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Friday, 10 September 2010

InfraRan Specific Vapor Analysis Application Feasibility Request (AFR) Form

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First Name *

Last Name *

Company Name *

Address *

Postal Code

Country *

E-mail address *

Tel *

Compound To Be Measured

Concentration Level (specify ppm or %)

Other Componds Present In Above Application

Concentration Level (specify ppm or %)

Any Additional Chemical, Environmental, or Safety Issues With The Above Compounds?

If Required Can You Provide Us With A Pure Sample Of Compound To Be Measured for Calibration Standards? Yes No

OTHER COMMENTS

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