FREE Cleaning Profile Form
(*All Information is held in complete privacy!)

Special Information
(***Required***) Your Name:
Your Title:
(***Required***) Company:
Address:
P.O. Box:
City:
State:
Zip:
(***Required***) Telephone:
Fax Number:
(***Required***) E-Mail Address:
(*All Information is held in complete privacy!)
Person In Charge of Approval:
Type of Business:
Budget / Timing
Has Budget Been Approved?	no yes
What Amount Has Been Budgeted?
Target Date of Order Decision:
Target Date for Installation:
Company Description
Products Made:
Materials Used:
Parts Being Cleaned:
Describe Your Current Cleaning System or Method:
Do Parts Have Blind Holes or Inaccessible Areas?	no yes
Way You Clean?:	Batch Clean   Continuous Feed Clean Individually Clean
If Batch Cleaning:
How Many Parts per Batch?
How Heavy is Each Batch?
How Many Batches per Hour?
How Many Days per Week?
How Many Hours per Day Cleaning?
If Continuous Cleaning:
How Many Parts Per Hour?
Biggest Part Dimensions:		Unit of Measure
Height:
Width:
Length:
Weight:
Smallest Part Dimensions:		Unit of Measure
Height:
Width:
Length:
Weight:
Cleaning Specifications
Removing Light Oil
Removing Heavy Oil Grease
Removing Metal Chips
Rusting of Parts is a Concern
Toxicity / Flammability
Rinse Quality Required
Costs (Must Reduce Cleaning Costs of Present Method)
Degree of Dryness Required
Parts Damage Concern
Other
Physical Plant
Power Source:	Volts    PH    Amps
Preferred Source for Heating
	Elec.
	Gas
	Steam - Low PSI
	Steam - High 75+ PSI
Plant Air Available	PSI    CFM
Venting Required:	no yes
Current Method of Cleaning:
Immersion
Continuous Belt
Pressure Washer
Cabinet
By Hand
Filtration:	Bag Filters    Ultra Filtration
Oil Removal:	Oil Skimmer    Coalescer
Number of Stages:
Wash
Rinse
Rust Inhibit
Shop Air  Blow off
Dryer
Special Cleaning Problems:
System Concept: Describe the Type of System You Believe Can Do The Job.
Type:
Cabinet
Continuous Belt
Immersion
Ultrasonic
Monorail
Automated
Oil Skimmer
Coalescer
Bag Filter
Ultra Filtrater
Other
Is Stainless Steel Construction Required?	no yes
If YES, What Grade?
What is the footprint the system will fit into?
Size of Door Opening into Building:
Ceiling Clearance Height:
Other Information Beneficial To Us In Designing Your  Cleaning System:
So That We Can Better Serve the Internet Community Please Let us Know How You Found Us. If You Utilized a Search Engine, Please Include the Name of the Engine:
Picture Submission:
**In order to offer you  the best value washing system, please send photos of the part (s) to be cleaned. If drainage of cavities is an issue,  be sure to show multiple angles of part (s) Please send all pictures under separate cover to: dkw@aecsystemsusa.com
Please Note: We will contact you as soon as this information is processed by our Research Department.  Thank You.