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Thermal Analysis Request Form
Business Name
*
Physical Address (street, city, state, ZIP)
*
Contact Name
*
Email Address
*
Contact Number
*
General Information
Objective
*
Current Shipment Method
*
Next Day Air
2nd Day Air
3rd Day Air
Ground
Other
Target Shipment Method
*
Next Day Air
2nd Day Air
3rd Day Air
Ground
Other
# Packages Shipped Per Week
*
Current Carrier?
*
Fed Ex
UPS
Other
Product Description
*
Product
*
Fresh
Frozen
Conditioned at *F
*
Temperature Range : Min-Max *F
*
Current Refrigerants Using
Choose Any
*
-lb Dry Ice Block
+10*F Gel Pack
None
Choose Any
*
Dry Ice Pellets
-10*F Gel Pack
Dry Ice Snow
Wet Ice Block
Choose Any
*
+32*F Gel Pack
Wet Ice Cubes
Other
Gel Pack Specifications
*
8 oz
16 oz
24 oz
32 oz
48 oz
Other
Dry Ice Contained In:
*
Plastic Bag
Corrugated Box
Bubble Wrap
Other
Total Refrigerants Weight / Package in lbs
*
Current Packaging Information
Insulation Type:
*
Bubble Wrap Foil
Bubble Wrap Plain
Cut Foam Sheet
Molded EPS
Foil Covered Urethane Sheet
Poly Film Covered Urethane Foam
Molded Urethane
Baffle Airliner
None
Other
Insulation Thickness : inches
*
Inside Dimensions (inches) L x W x H
*
Outside Dimensions (inches) L x W x H
*
Outer Corrugated Box
*
Yes
No
Test Parameters Requested
Time Length in Hours
*
Comments
*
Prototype Needed
*
Yes
No
If Yes, Provide Details
*
Test Samples Sent To Lab
*
Yes
No
Tracking #
*
General Sample Shipping and Storage Information
Customer is responsible for properly packaging, labeling and sending samples to GPS Packaging.
No test will be performed unless this form is completed and signed by the customer representative requesting the test.
Upon receipt of customer samples, a visual inspection will be done to confirm sample condition.
If samples are found damaged during transportation, GPS Packaging will require authorization from the customer to run tests with damaged samples.
Samples awaiting analyses are placed in the designated storage locations and are stored frozen, refrigerated or at room temperature according to the storage condition specified by the customer.
Customer Authorizes GPS Packaging to use damaged samples for testing purposes
*
Yes
No
Customer will ship samples to GPS Packaging
*
Yes
No
Note
: GPS Packaging's Technical Department is committed to provide a complete solution to our customers, based on thermal tests. Testing lead time will start from the day product samples are received.
Sample Disposition Authorization
Thermal testing is conducted till failure. Therefore, perishable products can be destructive in nature affecting the product’s shape, texture, color, edibility, etc. Customers can request that GPS Packaging return the samples after testing with the understanding that the customer pays for shipping costs. Please select one of the following disposition options:
Return Samples After Testing
*
Yes
No
If Yes, Return Address:
*
Customer Representative Name, Title
*
Authorizing Electronic Signature
*
Submit