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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.

Name: (First, M.I., Last)

Company/Location:
Phone number:

FAX number:
 Position or Title:

Email address:
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 Scott/Air Liquide
48 L Scott/Air Liquide
104 L Spectra/Linde 		 
110 L Scott/Air Liquide
110 L Scott/Air Liquide TPED
        (pi marked for EU regulations)

other (specify):

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

Definitions


compound: Component(s) which 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 requested 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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At Restek, we understand and respect your concerns about the privacy and security of your personal data; for more information, visit www.restek.com/privacy.

Restek Domestic Customer Service

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