Aqueous Cleaning Systems: Request a Quote

Jensen Fabricating Engineers, Inc.
555 Wethersfield Road
Berlin, CT 06037
Email: salesinfo@jenfab.com
Phone: 860-828-6516
Fax: 860-828-0473

Equipment Survey Form

Click here for a printer-friendly form (PDF)
Note: * indicates a required field.

1. Firm Price or 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:

2. Describe soils to be cleaned:

3. Current Cleaning Operation, describe type of equipment and problems:

4. What operation proceeds cleaning:

5. Parts Description:

Name/Description

Basic Metals

6. Production:

Can parts be tumbled?

Yes No

Are parts in baskets?

Yes No

7. Basket, Container, or Fixture: Length: Width: Height: Weight: Empty Full

	Present	With New Equipment
Fixtures or Baskets Per Hour
Parts Per Hour/Weight or Cubic Feet Per Hour
Hours of Operation
Do parts arrive in Tubs	Yes	No
What size Tub?	Length: Width:	Height:

8. Type of Equipment to be Quoted: Expand on information from items 6 and 7

9. Define Specifications of Cleanliness and testing of Parts after Cleaning:

10. Define Drying Requirement:

Blow Off / Most Water Removed: Yes No

Spot Free: Yes No

100% Dry: Yes No

Additional Explanation:

11. General Information:

Floor Space Available: Length: Width: Height:

Method of tank heating requested: Gas Steam Electric

Method of dryer heating requested: Gas Steam Electric

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

Electric: Volts Phase Cycles

Air: PSI Available

Gas: PSI Available Select one: Natural Gas Propane Butane

Steam: PSI Available

13. Material Handling:

How do parts arrive at proposed equipment?

How are parts to be loaded and unloaded?

Define Automatic loading or unloading devices

Are we to supply conveyor to and from equipment? Yes No