Bead Milling Lab Trial Form Information for Laboratory Test Run * Required fields * Company Name: Mailing Address: City: State/Province: Zip/Postal Code: * Country: Return Processed Material to: Address (no P.O. Box): City: State/Province: Zip/Postal Code: Country: Contact Information * Contact Name: Title: Phone: Fax: * Email Address: Product to be Milled Product to be milled: Toxic: Explosive: Flammable: Temperature Limitation: Other: Liquid to be Used Water: Solvent: resin (type): % Solids Preferred: Slurry Wt. (per gal. or liter): Viscosity before milling: Viscosity after milling: Initial Particle Size/Fineness Initial particle size/fineness: Final Product Desired: (please provide 1 oz. "control sample") Particle size/fineness: Gloss: Opacity: Color Strength: Instrument used for determination: Throughput Requirements: Batch Size: Desired Throughput: per hour per year (@ hrs./year ) Production Rate Desired Gal/Hr; L/Hr; or Lbs/Hr; Kg/Hr Sensitivity of Product Color Critical: Iron Contamination Critical: Other: Grinding Media Selection ZrSiO4 Glass ZrO2 Carbon Steel Chrome Steel Other: Minimum Quantity of Sample Desired Minimum quantity sample: Background Information Are you currently processing this material? Yes No Mill (Make/Model): Media (Type/Size): Throughput rate: Residence time: When will new equipment be purchased? Preferred Process (check all that apply) Batch Continuous Circulation How Did You Hear About Us? (check all that apply) Google – list keyword if remembered: ThomasNet.com Magazine Ad – name of publication: Press Release Trade Show – name of show: E-Blast E-Newsletter Bing Search Yahoo! Search Referral from colleague Past customer Formulation/Comments Material Needed For Test: DMQX-07: 1 gal DMQX-10: 25 gal 01HDDM: 350 ml 1SDM: 1 gal Please include 1 oz. "control" sample of final product desired. ALL MSDS REQUIRED PRIOR TO TEST RUN. Security Code: Please enter the words you see in the box, in order and separated by a space.