Cleaning Equipment Application Data Sheet

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Cleaning Equipment Application Data Sheet

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Page 1

First Name

Last Name

Phone

Company

Address Line 1

Address Line 2

City

State

Postal Code

How would you prefer to be contacted?

Phone

Vessel Specifications

CIP Inlets / Fittings:

Tank Orientation:

Vertical

Horizontal

Other

If other, please describe:

Dimensions: Use image below for reference. At the bottom of the form there is an upload section to add drawings and sketches.

	Height (H)	Length (L)	Diameter (D)
Basic Dimensions	Include Unit of Measure	Include Unit of Measure	Include Unit of Measure

	h1 (Space to Max. Fill)	h2 (Bottom)	h3 (Nozzle)
Advanced Dimensions:	Include Unit of Measure	Include Unit of Measure	Include Unit of Measure

Desired Spray Pattern:

360 Degree 360 Degree Spray Pattern

180 Degree Down 180 Degree Lower Tank Spray Pattern

180 Degree Up 180 Degree Upper Tank Spray Pattern

Quantity of Cleaners:

Use of Cleaners:

Fixed Position

Mobile

Cleaner Placement Distance:

Include Unit of Measure

From Top

From Bottom

General Information

Current Cleaning Method:

Available Pressure:

psig

Include Unit of Measure

Available Flow:

Include Unit of Measure

Cleaning Fluid:

Estimated Cleaning Time:

Max. Ambient Temperature:

Include Unit of Measure

Max. Medium Temperature:

Include Unit of Measure

Additional Comments or Questions:

Please Upload Schematics, Drawings or Other Relevant Documents:

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Contact Information

Agitators / Mixer	Scrapers	Heating Coil
Baffel	Measuring Instruments	Other

Water-Soluble	Greasy
Crusted	Solvent-Soluble
Other