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Sterisplit Questionnaire
1) About you:
Name, Surname (*)
Company (*)
Address
City
Postal code
Country
Phone Number (*)
Fax Number
E-mail (*)
2) ND
80
100
150
200
250
300
3) Valvola attiva quantity
0
1
2
3
4
4) Valvola passiva quantity
0
1
2
3
4
5) Control
Handle
Automatic
6) Accessories
a)
Standard Clamp
Sani Clamp
Steri Clamp
Quantity
0
1
2
7) Finish
inside mirror polish, outside satin
complete mirror polish
electro-polish
9) Additional information about working conditions:
a) Product
Not hazardous
Hazardous
b) Granulometry
c) Fluidity
d) Temperature (°C)
e) Pressure (bar)
f) Vacuum( mmHg)
10) Further Comments
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