RFQ – Environmental Testing - LabTest Certification Inc

Applicant Information for Environmental Testings

Company Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person*

First Last

Title

Phone Number*

Fax Number

E-Mail Address*

Website Address*

Product Information

Description and Intended Use/Application*

Model/Series

Number of Sample(s)

Power Input

Sample(s) Mass

Sample(s) Outer Dimensions

Installation Instructions

Objective*

Select all that apply:

Other

Standard(s)/Test method(s)/Test Profile(s)

Test will be*

Attended by the customer
Unattended by the customer
Video Streaming

Sec. 1 - Vibration Test (Skip if not applicable)

Preferred Mounting Method

Yes
No

Client to provide Mounting Fixture

Yes
No

Vibration Profile - Select all that apply

Sine Sweep
Sine Sweep Resonance Search & Dwell Test
Random Vibration
Other – Please specify

(Attach Files in email)

Other

Test Duration per axis

Number of axis to test

Functional Test

Yes (If Yes, please attach file in email)
No

Sec. 2 - Shock Test (Skip if not applicable)

Select all that apply:

Pulse Shape

Preferred Mounting Method

Yes
No

Client to provide Mounting Fixture

Yes
No

Peak Acceleration (g or m/s2)

Duration (ms)

Number of Shocks per axis

Number of axis to test

Sec. 3 – IP Ratings (Skip if not applicable)

IP Ratings (ie. IP54, IP67, IP68, IP69K etc.)

Sample internal volume

Number of different models to be tested

Sec. 4 – Sand/Dust (Skip if not applicable)

Sand

Blowing

Dust

Blowing
Settling

Test Standard/Specification

Procedure & Method

Sec. 5 – Altitude (Skip if not applicable)

Altitude (ft/m)

Duration of test

Will unit(s) be operational during testing?

Yes
No

Test Standard/Specification

Procedure & Method

Sec. 6 – Salt Spray (Skip if not applicable)

Required temperature

Duration of test

Number of samples

Test Standard/Specification

Procedure & Method

Sec. 7 – Temperature (Skip if not applicable)

Fixed Temperature/Temperature Range/Temperature Cycle Profile

Duration of Test/Test Cycle

Fixed Relative Humidity Level/Humidity Range/Humidity Cycle Profile

Duration of Humidity Test/Test Cycle

Sec. 8 – Other (Skip if not applicable)

Other Tests

Select all that apply:

Test Type

Test Standard/Specification

Procedure & Method

How Did You Hear About Us*

Other (please specify)

Applicant Information for Environmental Testings

Product Information

Sec. 1 - Vibration Test (Skip if not applicable)

Sec. 2 - Shock Test (Skip if not applicable)

Sec. 3 – IP Ratings (Skip if not applicable)

Sec. 4 – Sand/Dust (Skip if not applicable)

Sec. 5 – Altitude (Skip if not applicable)

Sec. 6 – Salt Spray (Skip if not applicable)

Sec. 7 – Temperature (Skip if not applicable)

Sec. 8 – Other (Skip if not applicable)

Head Office Contact

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