Sample Cleaning Request Form
(Please print form, complete, and
return with parts to Blue Wave Ultrasonics)
| Contact Name: |
Position: |
| Company: |
| Address: |
| City: |
State/Zip: |
| Phone: |
Fax: |
| 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:
