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Labour & Material Pre Approval Form

Warranty Type & Term

Contractor Information

Distributor Information

Project Owner Information

Project Information

Roof Information

List each component (insulation, cover boards, membrane, etc) from the deck
(1)   If existing coating is aluminized, mustremove or cut through to substrate.
Adhesion test results (list resistance in pounds AND the width of the fabric)
Test Patch #1
Test Patch #2
Test Patch #3
Parapet walls (if part of project)
Basecoat
Materials
Topcoat
Materials
Granules
Materials

Attach The Following Images

Max file size 10MB.
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Show size, adhesion test locations, drains, restrictions on water flow patterns, locations of existing/prior leaks/ponding, locations of moisture samples, restrictions on foot traffic and location of existing and/or planned walk pads
Max file size 10MB.
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fileuploaded.jpg
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Photos of of roof, edge, walls, rooftop equipment.
Max file size 10MB.
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fileuploaded.jpg
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If there is any conflict between Momentive specifications or requirements and the project specification, attach a copy of that portion of the project specification

Thank You For Your Time

Contractor certifies that this information is accurate, and installation will be in accordance with current Momentive specifications.  The contractor has shown the owner a copy of the warranty that is expected to be issued.
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