SRS Engineering - Automatic washer inquiry form

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To request more information, please complete the form below.
Company Name
Street Address
City
Country*
State
Zip / Postal Code
hone
Fax
E-mail
Website
Contract
How did you hear of us?
Keyword(s) used to find us
Type of Industry
Product Interested in	Dw Series
	Tw Series
	Pw Series
	Not sure
Product Information
Type(s) of parts to be washed
Size of the part(s) to be washed
Are there drain valves?	Yes No
Do you want to wash exterior?	Yes No
Number of parts/containers washed per day
Weight of parts	Lbs
Do you want to rinse the parts?	Yes No
Do you want to dry the parts?	Yes No
Do you need to purge?	Yes No
Type of contamination present
Do you require a feed tank?	Yes No
Would you like to re-circulate the wash?	Yes No
Do you need an exhaust package?	Yes No
Current method of cleaning
Current wash solution
Type of solution
Current waste generated
Is the solvent flammable?	Yes No
Is this an explosion-proof application?	Yes No
Current disposal cost	$ per month
Man hours per shift	hour
Shifts per day
Replacement solvent
Cost of the replacement solvent	$ per gallon
Design Criteria
Materials of construction	Stainless steel only
Grade requirement
Finish requirement
Utilities Information
Voltage
Phase
Frequency(hz)
Heating options	Steam PSIG
	Electric
Do you have a cooling tower?	Yes No
Air availability	Yes No
	If Yes SCFM @ PSIG
Do you require filtration?	Yes No
Do you have CO 2 or Nitrogen available for purging? (Only if you require an explosion proof application).	Yes No
Other pertinent information
Submit when completed

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Tel: (951) 526-2239 Toll Free: (800) 497-5841 Fax: (951) 526-2441
General enquiries: sales@srsengineering.com