ISO 9001:2008 CERTIFIED

DATA SHEET
for powder flow instruments

SAMPLE INFORMATION

Material Description
Maximum Particle Size
Material Storage Container (e.g. tote bag, IBC, Silo)
Construction Material and Dimensions of Storage Container

Current Test Equipment and Test Procedures Used

SAMPLE STORAGE

Environment Type of Sample Container

Temperature Range Sealed
Relative Humidity Range Exposed to Environment

TEST AND RECOMMENDATION SERVICE 1000cc (minimum) of sample required for testing)
This section must be completed when sending samples to Brookfield for sample evaluation. Please note that a Material Safety
Data Sheet (MSDS) is required for all samples to be tested.

Sample Preparation Requirements (if applicable)

Sample Safety Precautions (if applicable)

Additional Information

Contact Information

(Contact Name) (Company Name)

(Street Address)

(City) (State/Province) (Zip/Post Code) (Country)

(Telephone) (FAX) (Email)

AMETEK Brookfield Tel: 800-628-8139 or 508-946-6200 | Fax: 508-946-6262 | www.brookfieldengineering.com

T15-1043A0616
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