Instructions
Please complete this form and click on the send button at the bottom. Any information you provide to us will be kept confidential - meaning we will not resell, share, lend or give any of the following information you provide to us to any organization or person outside of our company.

*Required Fields
Company Information
Company:

Department:
Street Address:

City:

State:   Zip Code:
Contact First Name:
Contact Last Name:
Job Title:
* Phone #:

Fax #:

* Email:



Package Information
Product Name or Model Number:
Package Size (inches)     Length:   Width:    Height:
Gross Weight as shipped: lb
Would you like Purple Diamond to pre-inspect this package and note existing damage before testing begins? Yes     No
Post-inspection after testing is complete? Yes     No
Note: If Purple Diamond returns a package after testing without performing a post-inspection, the customer must provide written documentation stating the package passed or failed.


Pass/Fail Criteria
Briefly Describe Unacceptable Damage to the Shipping Container.
(Example: No punctures, tears or rips exceeding 1”)
Briefly Describe Unacceptable Damage to the Product.
(Example: No dents, dings, scratches, broken parts, etc.)


Return Information
Are the samples to be returned following testing? ** Yes No
If yes, please indicate method of shipment and account numbers were applicable.
Ship back to me via:
Account Number:
** Note: Purple Diamond Testing Services is not responsible for shipping charges either to or from Purple Diamond. Purple Diamond does not accept "collect" shipments.


Test Series & Options
ISTA 1 Series: Choose a test series and options (if applicable).
1A Packaged Products Weighing 150 lb or Less
(Fixed Displacement Vibration and Drop Test)
1B Packaged Products Weighing Over 150 lb
(Fixed Displacement Vibration, Drop and Edge Drop Test*)
1C Extended Testing for Individual Packaged-Products Weighing 150 lb or Less
(Compression, Vibration, and Drop Tests)

Choose Vibration Type:
Fixed Displacement Vibration
Random Vibration
1D Extended Testing for Individual Packaged-Products Weighing Over 150 lb
(Compression, Vibration, Drop and Edge Drop* Tests)

Choose Vibration Type:
Fixed Displacement Vibration
Random Vibration
1E Testing of Unitized Loads: (Vibration, Incline Impact and Edge Drop Tests)

Choose Vibration Type:
Fixed Displacement Vibration
Random Vibration
1G Packaged Products Weighing 150 lb or Less (Random Vibration and Drop Test)
1H Packaged Products Weighing over 150 lb (Random Vibration, Drop and Edge Drop Test*)
  * - may not be required depending on package type

Comments:




Email Us
Purple Diamond Testing Services
2710 Lehigh Street
Whitehall, PA 18052
Phone: (610) 264-5080 / Fax: (610) 264-5083