SEFA Chemical Compatability
Air Science® requires that you complete the following questionnaire when buying a ductless fume hood.
 
Complete the form below and submit online, or download a copy to print-out and submit via FAX. Complete and return to Air Science® via Toll-Free FAX USA 800-306-0677, or 239-489-0922.
 
If you have questions or need assistance please contact your laboratory safety officer or contact Air Science® customer service Toll-Free USA 800-306-0656, 239-489-0024.
 
 

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About You (Person Submitting Quotation Request)

First Name*
Last Name*
Title
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Building/Room Number
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Street Address 2
City*
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Contact Information and Contact Preference

Phone Number*
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Intended Chemical Applications (Per SEFA-9-A Format)



Material ID
Number
Amount Concentration Temperature Container Frequency Comment

Comments


Certification by Person Submitting Form

By typing my initials, certify that in my capacity as (your position in the company/facility/institution) in (company/facility/institution) I believe to the best of my knowledge that all data and information submitted in this Chemical Applications Questionaire, form Air Science SEFA-9-A is truthful and accurate and that no material fact has been omitted.

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