PROJECT DETAILS

List all SUBSTRATE MATERIALS and give a detailed description of the EXISTING CONDITIONS. Check all applicable boxes and give details.
STEEL	NEW | OLD | MILL SCALE | CORRODED | PITTED | GALVANIZED Describe:
CONCRETE	NEW | OLD | POWER FLOATED | POROUS | FRIABLE | SPALLED | BROKEN | OILY | PITTED | MOSS | LICHEN | BACTERIAL GROWTH | EXPOSED STEEL Describe:
TILES	GLAZED | CERAMIC | QUARRY | PLASTIC | LOOSE | BROKEN | MISSING GROUT | FAILING | GREASY Describe:
BRICKS	GLAZED | ROUGH | SMOOTH | ACID | WORN POINTING Describe:
CONCRETE BLOCK	OPEN | FAIR FACED | NEW | OLD | FILLING REQUIRED Describe:
WOOD	Describe:
OTHER	Describe:

PROJECT DETAILS PART 2

	Check appropriate box(es)	COMMENTS
TYPE OF SERVICE	DRY SPLASH / SPILL IMMERSION
UV EXPOSURE	YES NO
PROPOSED APPLICATION METHOD	SPRAY BRUSH ROLLER / SQUEEGEE TROWEL / PUTTY KNIFE
PROPOSED CURING METHOD	HEAT AMBIENT
Describe anticipated substrate exposure during application and curing (i.e. UV, temperature, humidity):

FORMER CHEMICAL EXPOSURE

CHEMICAL	CONCENTRATION %	TEMP RANGE (°F)	RAPID TEMP CHANGES?	PRESSURE	MAX TIME OF EXPOSURE

ANTICIPATED CHEMICAL EXPOSURE

What, if any, products or systems have been tried in the past for this application, and what were the results?

Are there any aesthetic considerations? (e.g. color, sheen, etc.)

If new product development is a consideration, what, if any, budgetary constraints apply?

ADDITIONAL COMMENTS:

Are other projects being considered at this time by your company or organization? (If so, please describe each briefly.)