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CONTACT INFO
Company:
Contact Name:
Street Address:
City:
State:
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZipCode:
Country:
Date (day/month/year):
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January
February
March
April
March
May
June
July
August
Septermber
October
November
December
Telephone Number:
-
-
Fax Number:
-
-
E-mail:
Reference Number:
PART INFORMATION
Part Name:
Part Number:
Part Description:
Part Final Orientation:
Part Final Discharge Height:
BOWL INFORMATION
Number of Discharge Tracks:
Total Bowl Rate:
(for multi lane bowls, add all lanes up for total rate)
Bowl Rotation:
CW
CCW
Unspecified
Voltage:
110v60Hz
220v60Hz
110v50Hz
220v50Hz
FDA Spec Required:
Yes
No
Parts are:
Oily
Wet
Dirty
Mold Release
Coated
Air:
Yes
No
Unspecified
dB(A) Requirement:
Double Bottom, Filled:
Yes
No
Unspecified
Bowl Finish:
Glass Bead
Industrial Polish
FDA
Urethane Coat
Surlyn Coat
Rhino Coat
Teflon
Sound Enclosure Required:
Yes
No
Unspecified
Backpressure Relief:
In Bowl
Photoeye in Control
Prox in Control
Blow Off in Control
Quick Dump:
Yes
No
Hardened and Chromed Steel:
Selectors
Discharge
TRACK INFORMATION
Track Type:
Powered Inline
Air Track
Gravity
Track Length:
Track Angle:
0 Degrees = Horizontal
DEAD NEST / ESCAPEMENT / PICK-AND-PLACE
Dead Nest:
Yes
No
Escapement:
Side
Pop Up
Strip Down
Unspecified
Blow Feed:
Yes
No
Pick-and-Place:
Pneumatic
Servo
Robot
Unspecified
HOPPER INFORMATION
Cubic Feet:
Unspecified
Construction:
Standard
Straight Front
Unspecified
Material:
CRS
304
316L
Unspecified
Finish:
Paint
Glass Bead
Epoxy Inside
FDA
Unspecified
Style:
Over-The-Bowl
Blower
Elevator
Unspecified
Level Sensor:
Paddle
Non-Contact
Unspecified
Quick Dump Required:
Yes
No
MOUNTING OPTIONS
Equipment Mounted On:
Plate
Table
Option for Either
Plate (Table Top)
Steel
Aluminum
Table Top Height Required:
Table Leg Size:
2-1/2"
4"
Unspecified
Single Column Pedestal:
Yes
No
Unspecified
CONTROLS
Brand:
Bryant
REO
Staco
Rodix
PLC
Unspecified
Spec:
NEMA 1
NEMA 12
IP66
CE
Unspecified
PAINT
Colors, Standard:
IFS Hammerstone Blue
Epoxy White
Primer Gray
Bare/Unpainted
Other:
ADDITIONAL INFORMATION
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