TRI Seam COC PROJECT LOCATION(Required) PROJECT NAME / PROJECT NUMBER(Required) Date MM slash DD slash YYYY Status New Repair Seam ID Item #1DS Number Panel Number Location Name of Operator Type of Welding Process FUSION EXTRUSION Solvent Weld Type of Material HDPE LLDPE rPP/PVC/PP Seam ID Item #2DS Number Panel Number Location Name of Operator Type of Welding Process FUSION EXTRUSION Solvent Weld Type of Material HDPE LLDPE rPP/PVC/PP Seam ID Item #3DS Number Panel Number Location Name of Operator Type of Welding Process FUSION EXTRUSION Solvent Weld Type of Material HDPE LLDPE rPP/PVC/PP Seam ID Item #4DS Number Panel Number Location Name of Operator Type of Welding Process FUSION EXTRUSION Solvent Weld Type of Material HDPE LLDPE rPP/PVC/PP Seam ID Item #5DS Number Panel Number Location Name of Operator Type of Material HDPE LLDPE rPP/PVC/PP Type of Welding Process FUSION EXTRUSION Solvent Weld Seam ID Item #6DS Number Panel Number Location Name of Operator Type of Welding Process FUSION EXTRUSION Solvent Weld Type of Material HDPE LLDPE rPP/PVC/PP TEST METHOD(Check which is applicable) SHEAR- ASTM D4437 | PEEL - ASTM D4437 SHEAR - ASTM D751 | PEEL - ASTM D413 Crosshead Speed = 2"/min SHEAR- ASTM D4437 (NSF Modified) Crosshead Speed= 20"/min | PEEL - ASTM D4437 NSF Modified Crosshead Speed= 20"/min SHEAR - ASTM D3083 Crosshead Speed= 20"/min | PEEL - ASTM D413 Crosshead Speed= 2"/min HDPE SHEAR- ASTM D6392 | PEEL-ASTM D6392 LLDPE / PVC SHEAR - ASTM D6392 | PEEL - ASTM D6392 SHEAR- ASTM D4437 (NSF Modified) Crosshead Speed = 2"/min | PEEL - ASTM D4437 (NSF Modified) Crosshead Speed = 2"/min REPORT TOName Company Address Street Address Address Line 2 PhoneFaxEmail FIELD CONTACTName PhoneMobileFaxEmail RELEASED BYName Company Date MM slash DD slash YYYY RECEIVED BYPrecision Geosynthetic LabsName Date MM slash DD slash YYYY SHIPPED VIA FedEx UPS DHL US Mail Hand Cary Other Tracking Number NOTES: TRI Environmental-California is normally OPEN on SATURDAYS for SEAM TESTING. To ensure that your package is delivered/received on Saturdays; please fax, e-mail or call to let us know the AIRBILL # of your package. This will help us track down samples for SATURDAY DELIVERY.PLEASE WRITE YOUR INSTRUCTIONS BELOWThickness required? Yes No IF SOLVENT WELDCuring Time Curing Temp NameThis field is for validation purposes and should be left unchanged. Δ