Item 180 Performance Testing of Shipping Containers Test Request Form Please fill in the blanks below and then choose a test procedure and desired turn-around time so that an accurate quote may be provided.Accounts Payable Information (Person receiving Invoice)Purchase Order Number: Method of Payment:CheckACHCredit CardOther Name: Company: Phone: Email: Contact Information (Person receiving report)Contact Name: Street Address: City: State: Postal Code: Country: Phone Number: Alternate Phone Number: Contact Email: QuotePlease Provide QuoteIf you would like a quotation to perform the required tests, please complete the test request form and submit in order to receive an accurate quote. If you need assistance completing the input forms or have any questions, I would be glad to help you. Contact Manuel Rosa Jr. at 618-277-1160Required Number of required samples to perform an Item 180 Test Series: 1Package InformationProduct Name or Model Number: Product Size (inches)Product Length: Product Width: Product Height: Gross Weight as Shipped (lbs): Would you like Pro-Pack to pre-inspect this package (open packaging) and note existing damage before testing begins?: YesNo Post-inspection after testing is complete?: YesNo Note: If Pro-Pack returns a package after testing without performing a post-inspection, the customer must provide written documentation stating the package passed or failed.Pass/Fail CriteriaBriefly Describe Unacceptable Damage to the Product (Example: No dents, dings, scratches, broken parts, etc): Briefly Describe Unacceptable Damage to the Shipping Container (Example: No punctures, tears or rips exceeding 1”): Quote QuestionsIs the packaged product shipped on a pallet?: YesNo Is the package marked with upright arrows?: YesNo Is the package (without the skid) 6’ or taller in height?: YesNo Is this a palletized load made up of a multiple number of containers or unitized loads of a bulk configuration?: YesNoShipping Unit Construction: Please indicate below which option applies to your package.a) A corrugated fiberboard or plastic container that may or may not have stress-bearing interior packaging using these materials, and where the product does not support any of the load. An example is a plastic bottled product in a corrugated box with a corrugated interior packaging. b) A corrugated fiberboard or plastic container that has stress-bearing interior packaging with rigid inserts such as wood. An example is an appliance packed in a corrugated box with wood-reinforced corner posts. c) A container constructed of materials other than fiberboard or plastic that are not temperature or humidity sensitive or where the product supports the load directly. An example is a wood crate or box.Summary of Required Tests1) Compression/Vibration Test: Depending upon package characteristics, these tests may be performed together (stacked-random vibration test) or separately (first compression, then vibration)2) Impact/Handling Test: Depending upon package characteristics, these tests may be performed a number of ways including: Free Fall Drop, Rotational Flat Drop, Incline Impact and/or a Fork Truck Handling Test.Turn-Around TimeOur standard turnaround time is 5-10 business days but we do offer an express service which will guarantee test results sooner for an additional charge. Please indicate the desired turnaround time below. The additional charge for the express service is based upon how fast test results are needed. If our work load allows us to get the tests completed sooner than 5 days there will be no express charge.Standard Turn-Around time (5-10 business days) Express Service(indicate desired turn-around time below)* 24 hours2 Days3 Days4 Days*All Express services guarantee test results ONLY in the time frame indicated. Depending on the test series chosen, a full test report may not be possible in which case the test report will typically follow 2 to 3 days following testing.Return InformationIs this package to be returned following testing?: YesNoIf yes, please indicate method of shipment and account numbers where applicable.Ship to me via: Shipping Account Number: Additional Notes: