*Required Fields
Requested By:*
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Requestor’s Company:*
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Date:* Click here to enter a date.
Additional Recipient Email: Click here to enter text.
Requestor’s Email:*
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Estimated Product Value:* Click here to enter text.
Requestor’s Phone:*
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Project Country:* Click here to enter text.
Project Name:*
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Contractor:*
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CAD Required:* YES ☐
Based On System:* Click here to enter text.
NO ☐
Special Conditions/Discussion*
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Rating*
☐ 1 and 2 Hours
☐ 1 hour
☐ 3 hour
☐ 4 hour
☐F
☐ F and T
☐ 2 hour
☐ Smoke Seal
☐ Smoke Seal
Perferred Products
Sealant: Option 1
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Sealant: Option 2
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Wrap Strip
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Devices
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Joint Details
Joint Type (Select Below)*:
☐ Bottom of Wall
☐ Head of Wall
☐ Floor to Floor
☐ Perimeter Joint
☐ Floor to Wall
☐ Wall to Wall
Movement:*
☐ Static ☐ Dynamic
Units:*
☐ Inch ☐ Millimeter
Maximum Joint Width:*
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Floor Assembly:*
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Wall Assembly:*
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Perimeter Joint Assembly:*
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Rating Type*
☐W
☐L
Wraps
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Other:
3M Industrial Adhesives and Tapes - Fire Protection Products
3M Center, Building 230-B-S-37-03
St. Paul, MN 55144-1000
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Sheeting
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Penetration Details
Penetration Type/UL Category (Select Below):*
Other:
☐ Blank (0000)
☐ Metal Pipe (1000)
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☐ Busway (6000)
☐ Misc. Mechanical (7000)
☐ Cable (3000)
☐ Non-Metallic Pipe (2000)
☐ Cable Tray (4000)
☐ Structural
☐ Combo (8000)
☐ Insulated Pipe (5000)
☐ Inch ☐ Millimeter
Units:*
Penetrant Type/Size:*
Assembly Penetrated:*
Opening Size:*
☐ Rectangular ☐ Circular
Length: Click here to enter text.
Sleeved: Yes ☐ No ☐
Width: Click here to enter text.
Annular Space:*
Minimum: Click here to enter text.
Maximum: Click here to enter text.
Opening Type*
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Space Between
Penetrants:
Wrap Details
Fire Barrier Material:*
Protection Type (Select Below):*
Other:
☐ Duct Wrap 615+
☐ Circuitry
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☐ Plenum Wrap 5A+
☐ Grease
☐ E-5A-4 (Emat)
☐ HVAC
Diameter: Click here to enter text.
☐ Plenum
☐ Structural
Fire Exposure:*
☐ Cellulosic (ASTM E 119 / UL 263)
☐ High-Intensity (ASTM E 1529 / UL 1709)
Item Shape:*
☐ Rectangular ☐ Circular
Units:*
☐ Inch ☐ Millimeter
Opening Type:*
Protected Item Size:*
CLIV Details
Box Type:*
☐ Rectangular ☐ Circular
Length: Click here to enter text.
☐ Metal ☐ Plastic
Width: Click here to enter text.
Diameter: Click here to enter text.
Other:
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☐ Inch ☐ Millimeter
Length: Click here to enter text.
Width: Click here to enter text.
Depth: Click here to enter text.
Diameter: Click here to enter text.
Other:
Adjacent Assembly:*
☐ Metal ☐ Wood
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Units:*
☐ Inch ☐ Millimeter
Annular Space:*
Minimum:* Click here to enter text.
Units:*
Box Dimension:*
Door Details
Door Frame Type:*
3M Industrial Adhesives and Tapes - Fire Protection Products
3M Center, Building 230-B-S-37-03
St. Paul, MN 55144-1000
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Maximum:* Click here to enter text.