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Requestor Information Business Name Business Address Contact Name Phone Number Email Select Product Types — Select One —VitaCal® Food Grade ProductsTechnical Grade ProductsNow select the specific product---> VitaCal® Food Grade Products — Select One —VitaCal OVitaCal HVitaCal LCH Technical Grade Products — Select One —Standard Quicklime, 1/2 inchStandard Quicklime, 1 inchStandard Quicklime, 2 inchStandard Quicklime, GranularPulverized Quicklime (PQL)Flow Treated Pulverized Quicklime (FTPQL)Pulverized Quicklime FTMicroCal OF 100MicroCal OF 200MicroCal OF 325MicroCal OFT15MicroCal OXPPolyCal OF 325PolyCal OS 325PolyCal OF 100PetroCal OFT15PetroCal OS 100Standard Hydrated LimeStandard Hydrated Lime Type NStandard Hydrated Lime Type SHydrated SPHydrated HRHydrated FGTActivated HydrateLiquid Calcium Hydroxide 40%Liquid Calcium Hydroxide MP 25%Liquid Calcium Hydroxide LCHHigh Reactivity Hydrated Lime (HRH)HRH-64HRH-80MicroCal HFMicroCal HFT20MicroCal HSMicroCal HXPPetroCal HPetroCal HFPetroCal HSFeed Grade StoneCalcarb™ Coal Mine Rock DustCalcarb™ Ag Lime FineCalcarb™ Ag Lime GranCalcarb™ Glass StoneCalcarb™ PGCalcarb™ Asphalt Mineral FillerCalcarb™ R1Calcarb™ R2Limestone ScreeningsCalcarb™ Athletic Field MarkerCalcarb AC3FGD Limestone VitaCal® Food Grade Product Compliance Documents Aflatoxin & Mycotoxin Disclaimer StatementAllergen Monitoring StatementAllergens and Additives StatementAnimal Derived Material Free StatementAnimal Testing StatementAntibiotic Residue StatementANVISA 326 2019 StatementAsbestos & Crystalline Silica StatementBotanical Ingredient Free StatementBPA Free StatementBSE-TSE Free StatementBST Free StatementCalifornia Prop 65 Disclosure StatementCalifornia Transparency in Supply Chains Act StatementcGMP StatementCoA Sample CertificateConflict Minerals & Metals StatementContinuing Guarantee StatementCorn & Corn Derived Substances Content StatementDietary Ingredient Status StatementDioxin, Furan, PCB Content StatementDOT Shipping Regulations Statement – Quicklime (Calcium Oxide) ProductsEnvironmental Monitoring StatementEnvironmental Policy StatementEthanol Free StatementEthylene Oxide Free StatementEU Regulation StatementFDA GRAS StatementFDA Registration StatementFood Fraud Defense StatementFood Safety Documentation PolicyFood Safety Emergency Contacts StatementForeign Supplier Verification StatementFSMA Compliance StatementFurfuryl Alcohol StatementGeneral Sanitation StatementGFSI Timeline StatementGluten Free StatementGMO Status StatementHAACP PlanHalal Compatibility StatementHeavy Metals StatementHuman Rights StatementIFRA EU Cosmetic StatementIngredient Declaration and Nutritional Information StatementKosher CertificateLong-Term Supply Stability StatementLot Number Explanation StatementMelamine Fee StatementMercosur GMC 39 19 StatementMetal Catalyst Free StatementMicrobiological Testing StatementNanomaterial Free StatementNatural Status StatementNitrosamines StatementNon-organic Ingredient Declaration(NOID)Nutritional Information StatementOctylphenol Ethoxylate (APEO) StatementOrganic Compatibility StatementOrigin StatementOzone Depleting Chemicals StatementPackaging Specifications StatementPartially Hydrogenated Oil (PHO) Free StatementPesticide Free StatementPFAS Content StatementProcess Flow DiagramProduct Recall StatementPthalate Free StatementRadiological Hazard StatementREACH SVCH StatementReady-To-Eat StatementReaffirmation of Equal Employment Opportunity (EEO) & Affirmative Action Policy StatementResidual Solvent StatementRestricted Wet Blue Substances StatementRoHS Substances StatementSafety Data Sheet (SDS)Safety Policy StatementSewage Sludge StatementShelf-Life Table StatementSifting StatementStorage & Stability StatementSulfate & Sulfite StatementSupplier Approval StatementSustainability StatementTechnical Data Sheet (TDS)Third Party Audit CertificateThird Party Audit ReportTSCA Certification StatementTSCA Inventory Reset StatementTSCA Persistent, Bioaccumulative & Toxic Chemicals (PBT) StatementUCMCA (formerly NAFTA)UFLPA AttestationVegetarian & Vegan StatementVOCs, PFOS & Brominated Flame Retardants StatementWorld Anti-Doping Agency (WADA) Substance Free Statement Technical Grade Product Compliance Documents Animal Derived Material Free StatementAnimal Testing StatementANVISA 326 2019 StatementAsbestos & Crystalline Silica StatementBPA Free StatementCalifornia Prop 65 Disclosure StatementCalifornia Transparency in Supply Chains Act StatementConflict Minerals & Metals StatementCosmetic Regulation Status StatementDioxin, Furan, PCB Content StatementDOT Shipping Regulations Statement – Quicklime (Calcium Oxide) ProductsEnvironmental Policy StatementGMO Status StatementHuman Rights StatementLong-Term Supply Stability StatementMercosur GMC 39 19 StatementNitrosamines StatementOctylphenol Ethoxylate (APEO) StatementOrigin StatementPFAS Content StatementRadiological Hazard StatementREACH SVCH StatementReaffirmation of Equal Employment Opportunity (EEO) & Affirmative Action Policy StatementRestricted Wet Blue Substances StatementRoHS Substances StatementSafety Data Sheet (SDS)Safety Policy StatementShelf-Life Table StatementSustainability StatementTechnical Data Sheet (TDS)TSCA Certification StatementTSCA Inventory Reset StatementTSCA Persistent, Bioaccumulative & Toxic Chemicals (PBT) StatementUFLPA AttestationUCMCA (formerly NAFTA)VOCs, PFOS & Brominated Flame Retardants Upload Your Questionnaire Comments Your Message (optional) UNCHECK this box to prove that you are not a robot. 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