In order to proceed with laboratory test #
it is necessary for you to fill out the information below and return it to:

Fostoria Industries Inc. • Process Heat Division
1200 N Main Street • Fostoria, OH 44830
Fax #419-435-0842

Company

Address

City, State, Zip

Telephone

Fax

Customer Contact Name

Customer to witness test?

Yes    No

Preferred test date

Product material to be sent on (date)

Fostoria Ind. Area Sales Rep.

Fostoria Ind. Application Eng.

TERMS & REQUIREMENTS FOR TESTING

  1. Where applicable, product test samples should be cut down into 12² x 12² squares.

  2. Where applicable, a minimum of 12 sample pieces should be provided.

  3. All test samples including coatings are to be marked or tagged with test # and marked for "Process Heat Lab.

  4. All test samples shipped to above address.

  5. Paints, adhesives, or other coatings will be accepted in quart containers only.

  6. All flammable or hazardous products will not be accepted without a "Material Safety Data Sheet attached and each container labeled with its contents.

  7. All products sent in for testing must be sent freight prepaid.

  8. On completion of testing, all test material will be returned to the customer, or if non hazardous, disposed of with customer approval.

Please sign, indicating agreement to the above terms and print out to send.  

Name _____________________________________________ 

Title   _____________________________________________  

Date  _____________________________________________


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Fostoria Industries, Inc.
1200 N. Main • Fostoria, Ohio 44830
419-435-9201 • 1-800-495-4525 • Fax: 419-435-0842

email@fostoriaindustries.com