Click here to download this form to submit your cleaning problems! Mark and fill up all parts and send back to our fax or E-mail.

OUTLINE OF OPERATING CONDITIONS, MATERIALS TO BE TREATED AND RESULTS
Requested by (company name)
Information about parts to be cleaned

Technical name of part
Surface	Machined	Lapped	Galvanized	Painted	Others
Materials	Aluminium	Cast Iron	Steel	Copper	Brass	Others
Shape	Cylinder	Rectangular	Round	Regular	Not Regular	Drawing Encl
Dimensions	minim mm. X X H			max mm. X X H
Weight	minim kg.			max kg.
To be washed	directly in the machine		in basket	on pallets	Qty in one shift/8h Nr
Basket/Pallets (used or required)	mm. X Y H			Weight kg	Qty in one shift/8h Nr

information about the process

Main process	Production	Maintenance		Overhaul	Others
Afterward treatment	Machining	NDT	stock	Assembling	Others
Contamination to be removed
Sistem presently used and results obtained (Please specify all the information in details)
Preferred system
Expected results
May be treatment be effected by immersion?		Yes		No	.
Further information, specifications and request (Please)

Operating conditions	Outdoor	Indoor	Explosive	Corrosive	Others
Energy (available)	Electric V Hz 3ph	Compressed air	Natural Gas	Steam	Oil fuel

Information supplied by
Name:	Title
Full Address

Telephon

Fax

E-mail