PARA SEAL M-2007 - 10 YEAR WARRANTY

INSTALLATION SITE REGISTRATION

Approved Contractor                                                                            Para-Chem Control #
     Name 
     Address 
Installation Site             
     Contact 
     Address      Phone
Distributor (Location or Branch)
     Name 
     Address     Phone 
Installation Square Feet 
Para-Chem Manufactured Adhesive to be Used (Required for Warranty)  
Flooring to be Installed   
     Type  Manufacturer    Style 

CaCl2 RH Test Results

(pre application)                    

  Residential                          Commercial   
  New Construction               Old Construction                                   Age 
Existing Flooring 

Residual Adhesives         Bead Blast      Scrape     Sand     Detach     Other

(Type Removal Procedure)
Sealer Used  Yes  No                                  Curing Compound Used  Yes  No
Previous Moisture Proofing                          Other 
Comments

CaCl2 RH Test Results

(post application)                  

Approved                          Date