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Equipment Survey Form

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Note: * indicates a required field.

2. Financial Budget/Planning:
Formal with Firm Price:
Budgetary:
Funds available for immediate purchase?	Yes No
If not, when will funds be appropriated?
When will this equipment be purchased?
When is equipment required:

3. Problem: (Please be as specific as possible - describe soils involved, ets.):

4. Current Cleaning Operation: (Note cycle times/type of equipment used):

5. Problems with current system:

6. What operation proceeds cleaning:

7. What operation follows cleaning:

8. Parts Description:

Basic Metals

	Smallest Part	Largest Part
Length
Width
Height
Weight of parts or basket of parts

9. Production:

Can parts be tumbled?

Yes No

10. Basket, Container, or Rack: 360-1 Maximun size 12" x 20" x 6"
Length: Width: Height: Weight: Empty Full
Are special fixtures required?
Describe:
11. Define Specifications of Cleanliness:

Define testing Parts after Cleanling:

12. Define Drying Requirement:

Dry to Touch:

Drip Free:

100% Dry:

13. Services Available at Point of Installation, and their Capacities:

Electric: Volts Phase Cycles

Air: PSI Available CFM

14. Material Handling:

How do parts arrive at proposed equipment?

How are parts to be loaded and unloaded?

Are Automatic loading or unloading devices required?

Other Helpful Information: