CUSTOMER INFORMATION
Required Field * |
| Contact Name * |
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| Company Name |
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| Address * |
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| City, State, Zip * |
,
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| Phone * |
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| Mobile |
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| Fax |
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| E-mail * |
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| Web Site |
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| Type of Business |
Recycler
New Pallet
End User |
| Personal Information |
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| PALLETIZING |
Machine
Specifications |
| Machine Model Designation: |
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| Quantity: |
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| Hand: |
Left
Right |
| Configuration Plate No: |
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| Figure No: |
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| Electrical Specifications: |
Volts:
Cycle:
Phase:
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| Air Supply: |
CFM:
PSI:
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| Speed (Max) Per Minute: |
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| How many stacking patterns are required? |
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| No. of stack height selections: |
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| Max stack height selection (Incl.
Pallet) |
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| Weight of heaviest pallet load (Incl.
Pallet) |
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| Paint: |
Blue
White
Gray
Other |
| Pallet Magazine: |
Rear
Side
Right Angle |
| Production Infeed: |
Front
Rear
Side |
| Palletizer Discharge Conveyor: (Power
for 1 load included) |
Additional Stations Power:
Gravity:
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| Length of Depalletizer Infeed Chain
Conveyor |
Standard (3 Loads):
Other (Please Specify):
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| Special features or requirements: |
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| Type of programmable controller: |
PAI (std.)
5 TI
Modicon 484 |
| Other Information |
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Infeed Belt
Conveyors |
| Indicate infeed belt conveyor to
be furnished with this machine: |
Standard Incline (Please Specify)
Other (Please Specify):
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| Width (Inside Rails) of existing
case conveyors: |
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| Type: |
Roller
Skate Wheel
Live Roller
Belt |
| Elevation case conveyor connects
to palletizer infeed belt conveyor: |
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| Decaser infeed elevation |
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| Will you be supplying case conveyor
with order? |
Yes (Provide drawing)
No |
Misc. Plant
Data |
| Headroom at machine location: |
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Minimum door opening to machine
location:
(Note: Be sure to check dock heights, door
heights, R.R. sidings, ceilings, pipes, roof trusses, sprinkler
headers, etc. to be sure equipment can be moved into place
upon arrival. Please advise of any unusual conditions.) |
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| Are there any palletizers in this
plant? |
Yes (Provide make and how many)
No |
| Is this a new plant installation? |
Yes
No |
| Is this a new conveyor system? |
Yes
No |
| Has a layout drawing been made?
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Yes (Please include by whom)
No |
| Approximate delivery required? |
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| Do you have any other quotations? |
Yes (Please specify from whom)
No |
| CURRENT EQUIPMENT |
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* Note: 1 or
3 headed Dismantler |
| Do you wish to use these in the
overall solution or do you wish to sell any of this equipment? |
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| CLOSING QUESTIONS |
| What is your timeframe for implementation? |
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| What is your project budget? |
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| Do you have any other quotes? If
so, how much and from whom? |
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| Are you the sole decision maker? |
Yes
No (Who else will be involved?)
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| What criteria will you use in your
decision making process? |
Price
Quality
Availability
Return on Investment |
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