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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 _________________________________________ __________________________________________ _________________________________________ __________________________________________ _________________________________________
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