Sample Cleaning Request Form
(Please print form, complete, and return with parts to Blue Wave Ultrasonics)
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Contact Name: |
Position: |
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Company: |
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Address: |
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City: |
State/Zip: |
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Phone: |
Fax: |
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E-mail: |
Website: |
Samples should be returned to: Representative [ ] Customer [ ]
Required Date:
What is the objective for the sample cleaning:
Better Cleaning [ ] More throughput [ ] Eliminate Solvents [ ] Cost Savings [ ] Other [ ]
Please explain the objective in detail:
Information About The Part And The Process
Material:
Size(s) of parts:
Batch size:
Contaminant(s):
Throughput:
What process is immediately before cleaning:
What process is immediately after cleaning:
Current Cleaning Process
What is the current cleaning method:
What is the current cleanliness level:
What is the current method of cleanliness testing:
Desired Variables:
What is the desired throughput:
What is the desired cleanliness level
What is the desired method of cleanliness testing:
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Submitted by: |
Date: |
Please return with parts to be cleaned to:
Sample Cleaning / Blue Wave Ultrasonics
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