close
close
close
close
close
close
close
Change Location
Navigation

SEFA Chemical Compatibility

Air Science® requires that you complete the following questionnaire when buying a ductless fume hood.
 
Complete the form below and submit online, or download a copy to print-out and submit via FAX. Complete and return to us via Toll-Free FAX USA 800-306-0677, or 239-489-0922.
 
If you have questions or need assistance please contact your laboratory safety officer or contact customer service Toll-Free USA 800-306-0656, 239-489-0024.
 
* Required Field

About You (Person Submitting Quotation Request)

First Name*
Last Name*
Title*
Facility/Institution*
Building/Room Number
Street Address
Street Address 2
City
State
Zip
 

Contact Information and Contact Preference

Phone Number*
Fax Number
Email*
How Would You Like To Be Contacted?*
Phone
Email
 

Intended Chemical Applications (Per SEFA-9-A Format)

 
 
Column 1: Material ID Number
Column 2: Amount
Column 3: Concentration
Column 4: Temperature
Column 5: Container
Column 6: Frequency
Column 7: Comment
Material ID
Number
Amount Concentration Temperature Container Frequency Comment
 

Comments

 

Certification by Person Submitting Form

By typing my initials, certify that in my capacity as (your position in the company/facility/institution) in (company/facility/institution) I believe to the best of my knowledge that all data and information submitted in this Chemical Applications Questionaire, form Air Science SEFA-9-A is truthful and accurate and that no material fact has been omitted.
 
Initials
 
  
 



Sales

Contact Sales Service Replacement Filters Library Terms & Conditions Site Map
Air Science® • 120 6th Street • Fort Myers, FL 33907
T/239.489.0024 • Toll Free/800.306.0656 • F/800.306.0677
info@airscience.com
LinkedIn Google Plus Twitter Facebook YouTube Instagram

Made in USA Made in the USA

Air Science LLC Affiliations and Certifications
©2017 Air Science® USA LLC. All Rights Reserved. Website designed and built by OffWhite.