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Membrane Testing - Materials Form
FIRST NAME
*
LAST NAME
*
COMPANY
*
EMAIL
*
Quote #
Membrane Information
Membrane Test Ordered
*
ANSI A118.10
ANSI A118.12
ANSI A118.13
Mortar or Adhesive for Membrane
Mortar or Adhesive Product Name
*
Mix Ratio
If no mix ratio is specified, the mix ratio recommended by the manufacturer will be used. If a range is specified by the manufacturer, a midpoint of the range shall be used.
Trowel Size
*
Cure time before tiling
*
Mortar for Tile Layer
Product Name
*
Mix Ratio
If no mix ratio is specified, the mix ratio recommended by the manufacturer will be used. If a range is specified by the manufacturer, a midpoint of the range shall be used.
Grout Information (ANSI A118.12 and A118.13 Testing Only)
Grout Product Name
Mix Ratio
If no mix ratio is specified, the mix ratio recommended by the manufacturer will be used. If a range is specified by the manufacturer, a midpoint of the range shall be used.
Additional Comments/Information
Include any additional information the lab will need during set-up.
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