QPL Submission Form - Clear Roads

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Submitter Information

Company*

Name*

First Last

Email*

Phone*

Product Information

Product Manufacturer*

Product Name*

Product Category*

Safety Data Sheet*

Max. file size: 1 GB.

Product Data Sheet*

Max. file size: 1 GB.

Independent Lab Test Results*

Max. file size: 1 GB.

Table 1

Fill in test results for each constituent and upload lab analysis documentation. Test results that are less than the minimum detection limit, enter “0.”

Phosphorus*

Concentration Limits – 2500.0 ppm max

Please enter a number less than or equal to 2500.00.

Cyanide*

Concentration Limits – 0.20 ppm max

Please enter a number less than or equal to 0.20.

Arsenic*

Concentration Limits – 5.0 ppm max

Please enter a number less than or equal to 5.0.

Barium*

Concentration Limits – 100.0 ppm max

Please enter a number less than or equal to 100.0.

Cadmium*

Concentration Limits – 0.20 ppm max

Please enter a number less than or equal to 0.20.

Chromium*

Concentration Limits – 1.0 ppm max

Please enter a number less than or equal to 1.0.

Copper*

Concentration Limits – 1.0 ppm max

Please enter a number less than or equal to 1.0.

Lead*

Concentration Limits – 1.0 ppm max

Please enter a number less than or equal to 1.0.

Selenium*

Concentration Limits – 5.0 ppm max

Please enter a number less than or equal to 5.0.

Zinc*

Concentration Limits – 10.0 ppm max

Please enter a number less than or equal to 10.0.

Mercury*

Concentration Limits – 0.05 ppm max

Please enter a number less than or equal to 0.05.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

8.0 – 10.0 (nearest 0.1)

Please enter a number from 8.0 to 10.0.

pH*

8.0 – 10.0 (nearest 0.1)

Please enter a number from 8.0 to 10.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

8.0 – 10.0 (nearest 0.1)

Please enter a number from 8.0 to 10.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

6.0 – 9.0 (nearest 0.1)

Please enter a number from 6.0 to 9.0.

pH*

6.0 – 10.0 (nearest 0.1)

Please enter a number from 6.0 to 10.0.

pH*

6.0 – 10.0 (nearest 0.1)

Please enter a number from 6.0 to 10.0.

pH*

6.0 – 10.0 (nearest 0.1)

Please enter a number from 6.0 to 10.0.

pH*

6.0 – 10.0 (nearest 0.1)
When added to liquid deicing products the finished product.

Please enter a number from 6.0 to 10.0.

pH*

6.0 – 10.0 (nearest 0.1)

Please enter a number from 6.0 to 10.0.

pH*

6.0 – 10.0 (nearest 0.1)

Please enter a number from 6.0 to 10.0.

Table 2

Toxicity Testing*

Max. file size: 1 GB.

Ammonia-Nitrogen*

Total Kjeldahl – Nitrogen*

Please enter a number less than or equal to 999.

Nitrate and Nitrite – Nitrogen*

Biological Oxygen Demand*

mg/L

Chemical Oxygen Demand*

mg/L

Friction Test

If testing was unavailable, please check the box below and provide additional information.

Max. file size: 1 GB.

Friction Test unavailable

Test unavailable

Comment

Specific Gravity*

Upload Specific gravity chart with correlating weight percentage and freeze point information presented in 1% increments beginning with a five percent solution. The chart must contain information up to, including, and exceeding, by 5% (or the solubility limits of your product) the concentration being submitted for evaluations.

Max. file size: 1 GB.

Category 1

Magnesium Chloride (%)*

25% min

Please enter a number from 25 to 100.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration*

Drop files here or

Max. file size: 1 GB.

Storage temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.0.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 2

Calcium Chloride (%)*

25% min

Please enter a number from 25 to 100.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-29°C ± 1°C (-20°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.0.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 3

Calcium Magnesium Acetate (%)*

25% min

Please enter a number from 25 to 100.

Weight (pounds per gallon)

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-12°C ± 1°C (-10°F ± 2°F)

Total Settleable Solids (%)*

4% max

Please enter a number less than or equal to 4.0.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 4A

Corrosion Effectiveness (%)*

30% max

Please enter a number less than or equal to 30.

Does the sample contain anti-caking agent?*

Yes

Type of anti-caking agent

Moisture Content (%)*

0.5% max

Please enter a number less than or equal to 0.5.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 4B

Corrosion Effectiveness (%)*

31% – 85%

Please enter a number from 31 to 85.

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

5% max

Please enter a number less than or equal to 5.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – 1/4" | Wt. % Passing Specification – 75-85*

Please enter a number from 75 to 85.

Sieve Size – #8 | Wt. % Passing Specification – 50-70*

Please enter a number from 50 to 70.

Sieve Size – #30 | Wt. % Passing Specification – 10-20*

Please enter a number from 10 to 20.

Category 4C

Corrosion Effectiveness (%)*

31% – 85%

Please enter a number from 31 to 85.

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

5% max

Please enter a number less than or equal to 5.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 4D

Corrosion Effectiveness (%)*

30% max

Please enter a number less than or equal to 30.

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

.5% max

Please enter a number less than or equal to 10.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 1/2" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – 3/8" | Wt. % Passing Specification – 95-100*

Please enter a number from 95 to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-90*

Please enter a number from 20 to 90.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 4E

Corrosion Effectiveness (%)*

31% – 85%

Please enter a number from 31 to 85.

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

5% max

Please enter a number less than or equal to 5.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 1/2" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – 3/8" | Wt. % Passing Specification – 95-100*

Please enter a number from 95 to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-90*

Please enter a number from 20 to 90.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 5

Anti-caking Agent*

0 of 100 max characters

Moisture Content Sodium Chloride Only (%)*

0.5% maximum

Please enter a number less than or equal to 0.5.

Moisture Content Magnesium Chloride Hexahydrate Only (%)*

56% maximum

Please enter a number less than or equal to 56.

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Magnesium Chloride Hexahydrate (%)*

10% min

Please enter a number from 10 to 100.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 6

Anti-caking Agent*

0 of 100 max characters

Moisture Content Sodium Chloride Only (%)*

0.5% maximum

Please enter a number less than or equal to 0.5.

Moisture Content Magnesium Chloride Hexahydrate Only (%)*

56% maximum

Please enter a number less than or equal to 56.

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Magnesium Chloride Hexahydrate (%)*

20% min

Please enter a number from 20 to 100.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 7

Calcium to Magnesium mole ratio

3-7

Please enter a number from 3 to 7.

Total Settleable Solids (%)*

4% max

Please enter a number less than or equal to 4.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Storage Temperature*

-12°C ± 1°C (-10°F ± 2°F)

Moisture Content (%)*

10% max

Please enter a number less than or equal to 10.

Product Attrition (%)*

2.5% max

Please enter a number less than or equal to 2.5.

Residual Base

0.30 meq base per gram of sample max

Please enter a number less than or equal to 0.30.

Category 8A

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

.5% max

Please enter a number less than or equal to 0.5.

Insoluble Material (%)*

1% max

Please enter a number less than or equal to 1.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 8B

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

5% max

Please enter a number less than or equal to 5.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – 3/4" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 8C

Anti-caking Agent*

0 of 100 max characters

Moisture Content (%)*

.5% max

Please enter a number less than or equal to 0.5.

Insoluble Material (%)*

1% max

Please enter a number less than or equal to 1.

Insoluble Material (%)*

10% max

Please enter a number less than or equal to 10.

Sieve Size – #4 | Wt. % Passing Specification – 20-100*

Please enter a number from 20 to 100.

Sieve Size – #100 | Wt. % Passing Specification – 0-3*

Please enter a number less than or equal to 3.

Category 8D

Combined Moisture Content and Insoluble Material (%)*

5% max

Please enter a number less than or equal to 5.

Sieve Size – 1/2" | Wt. % Passing Specification – 100*

Please enter a number less than or equal to 100.

Sieve Size – 3/8" | Wt. % Passing Specification – 95-100*

Please enter a number from 95 to 100.

Sieve Size – #4 | Wt. % Passing Specification – 20-90*

Please enter a number from 20 to 90.

Sieve Size – #8 | Wt. % Passing Specification – 10-60*

Please enter a number from 10 to 60.

Sieve Size – #30 | Wt. % Passing Specification – 0-15*

Please enter a number less than or equal to 15.

Category 9

Sodium Chloride*

21% min

Please enter a number from 21 to 100.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 10

Sodium Chloride*

15% min

Please enter a number from 15 to 100.

Calcium Chloride*

2% min

Please enter a number from 2 to 100.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 11

Concentration of the total accumulation of chloride-based salts including Magnesium Chloride, Calcium Chloride, Sodium Chloride and Potassium Chloride.*

25% min
Any one individual chloride-based salt shall exist in a concentration above 2% to be added to the total accumulated concentration.

Please enter a number from 25 to 100.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 12

Active Acetate Ingredient*

25% min

Please enter a number from 25 to 100.

Weight (pounds per gallon)

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-12°C ± 1°C (10°F ± 2°F)

Total Settleable Solids (%)*

4% max

Please enter a number less than or equal to 4.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 13

Organic Content*

30% min

Please enter a number from 30 to 100.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category 14

Total Chloride Concentration (%)*

Product must contain no less than 10% sodium chloride plus no less than 3% of calcium chloride, magnesium chloride, or a combination of both.
Total chloride concentration shall be no less than 20%.

Please enter a number greater than or equal to 20.

Weight (pounds per gallon)

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*

-17.8°C ± 1°C (0°F ± 2°F)

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category A1

Sodium Chloride (%)*

21% min

Please enter a number greater than or equal to 21.

Corrosion Effectiveness (%)*

The finished product shall have a Corrosion Percent Effectiveness Rating of 30% or less.

Please enter a number less than or equal to 30.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Temperature Storage Class of Inhibitor*

Class 1: 10° F

Class 2: 0° F

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category A2

Sodium Chloride (%)*

15% min

Please enter a number greater than or equal to 15.

Calcium Chloride (%)*

2% min

Please enter a number greater than or equal to 2.

Corrosion Effectiveness (%)*

The finished product shall have a Corrosion Percent Effectiveness Rating of 30% or less.

Please enter a number less than or equal to 30.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Type I or II*

Type I – The corrosion inhibitor contains sufficient calcium chloride that additional calcium chloride is not required to be added to the salt brine.
Type II – The corrosion inhibitor, salt brine, and calcium chloride are added separately.

Type I

Type II

Temperature Storage Class of Inhibitor*

Class 1: 10° F

Class 2: 0° F

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category A3

Sodium Chloride (%)*

15% min

Please enter a number greater than or equal to 15.

Corrosion Effectiveness (%)*

The finished product shall have a Corrosion Percent Effectiveness Rating of 30% or less.

Please enter a number less than or equal to 30.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Temperature Storage Class of Inhibitor*

Class 1: 10° F

Class 2: 0° F

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category A4

Corrosion Effectiveness (%)*

The finished product shall have a Corrosion Percent Effectiveness Rating of 30% or less.

Please enter a number less than or equal to 30.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Temperature Storage Class of Inhibitor*

Class 1: 10° F

Class 2: 0° F

Total Settleable Solids (%)*

1% max

Please enter a number less than or equal to 1.

Solids Passing a #10 Sieve (%)*

99% min

Please enter a number greater than or equal to 99.

Category L

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Storage Temperature*

Category S

Corrosion Effectiveness (%)*

Please enter a number less than or equal to 100.

Corrosion Inhibitor?*

Yes

N/A

Corrosion Inhibitor (%)*

Please enter a number less than or equal to 100.

Test Procedure to Determine Inhibitor Concentration

Drop files here or

Max. file size: 1 GB.

Anti-caking Agent*

0 of 100 max characters