Wet Toll Grinding 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: Material to be Processed Material to be processed: Initial Particle Size of Material: Quantity to be processed: % Solids: Dispersant/Type/ Amount Used: Water or solvent based slurry: Solvent Type: Time Constraints: Hardness: Specific Gravity: Bulk Density: Toxic: Irritating: Explosive: Flammable: Other: Temperature Sensitive: Preferred Shipping Carrier: Precautions for Handling: Type of containers material will be shipped in (i.e. bulk bags, drums, etc.): Type of containers for material to be returned in: * Note: Lab test may be required to evaluate material prior to tolling. End Product Desired: (please provide 1 oz. "control sample") Average: Maximum: Method of Determination: If Fisher Sub-Sieve Is Used, What Is Porosity Setting? Throughput Requirements: Batch Size: Desired Throughput: per hour per year (@ hrs./year ) Minimum Quantity of Sample Desired Minimum quantity sample: Sensitivity of Material Product Color Critical: Yes No Iron Contamination Critical: Yes No Other Critical Contamination: Yes No Production Rate Desired Per Hour: Per Year (@ ___ hrs./yr): Present Activity Are you currently processing this material? Yes No Method: Length of Milling Time: Present Capacity: 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 Comments Material Needed For Test: Batch 1-S: 3/4 to 1 gal slurry 01-HD: 250-500cc slurry Continuous: 15-20 gals slurry Circulation: 5-6 gals slurry 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. Copyright © 2014 Union Process. All rights reserved.