Rice Lake IMC_Questionnaire

Submit by Email

Print Form

Budgetary Quote _______ Firm Quote _______

Note: Field installs are required

In-Motion Checkweigher Application Company/End User (full name):

Contact:

Address:

City:

Phone:

State/Zip:

Sales Organization:

Salesperson:

Product Specifications Preferred Measurement: Inches

Yes

Controlled Spacing:

Millimeters AND Grams

Start to Start Spacing

No

Yes

C

No

Container Type & Contents

Pitch

B

Liquid Solid Misc. Components Opened:

Ounces Pounds

A= Length

B= Width

A

Pitch = leading edge to leading edge

C= Height

Speed Packs./ min.

Product Weight

+/Accuracy

Min. Max. Min. Max.

Rejector

Customers Existing Supply Conveyor

Infeed Conveyor

Checkweigher

Outfeed Outfeed Conveyo r Conveyor

D2

Customers Existing Take-away Conveyor

Checkweigher

Checkweigher Lengthof System Overall length Overall length of System

Available Length for system

Working Direction Left to Right

Line Height

Infeed Line Speed

Roller Diameter D1

D2

# 0013 New 5/05

Right to Left Infeed Width

Preferred Material

Stainless Steel Aluminum Page 1 of 2

Questionnaires

D1

In-Motion Checkweigher Application Working Environment Purpose of Checkweigher ___ Inspection for under/over weight packages ___ Check package quantity ___ Acquisition of production data ___ Feedback to filling machine ___ Classification of weights ___ Shipping or Receiving ___ Other _______________________________

Cleaning ___ No cleaning (IP45) ___ Air Pressure (IP54) ___ Wet Rag (IP55) ___ Water Pressure (IP65) ___ Steam & Water (IP67)

Frequency _____Once a month _____Once a week _____Once a day _____Once a shift

Solvents Used ___________________________

Options

Questionnaires

___ Host computer database and statistical data package ___ Network Interface for PLU downloads ___ Production Reports ___ Additional Speed-up Belt (for product spacing) ___ Reject Device (Type) ___________________ ___ Guide Rails ___ Portable Caster Package ___ Draft Shield ___ Cubing/Volumetric Measurement System ___ Rejection Alarm ___ Remote Display ___ Signal Lamps (Single light, Under, Good) ___ Barcode Scanner ___ Sortation (please complete Sortation Scale & Classification questionnaire)

___ Other ______________________________

# 0013 New 5/05

Temperature ________ Relative humidity ________ Installation Location ___ Ground floor ___ 2nd floor ___ Mezzanine Airflow Yes Yes Vibration Air Conditioning Yes

No No No

Min

Max

Available Air Pressure

Preferred Power Supply ___ 115 V 50/60 Hz ___ 230 V 50/60 Hz single ___ 230 V 50/60 Hz 3 phase ___ 480 V 50/60 Hz 3 phase Variable speed control 3 -phase Manually adjustable speed control HMI controlled speed based on product secetion ___ ___ ___ ___

Interface Options Transmission of weights Statistical protocol Networking Database & Tolerance acquisition

Interface Devices ___ RS-232 ___ RS-485 ___ 4-20 analog ___ Profibus

_____ Allen Bradley Remote I/O _____ Ethernet _____ DeviceNet _____ Ethernet IP

Special Information _________________________________________ __________________________________________ _________________________________________ __________________________________________ _________________________________________

Page 2 of 2