Title Page

  • Emulsion Production Run

  • Location
  • Conducted on

  • Prepared by:

  • Emulsion Type

  • Emulsion Type

  • Batch Number

  • Tank Number

  • What type asphalt are you using for your base?

  • Temperature of asphalt?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • Tons of Ashpalt Used?

  • Asphalt Cutting Agent?

  • Gallons Used?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • Tons of PG 58-28 Produced?

  • Emulsifier Type?

  • Gallons of Emulsifier used?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • Acid Used?

  • Gallons of Acid Used?

  • After Total Gallons in Acid Tank

  • Before Total Gallons in Acid Tank?

  • Latex Gallons?

  • Gallons Used?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • CTO (Indulin HFE) used?

  • Gallons Used?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • Keri (Tall Oil) Used?

  • Gallons Used?

  • Before Tank Measurement: Tape and Inches Showing

  • After Tank Measurement: Tape and Inches Showing

  • Potash Used?

  • LBS of Potash Used?

  • LBS of Potash Remaining?

  • Calcium Used?

  • LBS of Calcium Used?

  • LBS of Calcium Remaining?

  • Gallons of Soap Produced?

  • Gallons of Soap Used?

  • Tons of PG 58-28 Used?

  • Total Gallons of Emulsion Produced?

  • Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.