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Application questionnaire
Company
Address
Postal code/zip
City
Country
Contact person
Tel
Fax
Email
Cleaning object
Art and type of goods
Materials
steel
stainless steel
copper
cast iron
brass
aluminium
plastics
ceramics
Other
Largest part (in cm and kg)
Length
Width
Height
Dia
Weight
Smallest part (in cm and kg)
Length
Width
Height
Dia
Weight
Through holes
Yes
No
Blind holes
Yes
No
Basket rotation/tilting required
Yes
No
The goods are...
Loose in a basket
Fastened to a fixture or carrier
Inaccessible areas
Yes
No
Critical surfaces
Yes
No
Proceeding process or work stage (e.g. milling, grinding, lapping)
Subsequent process or work stage (e.g. painting, assembly, packing)
Contamination
Soils
Grease
Oil
Emulsion
Wax
Lapping compound
Flux
Polymer
Oxide
Dust
Salt
Chips
Fines
Other, describe
Soil solubility
Water
Solvent
Not known
Cleaning requirement
Cleaning process
Established
Developing
Testing required
Unknown
Cleaning process needed
Wash
Rinse
Dry
Filtration
Exhaust
Waste minimization
Present cleaning media
Solvent
Solvent type
Caustic
Acid
Abrasive
Alkaline
Other, specify
Unacceptable Process / Media
Maximum temperature °C for
Cleaning
Drying
Flash point (if solvent)
°C
Is there a method of measuring cleanliness
Yes
No
Please specify
Other requirements (noise level, type of feeding conveyor etc.)
Capacity
Will existing baskets/wash jigs be used?
Yes
No
Standard basket size cm (if any)
Length
Width
height
Indicated sizes are
Internal
External
Maximum weight of one basket (kg)
How many baskets must be cleaned in one 8 hour shift?
Process flow
Batch
Inline
Basket transfer system
Manual
Automatic
Type (if known)
Site floor space available
Length
Width
height
Mains supply (voltage, frequency, neutral wire (N) / ground (GND))
Investment schedule
Offer requirements
Estimate
Firm
Budget
Preliminary
Approved
Due dates
Quotation
Purchase
Shipment
Budget frame EUR
Future plans / Other comments
Form completed by
Date
Aviation
Automotive
Machinery
Maintenance
Metal
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