| General information |
Last name * | |
Company * |
City | Email * |
Telephone * | Fax |
| Who is your supplier form Aerochem Product? |
Company |
Representative | Email |
Telephone | Fax |
| Please fill this questionnaire on cleaning solvent as accurate as possible so we may analyse it and make our choice of product for your application. |
| Is your area ventilated? | yes no |
| Is the dirt burned on? | yes no |
| | If yes, what kind of nature? |
| Oil | mineral synthetic vegetale |
| Grease | mineral synthetic vegetale |
| Dust | |
| Carbon | |
| Soot | |
| Others | |
| Can you use a water base cleaner? | yes no |
| Is there presence of plastics or rubbers? | yes no
|
| | If yes, what kind of nature (PVC, EPDM, etc.)? |
| Is the flash point important? | yes no |
| | If yes, how much? °C or °F |
| Is there presence of electrical motors? | yes no |
| Will parts be stored after cleaning? | yes no |
| | If yes, how long (inside and/or outside)? |
| Is there recycling of solvent? | yes no |
| Must solvent be biodegradable? | yes no |
| Equipment used? | Cold tub Hot tub Brushing Wipping Pressure wash Steam wash Others
|
| Is a drying time required? | yes no |
| | If yes, how long? |
| What are you cleaning exactly? | |
| What quantity are you using? | |
| What price are you paying presently? | |
| Additional informations: | |
| For chemical compatibility reasons, please send your technical data sheet and MSDS of your product via our fax or email. |
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