Fluoropolymer Coating Application RFQ

Please fill in the fields below and click submit. Note: A more accurate coating recommendation can be provided if a sketch or drawing of the part is forwarded. Please send drawings to Greg Groff at ggroff@sermatech.com

Tracking No./RFQ:		Name:
Title:		Company:

Street Address:

City: State/Province: Zipcode:

Email: Phone: Fax:

General Description of Item To Be Coated (Supply Drawing or Sketch If Possible)

Equipment:

Part Number:

Substrate:

Approximate Dimensions:

Approximate Weight :

Description:

Number of units to be coated:

Test & Evaluation:

Production:

Fabrication Required:	Yes No	Number of Units:
Design Pressure:	Design Temperature:	ASME Code:	Yes No

Other Special Requirements:

External Paint/Finish:	Yes No	Specify:
Equipment Condition:	New Used	Describe:
Jacketed Vessel:	Yes No
Previously Coated:	Yes No
How long was service life?

Specific Surfaces to be Coated/Lined:

Service Conditions Information

Present Materials of Construction:

Problems With Present Materials of Construction:

Material Preference:

Service/Chemical Conditions (Include % Concentrations):

pH Range:

Service Temperature Exposure:

Continuous
(please insert range and temperature units)

Excursions To
(please insert range and temperature units)

Thermal Changes:

Gradual:

Quick:

Explain:

Maximum Curing Temp & Duration Allowed

(please insert temperature and time units)

Operating Pressure:

Vacuum:	Yes No		Abrasive Conditions Exist:	Yes No
Media:	Liquid Vapor		Mixing/Agitation Conditions:	Yes No

Additional Comments:

Please click SUBMIT to complete your request(s):

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