Analyzer Request form
Company
*
Name
*
Address
*
City
State
ZIP
Tel
E-mail address
*
Budget available?
yes
No
If yes how much?
Time frame for purchase
Immediate
Within 3 months
Within 6 months
Within 1 year
I don't know
Sample information Sample information
Components to be analyzed
Sample type (CTRL click for multiple selection)
Liquid
Gas
LPG
Sample pressure
Sample temperature
Analyzer requirements Analyzer requirements
Standard method (ASTM, ISO, Etc...)
Prefered injections (gas,liq, LPG, Headsapce)
Number of sample per day
Autosampler required
Stop flow valve required
Back pressure requlator required
Is method development requested?
Prefered column
Capillary column
Packed column
Will you supply a test sample?
Yes
No
Do you already analyze this sample
Yes
No
If yes please provide details of method, GC brand, Columns, etc...
Comments/remarks
Please type in the letters below
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