QPL Submission Form "*" indicates required fields Submitter InformationCompany*Name* First Last Email* Phone*Product InformationProduct Manufacturer*Product Name*Product Category*Please Select1234A4B4C4D4E5678A8B8C8D8A-B8A-R8C-B8C-R91011121314A1A2A3A4LSExpSafety 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 1Fill 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 maxPlease enter a number less than or equal to 2500.00.Cyanide*Concentration Limits – 0.20 ppm maxPlease enter a number less than or equal to 0.20.Arsenic*Concentration Limits – 5.0 ppm maxPlease enter a number less than or equal to 5.0.Barium*Concentration Limits – 100.0 ppm maxPlease enter a number less than or equal to 100.0.Cadmium*Concentration Limits – 0.20 ppm maxPlease enter a number less than or equal to 0.20.Chromium*Concentration Limits – 1.0 ppm maxPlease enter a number less than or equal to 1.0.Copper*Concentration Limits – 1.0 ppm maxPlease enter a number less than or equal to 1.0.Lead*Concentration Limits – 1.0 ppm maxPlease enter a number less than or equal to 1.0.Selenium*Concentration Limits – 5.0 ppm maxPlease enter a number less than or equal to 5.0.Zinc*Concentration Limits – 10.0 ppm maxPlease enter a number less than or equal to 10.0.Mercury*Concentration Limits – 0.05 ppm maxPlease 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 2Toxicity 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/LChemical Oxygen Demand*mg/LFriction TestIf testing was unavailable, please check the box below and provide additional information.Max. file size: 1 GB.Friction Test unavailable Test unavailable CommentSpecific 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 1Magnesium Chloride (%)*25% minPlease 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*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) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.0.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 2Calcium Chloride (%)*25% minPlease 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 ConcentrationMax. file size: 1 GB.Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*-29°C ± 1°C (-20°F ± 2°F) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.0.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 3Calcium Magnesium Acetate (%)*25% minPlease 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) Accept Total Settleable Solids (%)*4% maxPlease enter a number less than or equal to 4.0.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 4ACorrosion Effectiveness (%)*30% maxPlease enter a number less than or equal to 30.Does the sample contain anti-caking agent?* Yes No Type of anti-caking agentMoisture Content (%)*0.5% maxPlease 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 ConcentrationMax. file size: 1 GB.Insoluble Material (%)*10% maxPlease 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 4BCorrosion Effectiveness (%)*31% – 85%Please enter a number from 31 to 85.Anti-caking Agent*Moisture Content (%)*5% maxPlease enter a number less than or equal to 5.Insoluble Material (%)*10% maxPlease 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 4CCorrosion Effectiveness (%)*31% – 85%Please enter a number from 31 to 85.Anti-caking Agent*Moisture Content (%)*5% maxPlease 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 ConcentrationMax. file size: 1 GB.Insoluble Material (%)*10% maxPlease 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 4DCorrosion Effectiveness (%)*30% maxPlease enter a number less than or equal to 30.Anti-caking Agent*Moisture Content (%)*.5% maxPlease enter a number less than or equal to 10.Insoluble Material (%)*10% maxPlease 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 4ECorrosion Effectiveness (%)*31% – 85%Please enter a number from 31 to 85.Anti-caking Agent*Moisture Content (%)*5% maxPlease 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 ConcentrationMax. file size: 1 GB.Insoluble Material (%)*10% maxPlease 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 5Anti-caking Agent*Moisture Content Sodium Chloride Only (%)*0.5% maximumPlease enter a number less than or equal to .5.Moisture Content Magnesium Chloride Hexahydrate Only (%)*56% maximumPlease 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 ConcentrationMax. file size: 1 GB.Magnesium Chloride Hexahydrate (%)*10% minPlease 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 6Anti-caking Agent*Moisture Content Sodium Chloride Only (%)*0.5% maximumPlease enter a number less than or equal to .5.Moisture Content Magnesium Chloride Hexahydrate Only (%)*56% maximumPlease 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 ConcentrationMax. file size: 1 GB.Magnesium Chloride Hexahydrate (%)*20% minPlease 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 7Calcium to Magnesium mole ratio3-7Please enter a number from 3 to 7.Total Settleable Solids (%)*4% maxPlease enter a number less than or equal to 4.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Storage Temperature*-12°C ± 1°C (-10°F ± 2°F) Accept Moisture Content (%)*10% maxPlease enter a number less than or equal to 10.Product Attrition (%)*2.5% maxPlease enter a number less than or equal to 2.5.Residual Base0.30 meq base per gram of sample maxPlease enter a number less than or equal to .30.Category 8AAnti-caking Agent*Moisture Content (%)*.5% maxPlease enter a number less than or equal to .5.Insoluble Material (%)*1% maxPlease enter a number less than or equal to 1.Insoluble Material (%)*10% maxPlease 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 8BAnti-caking Agent*Moisture Content (%)*5% maxPlease enter a number less than or equal to 5.Insoluble Material (%)*10% maxPlease 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 8CAnti-caking Agent*Moisture Content (%)*.5% maxPlease enter a number less than or equal to .5.Insoluble Material (%)*1% maxPlease enter a number less than or equal to 1.Insoluble Material (%)*10% maxPlease 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 8DCombined Moisture Content and Insoluble Material (%)*5% maxPlease 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 9Sodium Chloride*21% minPlease 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) Accept 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 ConcentrationMax. file size: 1 GB.Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 10Sodium Chloride*15% minPlease enter a number from 15 to 100.Calcium Chloride*2% minPlease 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 ConcentrationMax. file size: 1 GB.Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*-17.8°C ± 1°C (0°F ± 2°F) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 11Concentration 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 ConcentrationMax. file size: 1 GB.Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*-17.8°C ± 1°C (0°F ± 2°F) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 12Active Acetate Ingredient*25% minPlease 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) Accept Total Settleable Solids (%)*4% maxPlease enter a number less than or equal to 4.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 13Organic Content*30% minPlease 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 ConcentrationMax. file size: 1 GB.Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*-17.8°C ± 1°C (0°F ± 2°F) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category 14Total 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 ConcentrationMax. file size: 1 GB.Storage Temperature (Total Settleable Solids and Solids Passing a #10 Sieve)*-17.8°C ± 1°C (0°F ± 2°F) Accept Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category A1Sodium Chloride (%)*21% minPlease 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 ConcentrationMax. file size: 1 GB.Temperature Storage Class of Inhibitor* Class 1: 10° F Class 2: 0° F Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category A2Sodium Chloride (%)*15% minPlease enter a number greater than or equal to 15.Calcium Chloride (%)*2% minPlease 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 ConcentrationMax. 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% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category A3Sodium Chloride (%)*15% minPlease 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 ConcentrationMax. file size: 1 GB.Temperature Storage Class of Inhibitor* Class 1: 10° F Class 2: 0° F Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category A4Corrosion 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 ConcentrationMax. file size: 1 GB.Temperature Storage Class of Inhibitor* Class 1: 10° F Class 2: 0° F Total Settleable Solids (%)*1% maxPlease enter a number less than or equal to 1.Solids Passing a #10 Sieve (%)*99% minPlease enter a number greater than or equal to 99.Category LCorrosion 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 ConcentrationMax. file size: 1 GB.Storage Temperature*Category SCorrosion 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 ConcentrationMax. file size: 1 GB.Anti-caking Agent*
