Test request
*
Required Field
Email
*
Email (Once again)
*
First name
*
Last name
*
Company name
*
Please input it with [
Individual
] in the case that you inquire it with an individual.
Branch name
Department
In charge of
Company Phone
*
Company Fax
Company Address
Address
*
City
*
State/Province
*
Country
*
Zip code
*
Material name
Condition of the material
Particle size of the material
#
micron
mm
Viscosity of the material
Hardness of the material
( Mohs scale )
PH of the material
Hazardous to the human body
Yes
None
Required product particle
#
micron
mm
Required capacity
kg/Hr
Allowable temperature during griding
degrees
Intended Machine name & model
Masscomizer X / Media-less hyper fine micronizer
Micro-Meister / Ultra-precise cutting machine
Supermasscolloider / Ultra-fine friction grinder
Ceren-meister / Computer aided ultra-fine grinder
Ceren-Miller / Air-flow type ultra-fine micronizer
Atomizer / Impact pulverizer?FHammer mill
Cutter-Mill / Pre-crusher
Bone Cutter / Frozen flaker
Chopper / Chopper for frozen meat and bones:mincer
Mixer / High viscosity mixer
Peripheral equipment
Material dispatching date
Material weight
kg
Sample returning
Necessary
Unnecessary
Attendance
Yes
Non
No. of attendant
Storage condition of the material
Freezing
Cold storage
Normal temperature
Required test date
Day
Month
Use of the solvent
Yes
Non
Final disposal
General garbage
Special garbage
Specific nature of the material
Any preparation of device
Other requirements
Additional Comments
