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Checkweigher/Conveyor-Scale Questionnaire

Company: _________________________ Contact: _______________________

Address: __________________________ Phone: ____________________

City, St, Zip: ________________________ e-mail: ____________________

Equipment needed (choose one): ____ Conveyor Scale _____ Checkweigher ____ not really sure

What is your over-arching goal? _________________________________________________________

Do you need NTEP, or Legal for Trade? ___________________

When do you need a quote? __________________

Product Specifications

What is the product/package? __________________

Uniform Packages: ___ Yes ___ No

Controlled Spacing: ___ Yes ___ No

|Box/Package |A = Length |B = Width |C = Height |Minimum spacing between |Frequency |Weight |Desired |

| | | | |products |(pkgs/min) | |Accuracy (+/-) |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

Product images are VERY helpful - can you provide us some? ___Yes ___No

Can you provide us images, or video, of your current layout/process? ___Yes ___No

Spacing and Layout Requirements

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Length available for system: ______ Desired Top-of-Belt Height: ______

Supply Conveyor Belt Width: ______ Takeaway Conveyor Belt Width: _______

Supply Conveyor Belt Speed: ______ Takeaway Conveyor Belt Speed: _______

To calculate belt speeds, see methods on page 2.

Purpose of Equipment:

___ Verify Weight

___ Acquisition of production data

___ Count package quantity

___ Classification of weights

___ Adjustment of upstream filling machine

Other: __________________________

Environment:

Washdown Environment: ____ Yes ____ No

Dust inside room: ____ Yes ____ No

Temperature Range: _____________

Installation Location (choose one):

___ Ground Level

___ 2nd Floor

___ Mezzanine

Ambient Airflow Present: ____ Yes ____ No

Vibration Present: ____ Yes ____ No

Cleaning Protocol (choose one):

___ None

___ Blowdown

___ Wet Rag

___ Mild Water Pressure

___ NEMA-4X

Chemicals used: __________________________

Available Power (choose all available):

___ 120V/60Hz

___ 220V/60Hz 1Ph

___ 220V/60Hz 3Ph

___ 208V/60Hz 3Ph

___ 480V/60Hz 3Ph

Communication Needed:

___ RS-232 Distance: ______

___ Ethernet 10/100

___ Ethernet IP *

Other: __________________________

* If you chose Ethernet IP, what device are you connecting with? __________

Brand? ______________

Do you have in-house support that can program the PLC to read and write to registries? ___ Yes ___No

Options (choose all that are needed):

___ Pacing Conveyor

___ Guide Rails

___ Draft Shield

___ Divert

___ Lamps (3-zone ___ or 5-zone ___)

___ Audible Alarm

Other: ______________

Belt Speed Calculation Methods

1) [(product length) + (product spacing)] x (frequency) = belt speed

2) Put a mark on the belt of a conveyor and time how long it takes to make one revolution and measure the length of the conveyor: time to make 1 rev = __________ conveyor length = _______

Additional Comments:

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