DOWSIL PRINT REVIEW SUBMITTAL FORM

*Please allow at least two weeks for completion of your review; provided information below is provided in its entirety.

**Please fill out completely. Information is needed to expedite the login process and may effect timing of the review completion.

Project Conditions:

Date Sent: Project Name:

System Type: 1, 2, 3, or 4 sided structural glazing? 1 2 3 4 4+ Weatherseal only

Is the weight of the panels supported?Yes or No

Structurally Glazed Glass/Panel type: Clear LaminatedInsulatedOther

The weight of the largest panel : kg / pound

Max Wall Wind Load* psf

*For multiple windload zones, other than wall/corner, please provide a table/description of max StructurallyGlazed Glass/Panel size in each Wind Load zone along with the print. Please attach separately.

Largest Structurally Glazed Glass/Panel in Wall Wind Load Zone in X in

This largest Structurally Glazed Glass/Panel Wall Zone is shown on elevation; detail page

Structural Silicone Bite inchesStructural Silicone Glueline Thickness inches

Max Corner Wind Load* psf

Largest Structurally Glazed Glass/Panelin Corner Wind Load Zonein X in

This largest Structurally Glazed Glass/Panelin Corner shown on elevation; detail page

Structural Silicone Bite inchesStructural Silicone Glueline Thickness inches

*Please show structural dimensions in detail

Max Wind Load psf Structurally Glazed Glass/Panel weight psf

Largest Sloped Structurally Glazed Glass/Panel in X in

Shown on: elevation ; detail page

Sloped Inward or Outward

° Degrees from Vertical or Horizontal

Anodized AluminumOther

EPDM Silicone Other (gaskets, setting blocks etc. touching silicone)

795983SGS995 121 Other

756 790 791 795 995 758 121 Other

If any other types of sealant come into contact with the Silicone, please specify type:

Project Information:

Project Name:
Street Address:
City/State/Province/Zip Code
Customer Job Number:

Submitter Information:

Contact

Name: / Phone
Number:
Company
Name: / Fax
Number:
Street
Address: / Email
Address:
City/State/
Postal Code: / Company
Website:

Extra Information

Special Requests:

Carbon Copy Letter to, if any:

Full Name / Company Name / Email Address

LIMITED WARRANTY INFORMATION - PLEASE READ CAREFULLY

The information contained herein is offered in good faith and is believed to be

accurate. However, because conditions and methods of use of our products are

beyond our control, this information should not be used in substitution for

customer’s tests to ensure that our products are safe, effective and fully

satisfactory for the intended end use. Suggestions of use shall not be taken as

inducements to infringe any patent.

Dow’s sole warranty is that our products will meet the sales

specifications in effect at the time of shipment.

Your exclusive remedy for breach of such warranty is limited to refund of

purchase price or replacement of any product shown to be other than as

warranted.

DOW SPECIFICALLY DISCLAIMS ANY OTHER

EXPRESS OR IMPLIED WARRANTY OF FITNESS FOR A

PARTICULAR PURPOSE OR MERCHANTABILITY.

DOW DISCLAIMS LIABILITY FOR ANY INCIDENTAL

OR CONSEQUENTIAL DAMAGES.

DOWSILis a registered trademark of Dow Corporation.

XIAMETER is a registered trademark of Dow Corporation.

©2010-©2013 Dow Corporation. All rights reserved.

Printed in USA Form No.63-1198B-01 Revised 10-1-2013