On-line Situation Analysis

Fluorolast® Coatings...the next generation of elastomeric chemical and corrosion resistant coatings.

ON-LINE SITUATION ANALYSIS

Completing this Form will provide you with the correct Fluorolast selection for your Repair and Coating needs.
The form enables you to describe for us what type of application or problem you are faced with. We will then be able to analyse this and provide you with a detailed recommendation as to which Products are best suited to the situation.
This free analysis can be requested in just a few minutes on-line!
Please provide us with the following particulars:
(We guarantee that your details will NOT be used for any other purpose - or released to any third party.)

Company:

Address:




Contact Name:

Tel:	(optional)
Fax:	(optional)
E-mail:	(required)

Description of Situation:

Have any attempts been made to remedy this in the past?: Yes: No:
If yes, please explain: What was used? When was it applied? How long did it last? Why did it fail?

What options are being considered now?:

Are there any downtime limitations on repair/coating schedule?: Yes: No:
If yes, please explain:

OPERATING CONDITIONS

Abrasion: Light: Medium: Severe: Localised: All Over:

Impact: Light: Medium: Severe: Localised: All Over:

Pressure/Cavitation: Yes: No:

Are there pressure/temperature surges,
mixing of stream etc., to include in
joint design considerations?
If so, please explain.:

Chemical Contact: Occasional: Intermittent: Constant:

Describe the Nature
and Concentration
of Chemicals:
Choose:^oC/^oF
Chemical Name Conc. % pH Temp. ^oC/^oF

1

2

3

Normal Operating
Temperature Range Min: Max: Dry: Wet:

Where is the
application? Indoors: Outdoors: Roof: Ceiling: Gutter:

Floor: Machinery: Stair: Pump: Propellor:

Skylight: Ventilator: Condenser: Casting: Catwalk:

Valve: Gasket: Keyway: Chute: Shaft:

Hopper: Anchor Bolt: Housing: Conveyor: Impeller:

Rubber lining: Rubber part: Shim: Ram: Wall:

Tank - int.: Tank - ext.: Walkway: Pipe: Flashing:

Heat Exchanger/Tubesheet: Secondary Containment:

Nature of
Substrate: Stainless Steel: Galv. Steel: Mild Steel: Cast Iron: Aluminium:

Copper: Bronze: Brass: Lead: Concrete:

Brick: Plaster: Slate: Terazzo: Stone:

Ply or Wood: Fiberglass: Ceramic: Glass: PVC:

Rubber/Elastomer: Type:

Condition of
Substrate: Oily/Greasy: Powdery/Dry: Millscaled: Un/water: Dirty:

Wet/Damp: Rusty: Rotten: Broken: Porous:

Disintegrated: Moss/Algae: Scored: Spalled: Cracked:

Blistered: Leaking: Gouged: Old Paint: Microbes:

Accessibility: Complete - No Problem:

Limited Space:

Explain Space Restriction:

If you have any other
comments, please
include them here:

YOUR REFERENCE: (optional)

Thank you for having taken the time to complete this form. If you now click on the 'Submit Particulars' button below, this will deliver the form data to us. We will email you to confirm your request and then analyse the problem and deliver a professional solution to this situation.

OPERATING CONDITIONS
Abrasion:	Light:	Medium:	Severe:	Localised:	All Over:
Impact:	Light:	Medium:	Severe:	Localised:	All Over:
Pressure/Cavitation:	Yes:	No:
Are there pressure/temperature surges, mixing of stream etc., to include in joint design considerations? If so, please explain.:

Chemical Contact:	Occasional:	Intermittent:	Constant:

Describe the Nature and Concentration of Chemicals: Choose:^oC/^oF	Chemical Name		Conc. %	pH	Temp. ^oC/^oF
	1
	2
	3
Normal Operating Temperature Range	Min:	Max:	Dry:	Wet:

Where is the application?	Indoors:	Outdoors:	Roof:	Ceiling:	Gutter:
	Floor:	Machinery:	Stair:	Pump:	Propellor:
	Skylight:	Ventilator:	Condenser:	Casting:	Catwalk:
	Valve:	Gasket:	Keyway:	Chute:	Shaft:
	Hopper:	Anchor Bolt:	Housing:	Conveyor:	Impeller:
	Rubber lining:	Rubber part:	Shim:	Ram:	Wall:
	Tank - int.:	Tank - ext.:	Walkway:	Pipe:	Flashing:
	Heat Exchanger/Tubesheet:		Secondary Containment:

Nature of Substrate:	Stainless Steel:	Galv. Steel:	Mild Steel:	Cast Iron:	Aluminium:
	Copper:	Bronze:	Brass:	Lead:	Concrete:
	Brick:	Plaster:	Slate:	Terazzo:	Stone:
	Ply or Wood:	Fiberglass:	Ceramic:	Glass:	PVC:
	Rubber/Elastomer: Type:

Condition of Substrate:	Oily/Greasy:	Powdery/Dry:	Millscaled:	Un/water:	Dirty:
	Wet/Damp:	Rusty:	Rotten:	Broken:	Porous:
	Disintegrated:	Moss/Algae:	Scored:	Spalled:	Cracked:
	Blistered:	Leaking:	Gouged:	Old Paint:	Microbes:

Accessibility:	Complete - No Problem:
	Limited Space:
	Explain Space Restriction:

If you have any other comments, please include them here:

YOUR REFERENCE:	(optional)