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Portfolio of Commodities- Free Risk Evaluation

COMPANY NAME *:
CONTACT NAME *:
POSITION:
EMAIL *:
PHONE:
FAX:

Please provide us with your estimated annual expenditures in each category. Only major products are listed. This form goes directly to our department leaders. We will contact you within one business day of receiving your data and advise you of the date your personalized evaluation will be completed.

 

ENERGY

CHEMICALS

(Top chemicals produced in N.A.)
Electricity $ Acetic Acid $
Natural Gas $ Acetone $
Sub Total $ Adipic Acid $
Aluminum Sulphate $

PETROLEUM PRODUCTS

 Ammonia $
Asphalt $ Benzene $
AV Gas $ Butadiene $
Bunker $ Calcium Chloride $
Diesel $ Carbon Black $
Furnace $ Chlorine $
Gasoline $ Cyclohexane $
Jet Fuel $ Formaldehydes $
Propane $ Hydrochloric Acid (Muriatic) $
$ Isobutylene $
$ Ketones $
Sub Total $ Methanol $
Methyl tert-butyl ether $

LUBRICANTS

 Nitric Acid $
Cutting Oils $ Phosphoric Acid $
Greases $ Potash $
Hydraulics $ Resins $
Motor Oils $ Sodium Carbonate $
$ Sodium Hydroxide (Caustic Soda) $
$ Sodium Silicate $
$ Sodium Sulphate $
Sub Total $ Sulphuric Acid $
Terephthalic Acid $

COMPRESSED GASES

 Toluene $
Acetylene $ Urea $
Argon $ Varsols $
Carbon Dioxide $ Xylene $
Hydrogen $ $
Nitrogen $ $
Oxygen $ Sub Total $
Welding Rods & Wires $
$
Sub Total $

DISPOSAL SERVICES

 ANNUAL GRAND TOTAL $
Hazardous $
Non-Hazardous $

 

Sub Total

 $

 

 
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