Bestway Insulation – Daily Quality Control & Work Record

This project was completed using Elastochem’s Insulthane Extreme product.

Contractor Information

Company: Installer Name: Certification #:

Project Information

Project Type: Ventilation 0.3 ACH: Spray Area Isolated: Permit Posted: Customer Name: Project Address: Project Description:

Material Information

Product: Insulthane Extreme – Burnt Sienna (CCMC 13697-L)

A – Exp/MFG Date: A – Lot #: B – Exp/MFG Date: B – Lot #: Quantity Used (kg): Quantity Used (strokes):

Equipment Information

Manufacturer: Graco | Model: E20 | Tip Size: 0.1 | Hose Length: 250 ft

Heater Temp (°C): Hose Temp (°C): Pressure A (PSI): Pressure B (PSI):

Environmental Conditions

Time: Ambient Temp (°C): Relative Humidity (%): Wind Velocity (km/h): Substrate Temp (°C):

Substrate Conditions

Clean Dry Sound Free of Grease/Oil Prep Required: Substrate Type:

Test Results (Insulthane Extreme)

Density Mass (g): Density Volume (ml): Required Density – Extreme (lb/ft³): Thickness Required (in): Thickness Measured (in): Site Density >= Required: Adhesion Test: Visual Inspection: # of Passes:

Signature & Comments

Signature (draw inside the box):

Date: Comments:

Spray Foam Daily Work Report