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)

Company Name:			Street Address:
Town:			State:
Zip:

Post office Box:			Town:
State:			Zip:

Person Contacted:			Title:
Phone Number:			Fax Number:
E-mail Address:

Representative:			Representative's Organization:

Comments/Additional Information:

1. Request:
Formal with Firm Price:
Budgetary:
General Information:
Machine/Machines Interested In:
Samples For Testing:
Number of Copies Needed:
Address To:

2. Financial Budget/Planning:
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:

Name/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

Production volume in rotary equipment, if applicable:

10. Basket, Container, or Rack: Length: Width: Height: Weight: Empty Full

11. Type of Equipment Proposed or to be Quoted:
Vertical Agitation:	With Rotation:
Cellular:	Type:
In-Line:
Rotary Drum:
Belt:	Width:
Spray:
Monorail:
Number of tanks with description:
Length of each Zone:	Define:

12. Proposed Cleaning Operation: (Expand on information from items 9, 10 and 11):

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

14. Define Drying Requirement:

Blow Off:

Heated Blow Off:

Spot Free:

Dry To Touch:

Drip Free:

100% Dry:

15. General Information:

Floor Space Available: Length: Width: Height:

Any unusual space limitations:

Method of tank heating requested: Gas Steam Electric

Method of dryer heating requested: Gas Steam Electric

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

Electric: Volts Phase Cycles

Air: PSI Available CFM

Gas: PSI Available BTU/Cubic FT Cubic FT/HR

Steam: PSI Available LBS/HR

17. Material Handling:

How do parts arrive at proposed equipment?

How are parts to be loaded and unloaded?

Automatic loading or unloading devices

Other handling relative to equipment

Are we to supply conveyor to and from equipment?

Other Helpful Information: