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IP Water Testing Submission Sheet

Below are fields that are necessary to write the report(s) for your sample(s). Please fill out all fields to the fullest extent. If a field does not apply to your test sample, please enter “N/A” and we will remove that field from the report.

Unit 1

How the product will be identified in the report
Unit 1: Associated ID Numbers
Please select all that apply
Unit 1: Reference Number(s)
Unit 1: Model Number(s)
Unit 1: Serial Number(s)
Unit 1: Part Number(s)
Unit 1: Other (Please Specify)
Unit 1: Dimensions(Required)
Length (in.)
Width (in.)
Height (in.)
Specify: lbs., kgs, or other
Unit 1: Does the test unit require operation during or after the test?(Required)
Drop files here or
Max. file size: 256 MB.
    Unit 1: Is there a specific area of interest for the product?(Required)
    Drop files here or
    Max. file size: 256 MB.
      Unit 1: Is Keystone to open the unit post test to inspect for ingress?(Required)
      Drop files here or
      Max. file size: 256 MB.

        Unit 2

        How the product will be identified in the report
        Unit 2: Associated ID Numbers
        Please select all that apply
        Unit 2: Reference Number(s)
        Unit 2: Model Number(s)
        Unit 2: Serial Number(s)
        Unit 2: Part Number(s)
        Unit 2: Other (Please Specify)
        Unit 2: Dimensions(Required)
        Length (in.)
        Width (in.)
        Height (in.)
        Specify: lbs., kgs, or other
        Unit 2: Does the test unit require operation during or after the test?(Required)
        Drop files here or
        Max. file size: 256 MB.
          Unit 2: Is there a specific area of interest for the product?(Required)
          Drop files here or
          Max. file size: 256 MB.
            Unit 2: Is Keystone to open the unit post test to inspect for ingress?(Required)
            Drop files here or
            Max. file size: 256 MB.

              Unit 3

              How the product will be identified in the report
              Unit 3: Associated ID Numbers
              Please select all that apply
              Unit 3: Reference Number(s)
              Unit 3: Model Number(s)
              Unit 3: Serial Number(s)
              Unit 3: Part Number(s)
              Unit 3: Other (Please Specify)
              Unit 3: Dimensions(Required)
              Length (in.)
              Width (in.)
              Height (in.)
              Specify: lbs., kgs, or other
              Unit 3: Does the test unit require operation during or after the test?(Required)
              Drop files here or
              Max. file size: 256 MB.
                Unit 3: Is there a specific area of interest for the product?(Required)
                Drop files here or
                Max. file size: 256 MB.
                  Unit 3: Is Keystone to open the unit post test to inspect for ingress?(Required)
                  Drop files here or
                  Max. file size: 256 MB.

                    Unit 4

                    How the product will be identified in the report
                    Unit 4: Associated ID Numbers
                    Please select all that apply
                    Unit 4: Reference Number(s)
                    Unit 4: Model Number(s)
                    Unit 4: Serial Number(s)
                    Unit 4: Part Number(s)
                    Unit 4: Other (Please Specify)
                    Unit 4: Dimensions(Required)
                    Length (in.)
                    Width (in.)
                    Height (in.)
                    Specify: lbs., kgs, or other
                    Unit 4: Does the test unit require operation during or after the test?(Required)
                    Drop files here or
                    Max. file size: 256 MB.
                      Unit 4: Is there a specific area of interest for the product?(Required)
                      Drop files here or
                      Max. file size: 256 MB.
                        Unit 4: Is Keystone to open the unit post test to inspect for ingress?(Required)
                        Drop files here or
                        Max. file size: 256 MB.

                          Unit 5

                          How the product will be identified in the report
                          Manufacturers of any of the sample components that need to be listed in report
                          Unit 5: Associated ID Numbers
                          Please select all that apply
                          Unit 5: Reference Number(s)
                          Unit 5: Model Number(s)
                          Unit 5: Serial Number(s)
                          Unit 5: Part Number(s)
                          Unit 5: Other (Please Specify)
                          Unit 5: Dimensions(Required)
                          Length (in.)
                          Width (in.)
                          Height (in.)
                          Specify: lbs., kgs, or other
                          Unit 5: Does the test unit require operation during or after the test?(Required)
                          Drop files here or
                          Max. file size: 256 MB.
                            Unit 5: Is there a specific area of interest for the product?(Required)
                            Drop files here or
                            Max. file size: 256 MB.
                              Unit 5: Is Keystone to open the unit post test to inspect for ingress?(Required)
                              Drop files here or
                              Max. file size: 256 MB.

                                Unit 6

                                How the product will be identified in the report
                                Unit 6: Associated ID Numbers
                                Please select all that apply
                                Unit 6: Reference Number(s)
                                Unit 6: Model Number(s)
                                Unit 6: Serial Number(s)
                                Unit 6: Part Number(s)
                                Unit 6: Other (Please Specify)
                                Unit 6: Dimensions(Required)
                                Length (in.)
                                Width (in.)
                                Height (in.)
                                Specify: lbs., kgs, or other
                                Unit 6: Does the test unit require operation during or after the test?(Required)
                                Drop files here or
                                Max. file size: 256 MB.
                                  Unit 6: Is there a specific area of interest for the product?(Required)
                                  Drop files here or
                                  Max. file size: 256 MB.
                                    Unit 6: Is Keystone to open the unit post test to inspect for ingress?(Required)
                                    Drop files here or
                                    Max. file size: 256 MB.

                                      Unit 7

                                      How the product will be identified in the report
                                      Unit 7: Associated ID Numbers
                                      Please select all that apply
                                      Unit 7: Reference Number(s)
                                      Unit 7: Model Number(s)
                                      Unit 7: Serial Number(s)
                                      Unit 7: Part Number(s)
                                      Unit 7: Other (Please Specify)
                                      Unit 7: Dimensions(Required)
                                      Length (in.)
                                      Width (in.)
                                      Height (in.)
                                      Specify: lbs., kgs, or other
                                      Unit 7: Does the test unit require operation during or after the test?(Required)
                                      Drop files here or
                                      Max. file size: 256 MB.
                                        Unit 7: Is there a specific area of interest for the product?(Required)
                                        Drop files here or
                                        Max. file size: 256 MB.
                                          Unit 7: Is Keystone to open the unit post test to inspect for ingress?(Required)
                                          Drop files here or
                                          Max. file size: 256 MB.

                                            Unit 8

                                            How the product will be identified in the report
                                            Unit 8: Associated ID Numbers
                                            Please select all that apply
                                            Unit 8: Reference Number(s)
                                            Unit 8: Model Number(s)
                                            Unit 8: Serial Number(s)
                                            Unit 8: Part Number(s)
                                            Unit 8: Other (Please Specify)
                                            Unit 8: Dimensions(Required)
                                            Length (in.)
                                            Width (in.)
                                            Height (in.)
                                            Specify: lbs., kgs, or other
                                            Unit 8: Does the test unit require operation during or after the test?(Required)
                                            Drop files here or
                                            Max. file size: 256 MB.
                                              Unit 8: Is there a specific area of interest for the product?(Required)
                                              Drop files here or
                                              Max. file size: 256 MB.
                                                Unit 8: Is Keystone to open the unit post test to inspect for ingress?(Required)
                                                Drop files here or
                                                Max. file size: 256 MB.

                                                  Unit 9

                                                  How the product will be identified in the report
                                                  Unit 9: Associated ID Numbers
                                                  Please select all that apply
                                                  Unit 9: Reference Number(s)
                                                  Unit 9: Model Number(s)
                                                  Unit 9: Serial Number(s)
                                                  Unit 9: Part Number(s)
                                                  Unit 9: Other (Please Specify)
                                                  Unit 9: Dimensions(Required)
                                                  Length (in.)
                                                  Width (in.)
                                                  Height (in.)
                                                  Specify: lbs., kgs, or other
                                                  Unit 9: Does the test unit require operation during or after the test?(Required)
                                                  Drop files here or
                                                  Max. file size: 256 MB.
                                                    Unit 9: Is there a specific area of interest for the product?(Required)
                                                    Drop files here or
                                                    Max. file size: 256 MB.
                                                      Unit 9: Is Keystone to open the unit post test to inspect for ingress?(Required)
                                                      Drop files here or
                                                      Max. file size: 256 MB.

                                                        Unit 10

                                                        How the product will be identified in the report
                                                        Unit 10: Associated ID Numbers
                                                        Please select all that apply
                                                        Unit 10: Reference Number(s)
                                                        Unit 10: Model Number(s)
                                                        Unit 10: Serial Number(s)
                                                        Unit 10: Part Number(s)
                                                        Unit 10: Other (Please Specify)
                                                        Unit 10: Dimensions(Required)
                                                        Length (in.)
                                                        Width (in.)
                                                        Height (in.)
                                                        Specify: lbs., kgs, or other
                                                        Unit 10: Does the test unit require operation during or after the test?(Required)
                                                        Drop files here or
                                                        Max. file size: 256 MB.
                                                          Unit 10: Is there a specific area of interest for the product?(Required)
                                                          Drop files here or
                                                          Max. file size: 256 MB.
                                                            Unit 10: Is Keystone to open the unit post test to inspect for ingress?(Required)
                                                            Drop files here or
                                                            Max. file size: 256 MB.
                                                              

                                                              Pennsylvania Lab

                                                              131 N. Columbus Innerbelt
                                                              New Castle, PA 16101

                                                              (724) 657-9940  

                                                              

                                                              PEnnsylvania Package Testing Lab

                                                              203 Commerce Avenue
                                                              New Castle, PA 16101

                                                              (724) 657-9940

                                                              

                                                              Michigan Lab

                                                              32201 North Avis Drive
                                                              Madison Heights, MI 48071

                                                              (248) 588-9770

                                                              

                                                              North Carolina Lab

                                                              2320 Presidential Drive
                                                              Suite 101
                                                              Durham, NC 27703

                                                              (919) 296-0098

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