Date:
800-332-1590
Parts Cleaning Specification Worksheet for Aqueous Parts Washers
Please fill out all applicable information. We will contact you to fill in the details needed to send you a preliminary quote. Thank you.
Customer Information: Page 1
Company
Contact
Phone
Fax
E-mail
Address
City
State / Province
Zip/ Postal Code
Workpiece Information:
Name of item(s) to be cleaned:
Material type of each item:
Maximum Part Size: Approximate Weight:
Length:
Width:
Height:
Throughput per day:
Contamination to be removed: (
oil,
grease,
metal chips,
dirt,
cutting fluids)
Other:
Any hazardous material:
Yes
No If yes, please describe:
Unique geometry: (blind holes, critical through holes, cavities) Other:
NOTES:
Customer Preference: Page 2
Facilities: Natural Gas
Propane
Electrical Supply: 220 Volt, 1 Phase
220 Volt, 3 Phase
480 Volt, 3 Phase
Other Voltage / Phase:
NOTES: