Grinding

Company Name

Contact Name

Your Email

Phone Number

Fax Number

Customer Expectations and Blend Formula

Quantity of Material

Material Is
Virgin Recovery Other(please list) 

Other

Polymer Resin Type

Color

Inbound H20

Final H20 Specs

Max:

Target:

Low:

Bulk Density

Particle/Pellet Size

Samples Required

Customer H20 Testing Method

Pourability (sec/100g)

Density(g/100ml)

Liner Type

Labeling

Inbound Package Type

Outbound Package Type

Special Instructions/Misc. Information

Any sample must be accompanied by the appropriate MSDS.

Ancos will require a 1-lb visual sample for process evaluation. Larger subsequent samples may be needed for cost evaluation.

All fields must be completed. If an area is not applicable, please write in N/A. If a field is incomplete, Ancos will not be responsible for said property.