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Product Investigation Form
Customer Information
Date
Distributor
*
Customer
*
Sales / Technical Rep:
*
Contact Number:
*
Email Address
*
DBNZ Reference person
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Select
Tomas Medina
Bruce Barnett
Rob Stevens
Request
Paint System Involved
*
DeBeer
OECE
VIM
VALSPAR
DNA
Other
Other Paint System
Specify the Paint System
Product name/code
*
Batch number:
*
Description of Complaint
*
Substrate/s product applied to
(if applicable)
List of products used in the job
(if applicable)
Batch numbers of all products used in paint job
Were all products freshly supplied prior to application?
Yes
No
Temperature at time of application?
Bake / air dried / infrared / UV?
System used to apply the product
i.e spraygun
Describe setup of the system used
i.e spraygun setup
Technical Data Sheets supplied?
Yes
No
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