1 COLGATE WAY, CANTON, MA 02021 PHONE: (781)-821-8370 STATGUARDFLOORING.COM

DESCO INDUSTRIES INC. Employee Owned

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In an effort to ensure that Statguard® Conductive Epoxy or Conductive Paint meet the published specifications for use in your environment; an installed test patch for new applications is required.

Prior to the shipment of your Statguard® Conductive Epoxy or Conductive Paint order, written approval will be required for the following performance features of these products; Color, adhesion, and electrical resistance. The testing shall be completed only after the test patch is fully cured.

If you are an existing Statguard® paint or epoxy customer and our products already meet your expectations, please check off existing customer, select product type and sign. If you have test data, please provide to assist us with product performance data.

For Statguard® Conductive Epoxy, and Conductive Paint samples, floor prep and application instructions please go online to www.StatguardFlooring.com

Should you have any questions prior to or after installing the test patch, please contact our office by email @ Service@StatguardFlooring.com or by phone @ 781-821-8370.

New and existing customers must provide the below information on test patches or existing flooring;

Our published electrical performance on our Conductive Epoxy and Conductive Paint is RTT 10E4 - 10E6 Ohms. Please test per ANSI / ESD S7.1 - Characterization of Floor Materials - Ref Section 6.2 - Installed or Applied Materials and record your test results below.

Existing Customer _______________________ New Application_______________________

Product: Conductive Epoxy_________ Conductive Paint _______________

Resistance Meter MFG ___________Model No: ____________ Meter Calibration Date______________

Relative Humidity / RH __________ Temperature: C _________________ F ___________________

Test @ 10 Volts: _______________ 100 Volts: __________________

Your AVG / RTT test results: ____________________ Date____________ Rep_________________

If our Statguard® Conductive Epoxy or Conductive Paint meets your expectations, please sign and date.

_______________________________________________________ Name Date

______ I have elected not to install a test patch. I understand Desco Industries offers no warranty or performance claims on Statguard Epoxy or Paint without an installed and signed off test patch.

_______________________________________________________ Name Date