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Cleaning Survey

Description Of Part To Be Cleaned
Type Of Material / Or Construction
Describe The Manufacturing Process Before and After Cleaning
"In-Process" Or Final Cleaning
What Type Of Contaminant Needs Removing? (Choose AllThat Apply.)
Oil Grease Waxes Dirt Combination

Other (please specify)

Reason To Clean Part?
Required Cleanliness And Test Method. (Please Specify)
What Shape And Size Is The Part?
(You can also fax us a drawing at 863-647-3082 or click here to email.)

Length: Width: Height:

OR

Diamter: Part Length:

Are There Blind Holes And Inaccessable Areas?



What Equipment Is Being Used In Your Cleaning Operation?
What Process Are You Using?
Are You Using Solvents?



What Type Of Cleaning Problems Are You Having?
Are You Cleaning Your Components Individually?



If "No" How Many Many Do You Need To Clean In A Batch?
How Many To Be Cleaned In An Hour?
Services Available:
Electric:

GAS AIR WATER

Air CFM
water PSI

Other:
Additional Comments:
Contact Information:

First Name

Last Name

Company Name

Phone
please enter in following format: 212-555-1212

Fax

Address

City

State

ZIP

E-Mail

Submit Survey Form:

 

 
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