during the curing of the coating is:

below 15%
15 to 40%
35 to 85%
above 85%
 



13. What type of ventilation is available during the coating process?
 

forced ventilation or outdoor
indoor with normal building ventilation
confined spaces with poor ventilation such as tanks or pits



14. Additional information:

Add anything you want here. No detail is considered trivial and no question is unimportant. Please be thorough — there is plenty of room!


 

15. Surface Preparation:

  • Preparation/Cleaning Methods:

  Sandblast

  Solvent Wipe

  Power Tool

  Power Tool & High Pressure Wash

  None

  Other--Please Explain?

 

16.Application Method:   

 

ADDITIONAL INFORMATION FOR OEM COATINGS

  • Application Viscosity:

Secs. 

 

in Ford #4

in Zahn #2

in Other  

  • For Air Dry Products:

Time to handle:  Minutes- 

Line Speed: Feet per Minute- 

Total time from application to packaging: 

  • For Bake Products:

Flash Time from Application to Oven: Minutes-

Bake Time/Temperature: Minutes-  

                         @ Temperature F

 

Any other Application Information Including Sheen Requirements:

 

 

 

 Additional Information:
  • What size of sample would you need for testing this product in your plant?:

  Gallon

  Five Gallon

  Other 

 

Please Submit a completed form for each of your product needs.

Click the Submit Button to Electronically Send This Page, or Print and Complete the Form. Fax 478-628-5870