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Small Media 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?

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?
 
Other:
 
Formulation/Comments

Material Needed For Test:
DMQ07:
 1 gal
DMQ10:
 25 gal
Delta Mill:
2 L Mill: 5 gal (min)
20 L Mill: 50 gal (min)
QC100:
1 gal
QC220:
4-5 gal
01HDDM:
350 ml
1SDM:
1 gal

Please include 1 oz. "control" sample of final product desired.

ALL MSDS REQUIRED PRIOR TO TEST RUN.


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1925 Akron-Peninsula Rd.     •     Akron, Ohio 44313     •     330.929.3333     •     Fax: 330.929.3034     •