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Name of
applicant:...............………..………..................
Position:.....................................................................
Company:.................................................................
Tel:..........................................................................
Fax:........................................................................
Date
sample taken from machine:..............................
Applicants
sample identification.................................
Make
and type of machine:.........................................
Bath
Capacity (Kg):......................................................
Solder
Type (alloy and manufacturer): ...................................................................................
Flux
Type:...................................................................
Operational
temperature of solder bath:...........................
Unusual
metals being soldered if unusual:
Silver
..... Cadmium....Gold............Other............................
(Please tick as appropriate)
Date
contents of solder bath last completely renewed:............................................
Date
and ref. number of latest previous analysis of this
machine..............................
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