QUESTIONNAIRE FOR UNIVERSAL'S UNI-LEVEL-TROL

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UNIVERSAL PACKAGING MACHINERY CORPORATION

965 SHADICK DRIVE - ORANGE CITY, FLORIDA 32763 USA

TELEPHONE: 386-775-2969 or 800-351-8263 (USA, EXCEPT FL.) - FAX: 386-774-4900

DATE:

COMPANY:

ADDRESS:

CITY:

STATE:

COUNTRY:

ZIP OR POSTAL CODE:

E-MAIL ADDRESS:

PHONE NUMBER:

FAX NUMBER:

SEND QUOTE TO:

TYPE OF FILLER YOU ARE INTERESTED IN UPGRADING THE LEVEL CONTROL ON: (PLEASE REMEMBER THAT WE CURRENTLY ONLY MAKE REPLACEMENTS FOR THE FOLLOWING FILLERS!)

CROWN
MEYER (DUMORE)
MEYER (TRI-STAR)
CARBALLO
SEITZ
KHS (Klockner-Holstein)

IS YOUR CURRENT FLOAT CONTROL A SINGLE FLOAT SYSTEM (VENT & COUNTER PRESSURE ON SAME FLOAT), A TWO FLOAT SYSTEM (VENT FLOAT & COUNTER PRESSURE FLOAT) OR OTHER TYPE SYSTEM? (PLEASE SPECIFY)

SINGLE FLOAT
TWO FLOAT
OTHER

OTHER:

TYPE OF PRODUCTS:

IF NON-CARBONATED PRODUCTS (WATER, JUICE, ETC) ARE RUN ON THIS MACHINE, PLEASE ANSWER THE FOLLOWING QUESTIONS:

IS LIQUID PUMPED DIRECT TO THE FILLER OR THROUGH A PRESSURIZED TANK(CARBO-COOLER)?

DIRECT THROUGH PUMP
THROUGH CARBO-COOLER (TANK)

NORMAL OPERATING PRESSURE:

REMARKS:

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