Sample testing form

Information for WIS Sample analysis


How to Send Defect Samples to Procemex:

  • Fill in the form below before sending the samples
  • A preferred sample size is A4/Letter, defect centred in the middle of the page
  • Mark each sample with a number in the upper left corner or on the outside of a plastic sleeve
  • Mark location of the defect on the outside edge of sample sheet (both CD and MD) with short lines (picture 1 below)
  • Write defect name/type on the sample sheet or prepare separate list with sample numbers and name/type (picture 2 below)
  • Fill in return address in the below form, if you wish the samples to be returned
  • Send the samples to: Procemex Oy, Sample Testing, PO Box 306, 40101 Jyvaskyla, FINLAND. For US and Canadian customers, please send to Procemex Inc, Building 3 Suite 325, Greenville, SC, 29607, USA
Picture 1
Picture 2
Customer Data
Contact information
Machine Data
Grade Data
WIS data (customer specification)
Additional info, which might be useful
Return address
Sample # Defect type Comments