Company (requested)

Name (requested)

Surname (requested)

Company position (requested)

Address (requested)

City/Town (requested)

State (requested)

E-mail (requested)

Telephone (requested)

Fax

Date

Company activity

Reason for request
General informationApproved projectBudget

Other specify

INPUT MATERIAL

Description of incoming material:

Polymer(s)

Form
FilmSolidFiber

Other specify

Largest size

Smallest size

Maximum size

Distribution critical? If so, specify

Is shape critical? If so, specify

Desired throughput

lbs or kgs/hr

General description of the application

FOR RECYCLING SYSTEM QUOTATION:

Material to recycle
FilmBottlesFiber
Other specify

Main Polymer(s)
PETHDPELDPEPPPSPVCPAPC
Other specify

Bulk material form
BaledRolledLoose
Other specify

Size range of bulk material

For film specify:

For solids of profiles specify:

BOTTLES FOR RECYCLING PROCESS

Material composition (%)

Color (%):

Cap type (%):

Seal type (%):

Labels (%):

Base cups (%):

FOR ALL MATERIALS

Contaminates (%):

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