Product Sample Checklist (Page 2 of 3) in pdf

Information to be included with all submittals.

1. Product Data Sheet: __________

2. Material Safety Data Sheets (MSDS) for the product and the corrosion inhibitor: ________

3. Specific gravity information for liquid products as required: ______________________

4. Eutectic Temperature chart and graphs:__________________________

5. pH data (liquid products only): ___________________________________

6. Does your product contain an organic matter based corrosion inhibitor? _________________

7. If yes, complete and submit the required information on the inhibitor as specified within these

specifications.

8. Waiver of pH requirements being requested? Yes ______________ No _____________

9. Percentage of organic matter present in your material? __________________________

10. Analytical results of all specified and informational chemical constituents as specified in the General

Specifications, and for the specific category for which application is being made.______________

11. Toxicity Report ____________

12. Frictional Analysis Report ____________

13. Corrosion test data for corrosion inhibited products____________

14. Proprietary information regarding the corrosion inhibitor shall be included in a separate

sealed envelope and marked in large bold lettering “Confidential Information”. __________

15. Analytical testing procedures for verifying corrosion inhibitor concentration. ___________

16. Two each one gallon containers samples of the product included with submittal. _________

Experimental Products

1. In addition the information contained above the following information is required.

2. Identify the primary active ingredient that the product can be measured for ______________

3. Test protocols for testing the main ingredient ______________________

4. For liquid products, what is the lowest temperature that the material can be stored to while

meeting the requirements of the Settleable Solids and Percent Passing the No. 10 sieve? _________

Product Sample Checklist Page 2