QUESTIONNAIRE FOR MEYER BOTTLE FILLER

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Thank you for visiting our web site. For a preliminary price quotation, please fill out the form below. Please remember that all questions are vital and should be answered entirely. The questions marked with an * are required.

UNIVERSAL PACKAGING MACHINERY CORPORATION

965 SHADICK DRIVE - ORANGE CITY, FLORIDA 32763 USA

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

*DATE:

*COMPANY:

*ADDRESS:

*CITY:

*STATE:

*COUNTRY:

 ZIP OR POSTAL CODE:

*PHONE NUMBER:

*FAX NUMBER:

*SEND QUOTE TO:

 ADDRESS IF DIFFERENT:

 CITY,STATE,ZIP IF DIFFERENT:

 COUNTRY IF DIFFERENT:

 PHONE IF DIFFERENT:

 FAX IF DIFFERENT:

*MODEL OF FILLER:

*NUMBER OF VALVES:

*NUMBER OF CAPPING HEADS:

 SERIAL NUMBER:

*TYPE OF FILLER: PINT
QUART
2 LITER
OTHER

OTHER:

*TYPE OF VALVE: B2
B2 MODIFIED
R-11
R-11-A
??????

??????:

*DOES FILLER HAVE STAINLESS STEEL BOWL? YES
NO

*EXISTING VALVE STEM L=LENGTH:

L (INCHES):

OR  L (MM):

*DOES FILLER HAVE CENTERING DEVICES? YES
NO

IF YES, MANUFACTURER AND TYPE:

CENTERING CUP PART NUMBER:

SEALING RUBBER PART NUMBER:

IF HARTNESS, CHECK TYPE OF BASE: M1A
M3-3A
M4-M4A
DIFFERENT

DIFFERENT:

*DOES FILLER HAVE NECK SUPPORTS FOR P.E.T. BOTTLES? ALL
SOME
NONE IF SOME, LIST BOTTLES THAT DO HAVE NECK SUPPORTS.

NECK SUPPORTS FOR:

*DOES FILLER HAVE CLEAN-IN-PLACE CAPABILITY (C.I.P.) THROUGH THE VALVE?

YES
NO

IF YES, SUPPLIED BY:

*LIFT CYLINDER: GRAVITY DROP
POSITIVE PULL DOWN *CAN FILLER BOWL BE RAISED AND/OR LOWERED? YES
NO IF NO, PLEASE COMPLETE THE FOLLOWING:

VERTICAL DIMENSION (INCHES) FROM BOTTOM OF FILLER BOWL TO TOP OF STIRRUP: (MEASURE FROM THE BOTTOM OF THE BOWL AT THE VALVE HOLE LOCATION)

A: STIRRUP IN LOWEST POSITION:

B: STIRRUP IN HIGHEST POSITION:

PLEASE CHECK THE LENGTH OF AIR LIFT CYLINDER: 9 - 1/4 INCHES
15 INCHES *PRESENT BOTTLES BEING RUN: LIST SIZE, TYPE, SIZE OF CLOSURE, HEIGHT OF BOTTLE, PRESENT B.P.M., DESIRED B.P.M. i.e: 2 Ltr PET Generic, 28mm, 12.5", 120 bpm, 150 bpm.

*PRESENT BOTTLES:

NEW BOTTLES TO BE RUN: LIST SIZE, TYPE, SIZE OF CLOSURE, HEIGHT OF BOTTLE, DESIRED B.P.M. i.e.: 10 oz NR Glass, 38mm, 3.5", 450 bpm.

NEW BOTTLES:

REMARKS:

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