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100 East Glenside Avenue, Glenside, PA. 19038 USA
Tel: 1 (215) 517-8700 | Fax: 1 (215) 517-8747 | info@solarlight.com | www.solarlight.com

MATERIALS TESTING FORM

Date: ___________________

From: (Complete name and address)

Person name: _______________________________

Company name: _____________________________

Street Address: ______________________________

City: ________________________ State: _________Postal code: ________

Country: _________________________

Telephone: ____________________  FAX No. _______________________

E-Mail: ______________________________ Quotation #:______________

Payment Information:

Credit Card: MasterCard / Visa / Amex / Discover

Credit Card #____________________________________ Exp. _________

PO # _____________________________

Testing required: (Please check off the type of testing required)

[ ] Accelerated UV testing of a material;

Years to simulate ____________ Tropical ___ or Temperate Zone___

Please circle all that apply below:

Photography to be taken after:    Yr __  Yr __  Yr __   Yr __  Yr __

Colorimetry measurement after:   Yr __  Yr __  Yr __   Yr __  Yr __

Sample to be returned :   Y / N

Number of Samples being sent to Solar Light Co:­­­­­­­­­­­­­­­­________

Report by Engineer/Physicist (Extra Charge)  Y / N  (no report is included)

[ ] Spectral light transmission characteristics of a material;

Wavelength range_____nm to ______nm ______nm step size.

 

[ ] Spectral response of a detector; 

Wavelength range_____nm to ______nm ______nm step size.

 

[ ] Spectral output of a light source;

Wavelength range_____nm to ______nm ______nm step size.

Other (explain below):

__________________________________________________________________

 

List the items being sent in for testing and the relevant area of exposure:

1. Description:____________________________________________________

________________________________________________________________

2. Description:____________________________________________________

________________________________________________________________

3. Description:____________________________________________________

________________________________________________________________

4. Description:____________________________________________________

________________________________________________________________

Return Shipping Instruction:

Ship to address: (Complete name and address)       Check if same as above __

Person name: _______________________________

Company name: _____________________________

Street Address: ______________________________

City: ____________________ State: _________ Postal code: _________

Country: _________________________

Telephone: ______________________ FAX No. _____________________

E- Mail: _________________________________________

COMMENTS: _________________________________________________

__________________________________________________________________

__________________________________________________________________

Note: A copy of this form MUST be included with your samples being sent for testing.

Please also include your quotation.