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Electronic Engineering Survey
Name:
Company:
Address:
City:
State:
Zip:
Email Address:
Phone #:
Fax#:
Companies Primary Business
Contract Mfg.
OEM
Aerospace/Defense
Medical Biotech
Tele-communications
Other
Product:
Circuit Board
Component/Chip
w/Carrier
Other
Product Size:
L x
W x
H
Carrier Size:
L x
W x
H
Contaminate Being Removed:
Flux Type:
Water Soluble
Rosin
No Clean
Lead Free
Other
Solder Paste Type:
Water Soluble
Rosin
No Clean
Lead Free w/s
Lead Free No Clean
Other
Amount Being Removed:
Light
Medium
Heavy
Process Rate:
Parts Per Hour
Shifts Per Day
1
2
3
Cleanliness Requirements:
75% - 80%
85% - 90%
100%
Power Requirements:
Voltage:
208
230
380
415
460
575
Other
Frequency:
50 Hz
60 Hz
Water Treatment Required:
Yes
No
Type of Machine Considered:
Stainless
Polypropylene
Purchase Timeline:
Less Than 30 Days
30-90 Days
3-6 Months
More Than 6 Months
Are Samples Readily Available?
Yes
No
Additional Comments: