Questionnaire for New Customer Chemical Requirements
Please answer the following questions as completely as possible so we can assist you in selection the correct products for your applications.

All Purpose Cleaners:
1. Is this an existing or new application? Existing New
2. Briefly describe the cleaning application? (Floors, uniforms, equipment, etc.)

3. What type of cleaning equipment do you currently use?
4. Is cleaning time or Manpower a concern or a problem? Yes No
5. Do you have hot or warm water available? Yes No
6. What are the materials that will be cleaned? (Concrete, steel, aluminum, etc.)

7. What is the primary soil that needs to be cleaned? (Dirt, grease, paint, etc.)

8. For any additional comments or questions please use the box below.

Metalworking/Process Cleaners/Paint Strippers:
1. Is this an existing or new application? Existing New
2. Is this a soak or spray cleaning operation? Soak Spray
3. What type of metal or other material is being cleaned? (Ferrous, non-ferrous, plastic, etc.)

4. Is this a water based or solvent degreasing application?
Water Based Solvent Degreasing
5. Can you describe your current cleaning equipment, times and temperatures?

6. Do you need corrosion protection and for how long?
7. Do you have any special waste water treatment requirements?
8. What are the soils that need to be cleaned or removed?
9. For any additional comments or questions please use the box below.

Metalworking Fluids and Lubricants:
1. Is this an existing or new application? Existing New
2. Is this a water soluble or straight oil operation?
Water Soluble Straight Oil
3. What type of metal or metals are being machined or stamped?
4. Would you classify your operation as machining, grinding or stamping? Machining Grinding Stamping
5. Do you have a central lubricant/coolant delivery system or is this a stand alone single tank for one machine? Central Stand Alone
6. Are you currently having problems with odors, poor tool life, corrosion, surface finish, dermatitis or severe foaming?

7. After machining, grinding or forming operation is completed is corrosion protection required and for how long?

8. Will these parts be cleaned, coated or painted after the metalworking/metal forming operation?

9. For any additional comments or questions please use the box below.

Corrosion protection/Rust preventatives:
1. Is this an existing or new application? Existing New
2. Are you currently having problems with corrosion on parts or machine surfaces? Yes No
3. Do you have a spray or soak/dip tank operation currently to apply your rust preventative? Spray Soak
4. What length of time will be required for corrosion protection?
5. Are the parts stored inside or outside? Inside Outside
If inside storage is the storage area's temperature and humidity controlled?

6. What type of metal is to be protected? (Ferrous, non-ferrous, galvanized, etc.)

7. Will the parts protected with the rust preventative be cleaned or painted over in an additional operation?

8. Do you have any special waste water treatment requirements that would limit the type of corrosion protection that may be used?
9. For any additional comments or questions please use the box below.

Paint Detackification/Spray booth coatings
1. Is this an exisiting or new application? Existing New
2. What type of parts are you painting and what type of paint are you using?

3. Do you have a water spray booth and if so how many circulating gallons/liters is the capacity?

4. What type of metal is the spray booth constructed of?
5. Do you have grates and if so what is the square footage of the grates covered by paint?

6. Do you have manual spray operations, robotic/automatic zones or a combination of both? Manual Robotic Combination of Both
7. Do you know your annual paint usage and your operations transfer efficiency?

8. How often do you clean your spray booth and do you use solvents or strippers?

9. For any additional comments or questions please use the box below.