| 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. |
| | |
| | |
