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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:
 

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