Clifton Adhesive, Inc.
48 Burgess Place
Wayne, New Jersey 07470
Tel: 973-694-0845 Fax: 973-694-5678
sales@cliftonadhesive.com

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APPLICATION
1.	Bond Surface "A" (describe)
2.	To Surface "B" (describe)
3.	Product End Use
PROCESS
1.	Type adhesive required: Solvent Based Water Based Other
2.	Adhesive properties: Viscosity Solids Dry Time Color
3.	Adhesive applied to: A B Both No Preference
4.	Surface Preparation A B
5.	Adhesive Applied by: Spray psi line. psi fluid at °F Brush Roller (type) Other
6.	Number of coats on A B Time between coats
7.	Amt. applied Mils(wet or dry?) Wt/unit area(wet or dry?)
8.	Drying Method Temp(°F) Time Line Speed
9.	Surfaces are joined: Wet Dry Solvent reaction with Heat reactivated at °F Pressure psi for min.
10.	Cure cycle available Pressure(psi) Temp(°F) Time
11.	Release paper used
12.	Other Process Requirements
BOND REQUIREMENTS
1.	Joint is stressed Immediately (force) In Use Temp(°F)
2.	Joint is stressed in Peel Shear Cleavage Butt
3.	Strength required psi ppiw Test temp
4.	Resistance to what materials or conditions
5.	Special test methods, specs or requirements
GENERAL
1.	Product now in use Limitations
2.	Sample available for comparison testing? Substrates available?
3.	Products tried Why unsuccessful?
4.	Monthly volume Price Parameters
5.	Key Properties Desired