Blastox Warranty Registration

The Blastox ® Warranty is contingent upon the contractor registering each project, after award, with The TDJ Group, Inc. Registration must be prior to the start of the project and prior to purchasing Blastox ® blended abrasive. Registration can only be accomplished by completing this form and providing it to The TDJ Group, Inc. All information is confidential between TDJ and the contractor.

Fields with an asterisk (*) are required.

Contractor Information
Contractor Company*
Contact*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Title
Email*
Phone*
Fax
Project Information
Structure Owner
Engineering Company
Project Name*
Engineering Contact
Project City, State*
Engineering Phone
Structure Type
Square feet to be abated*
Anticipated tons of abrasive*
% of Blastox to be used*
- Dry Blast
- Wet Blast
Test Blast TCLP (if known)
mg/1
Blast Equipment Used
% of lead in paint to be abated
Rust inhibitor for Wet Blast
Type of abrasive
Abrasive Supplier*
Estimated start date
MM slash DD slash YYYY
Estimated completion date*
MM slash DD slash YYYY
Disposal Facility
Lab to run TCLP
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