CONTACT INFO
Shipping Address

Environmental Consultant Co.
2501 West Behrend Drive, Suite 51
Phoenix, Arizona 85027
Phone Number

(623) 582-5155

Fax Number

(623) 581-9264
E-mail Address
Remit-To Address

Environmental Consultant Co.
P.O. Box 42537
Phoenix, Arizona 85080



 


LAB TEST REQUEST
IMPORTANT: Please fill out this form as completely as possible, submit the form and print out a copy to include in the package containing your sample(s). Send samples to the 'Shipping Address', which can be found in the Contact Info box in the left margin of the page.


Company:
Address:
City:
State:
Zip Code:
Country:
Province:
Contact Name:
Phone Number: ( ) -
Purchase Order Number:
Date: - -


FILTER BAG INFORMATION - CURRENT SITUATION
Baghouse Cleaning Type: Pulse
Shaker
Reverse Air
Sonic
Application:
Industry:
Temperature: (Normal)
 (Max)
Pressure Differentials: (Max)
(Average)
Current Filter Life:
Previous Life:
Fuel:
Type of Fabric:
Finish:
Special Conditions:
Previous Test Numbers:


ANALYSIS REQUEST
Reason for Test: Determine Cause of Failure
Make Correct Fabric Recommendations
Determine Remaining Life Projection
Other:

Other Comment(s):

 
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