TURI SURFACE SOLUTIONS LABORATORY
CLEANING PRODUCT QUESTIONNAIRE
Material Safety Data Sheet (MSDS) and Technical Data Sheet (TDS)
MUST Be Attached
Use a SEPARATE questionnaire for each product you want entered in database.
1. Vendor Name: 2. Product/Trade Name
3. Major filed of cleaning (Check one): Parts
Precision
Janitorial/Facility
4. Specified Standard(s):
ASTM:
Mil Specs:
FDA:
Other:
5. Important Physical and Chemical Properties – Boxed items MUST be filled in for product to be in database:
VOC (g/l):
NFPA rating: H F R Surface Tension:
Global Warming Potential:
HMIS rating: H F R Density:
Ozone Depletion Potential:
pH:
Kb value:
6. Primary Cleaner Classification (Check only one):
Acidic Aqueous
Semi-Aqueous
Powder detergent
Extracting
Neutral Aqueous
Terpene
Enzymatic/ Microbial
HCFC
Alkaline Aqueous
Petroleum distillate
Blasting
Alcohol
Caustic
Organic
Biobased
Other:
7. Chemical Constituents (Check all that apply & specify) Example: Builder: Sodium Hydroxide 50% (as Concentrate)
Cleaner Containing: At Least Some Water % OR
No Water
Builder:
Rinse aid/Silicate:
Anti-microbial:
Surfactant:
Water conditioner/Sequestering/
Supercritical fluid:
Emulsifier: Chelating agent:
Blasting medium:
Saponifier:
Corrosion/Rust inhibitor:
Other:
8. Industrial Applications (Che