単成分濃度計� �ンプルテスト� ��込書.pdf

Fuji Industrial Co., Ltd.
〒435-0028, 1068 Iida-cho, Minami-ku, Hamamatsu-shi
Tel 053-464-6460 Fax 053-465-3815
Homepage: http://www.fuji-us.co.jp/
MSDS: To request a sample test, please fill in the necessary information below and apply.
Sample Test Application Form:
Company Name
Name
Address (〒 － )
Department Name
TEL
FAX
Manufactured Product
Sample Shipping Method
Concentration Range (upper limit, lower limit, and intermediate)
Please send 4 points, 500cc each, with concentrations marked on each container.
Example: Sodium chloride aqueous solution 5-20 wt%
Concentration Range
Temperature Range
Wt%
vol%
Wt%
vol%
～
～
Required Precision
℃
℃
Target Liquid
Yes or No
Region of Use
Yes or No
Explosion-Proof or Non-Explosion-Proof Region
Usage Form
Online or Offline
Sample Handling Precautions
Explosive
Toxic
Sample Return
Other Precautions
Necessary or Not →
□Dilution ( ) times drainage
□Industrial waste disposal
●Sample Shipping Address
〒435-0028, 1068 Iida-cho, Minami-ku, Hamamatsu-shi, Fuji Industrial Co., Ltd. Sales Department
TEL: 053(464)6441 FAX: 053(465)3815
Usage Process (optional)
Application Date: year month day
①NaCl 5wt%
④NaCl 20wt%
③NaCl 15wt%
②NaCl 10wt%
Concentration Meter