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Engineering Survey
Name:
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Company:
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Phone #:
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Address:
City:
State:
Zip:
Description of item to be cleaned:
Material:
Ferrous Metal
Iron
Brass
Copper
Stainless Steel
Aluminum
Plastic
Rubber
Other
Size:
less than 1" cube
18" cube to 24" cube
1" cube to 3" cube
24" cube to 36" cube
3" cube to 6" cube
36" cube to 48" cube
6" cube to 12" cube
greater than 48" cube
12" cube to 18" cube
Weight:
less than 1 lb
10 lbs to 20 lbs
50 lbs to 100 lbs
1 lb to 10 lbs
20 lbs to 50 lbs
greater than 100 lbs
Contaminants to remove:
Cutting oils
Chips
Dust/Dirt
Coolant - watersoluble
Buffing/Finishing compounds
Coolant - oil
Grinding/Honing oil
Other
Production rates:
less than 10 parts/hr
100 to 250 parts/hr
10 to 50 parts/hr
250 to 500 parts/hr
50 to 100 parts/hr
greater than 500 parts/hr
1st Shift
2nd Shift
3rd Shift
Cleanliness requirements:
Visually clean
White glove test
Water break test
Other cleanliness specs
Is rinse required?
Yes
No
Spot free rinse
Rust inhibit rinse
Dryness:
Not required
Residual moisture acceptable
100% dry
Preferred heating method:
Electric
Gas
Steam
Power requirments:
460v - 3ph - 60hz
575v - 3ph - 60hz
380v - 3ph - 50hz
230v - 3ph - 60hz
415v - 3ph - 50hz