Request for sample testing

Please fill out this form to the best of your knowledge, this will enable the Bunting – Redditch representative to correctly test the material, taking all necessary precautions. Please enclose a copy of the completed questionnaire with your test sample to ensure testing takes place as requested.

Name

First Last

Company

Please enter your company name

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Description of material:

Please enter a description of the material to be tested

Material Composition:

What materials are within the sample and what are the approximate percentages?

Moisture Content (%):

Process Type:

Wet

Dry

Screen analysis:

Minimum:

Maximum:

Please attach a particle size analysis if available

Max. file size: 32 MB.

Capacity

What is the tonnage per hour?

Bulk Density

Hazards

Are there any hazards associated with the Product, Should any precautions be taken? Please enclose MSDS if relevant. All submitted samples should meet the requirements of COSHH Control of Substances Hazardous to Health Regulations 2002

Hazardous Characteristics

Corrosive

Reactive

Toxic

Ignitable

Carcinogenic

Radioactive

Please contact us prior to sending any Carcinogenic or Radioactive materials

Objective

What is the valuable product? What are you trying to achieve?

After Testing(Required)

Please select what you would like to be done with your sample after testing.

This field is for validation purposes and should be left unchanged.

Please send your sample and completed form to:

Sample Testing Department

Bunting

Burnt Meadow Road

Redditch

Worcestershire

B98 9PA

United Kingdom

+44(0)1527 65858