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Specify as completely as possible the environmental conditions on the Internal surface of the sample(temperatures,pressures,pH, <br /> chemistry,etc.). T e)"1-P r ncr e e' oS e J --j�o <br /> S' r '-c ' I'), o 1 • r� s c�II es c�„sP b • �'S <br /> - P C,-' of ��� d I� cC d ter, <br /> How often is system cleaned? N //A- Date of most recent cleaning. <br /> Describe cleaning procedure(acid,mechanical,etc.). �)/A <br /> What type of report do you require for the analysis? <br /> ❑ Formal metallographic report <br /> O Formal metallographic report with photographs and photomicrographs <br /> (Request only when absolutely necessary) <br /> Ii"Nalco interoffice memo stating cause of failure based on visual examination <br /> O Report is for internal use only. <br /> Justification for Analysis: O Gain new business O Solidify present account e'customer demand ❑ Surveillance/Monitorinc <br /> O This sample is involved in litigation. f <br /> O Other(explain) et-4 y 'C- <br /> Sv���. <br /> Describe specific operating conditions when problem occurred and of the system in general. Include a dimensioned line diagram of <br /> system and failed area. Indicate system temperatures, pressures, flow rates, direction of flow, chemical feed points, etc.. or. <br /> diagram. <br /> �C(' o IJyc - ;d les Lej n <br /> �)2 6),0�� <br /> a <br /> ( <br />