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Custom Gas Calibration Standards Quote Form

Custom Gas Calibration Standards Quote Form

Please submit a new form for each custom air reference material you wish to request.
Fields marked with an asterisk (*) are required.

First Name:*
 Last Name:*
Company/Location:*
Phone number:*

FAX number:
 Position or Title:

Email address:*
Compounds:* (at least one is required)
Compound: CAS# Conc.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
 
Compound (cont.): CAS# Conc.:
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

Concentration:*
ppm		  
ppb 		 
percent

Balance Gas:*
helium
nitrogen
air
other (specify):

Cylinder Size:*
14 L Airgas/Scott/Air Liquide
48 L Airgas/Scott/Air Liquide
98 L TPED/Pi/HPI, Spectra/Linde
     (Pi marked for EU regulations) 		 
104 L Spectra/Linde
110 L Airgas/Scott/Air Liquide
110 L TPED/Pi/HPI, Airgas/Scott/Air Liquide
     (Pi marked for EU regulations)

other (specify):

Please enter any additional compounds, comments or instructions.
Thank you.

Definitions


compound: Component(s) that will make up the reference mix (example: dimethyl sulfide, formaldehyde, etc.)

CAS#: Chemical abstract services registry number.

concentration: ppm (parts per million), ppb (parts per billion), or percent.


PLEASE NOTE: Custom Restek products (i.e., non-stocked, non-catalog items) that meet the quoted product specifications are not returnable or refundable. Be sure to check the product specifications in your quote request before submitting. Also, recheck the specifications in your sales quote before placing your order. If you have any questions, contact Restek or your local Restek representative.

I understand and agree to these terms.*

You can also fax a request to
(814) 353-1309

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