Help Us Control or Eliminate Your Foam

To better assist with your foam control requirements , please complete one or more of the following four sections to the best of your ability.

You may provide whatever information you deem appropriate, but detailed input will better help us determine the correct solution for your application.

Describe Your Foaming Problem

Current Foaming Process:	Please describe your current foaming process ( e.g. wastewater, finished product, food process, etc.)
Cause Of Foam:
pH of Product/Process:
Approx. Application Temperature:	Celsius Fahrenheit
Solid Content or Non-Volatile % of Foaming Media:
Foaming Media:	Describe the general composition of the foaming media.
Silicone Compatibility:	Is silicone permissible and/or compatible with your process? Yes No Unknown
	If silicone is not desired or is incompatible, please elaborate as to why.
Special Considerations:	Any there any special considerations we should be aware of?
Clarity:	Will the clarity of your finished product be a concern? Yes No Not Applicable

Current Antifoam Usage

Current Defoamer(s):	Are you using a defoamer at this time? Yes No Unknown
Concentration:	If you answered yes, please describe the concentration use.
Defoamer Brand:	Please provide the brand name of your current defoamer.
Defoamer Type:	What type of defoamer base are you using now? Water Oil Surfactant Polymer Other Unknown
Silicone Containing:	Yes No Unknown
Defoamer Cost:	(must fit decimal format)
Annual Defoamer Consumption:	Pounds Kilograms Gallons
Order Frequency:	Please provide the frequency in which you order/reorder.
Package Type:	Please provide the type of package ordered.

Trans-Chemco Solutions

Literature:	Are you interested in receiving samples or literature? Literature Samples Both
Defoamer Samples:	How many defoamer samples are you willing to evaluate?
Testing:	Do you have the capability to run lab tests, or must real-world, full-scale tests be conducted? Lab-scale Full-scale
Sample Size:	Size of sample requested?
Additional:	Are there any specific products of ours that you are initially interested in? If yes, please elaborate.

Your Contact Information

Please provide your name, company name, phone number, mailing address (to which you want the samples sent) and e-mail, and a representative will contact you by phone or e-mail shortly to discuss your application in greater depth, or to arrange to send samples. (Please note that we do not send samples without first establishing contact with the requester.)
First Name:
Last Name:
Company:
Address:
E-mail:
Your Comments:
Your IP:	38.103.63.17