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Pilot Test Form

Company Name:	required
Contact E-mail:	required
Contact Phone:
Mailing Address:
City, State:
Postal Code:	Country:
Test Date(s):	if already scheduled.
Dates interested in:
Test Objective:	Dryer Evaluation Coater Evaluation Product Evaluation
	Other:

1) Web Information:
A.	Type of Web: Widths: Thickness or basis weight and ream size:
B.	Diameter of rolls to be furnished: (48" maximum)
C.	Any special handling or storage requirements for the rolled product, either before or after coating?:

2) Coating Information:
A.	Type of solids:
B.	Percent solids: (by weight or volume)
C.	Type of solvents: (by weight or volume if mixture of solvents)
D.	Viscosity:
E.	Density: (lbs./gal.)
F.	Are there any special precautions that must be taken while preparing or handling the coating or its components?:
G.	Recommended cleanup solvent:

3) Coating Application:

A.

Method of application:

Direct Gravure	Reverse Gravure
Offset Gravure	Rubber back-up roll
Kiss rolls	Meyer Rod
Knife Over Roll	Pan Feed
Fountainless Feed

B.

Coating weight or thickness desired:

Ream size if by weight: Wet or Dry?:

C.

Anticipated line speed: FPM

D.

Recommended web tension:

4) Present or Recommended Dryer Conditions:
A.	Velocity Restrictions:
B.	Temperature Restrictions:
C.	Drying Rate Restrictions: (Lb. / hr. / Sq. ft.)
D.	Maximum Web Temperature:
E.	Cure Cycle, Time at Temperature:

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