Automated Machine Systems, Inc.

Pallet Washing Questionnaire

Customer Information

Contact Name

Company Name

Address *

City, State, Zip *

Phone *

Mobile

Fax

E-mail *

Web Site

Type of Business

Recycler

New Pallet

End User

Personal Information

Pallet Washing

What is to be washed?

Plastic Pallets (Include Size)

Wooden Pallets (Include Size)

Containers (Include Size)

How are you washing now?

Hot Water

Chemical (Provide Name)

Hand Spray Normal Water

Other (Describe)

Are we destacking and/or stacking?

Yes

Are we integrating with a repair system or stand-alone?

Repair System (Describe)

Stand Alone

What material needs to be washed?

Meat (Describe)

Dust (Describe)

Light Debris (Describe)

Petroleum

Other (Describe)

How many pallets are required tobe washed in 8 hours?

What are the washer requirements?

Pre-Wash

Wash

Heated Water

Sanitizing (Are there cleanliness specs?)

Rinse

Rust Inhibitor

Blow Off (Hot or Cold and How Dry)

What utilities are available?

Electric (Provide Voltage, Phase, and cost/KW)

Natural Gas (Provide cost/ccf)

Propane (Provide cost/gallon)

Other (Describe)

What space can be devoted to the washer?

Additional Information:

Current Equipment

Bandsaws	Nail Unstubber
Chop Saws	Notcher
Destacker	Pallet Downsizer
Disk Blade Dismantler*	Pry Bars
Gravity Conveyor	Shredder
Grinder	Stacker
Hammers	Stringer Sizer
Lead Board Remover	Stringer Shearer
Live Roller Conveyor	Tables
Mulch Colorizer	Tipper
Nail Guns	Trash Conveyor
Nailing Machine	Trim Saw
Other (Please Specify)

* Note: 1 or 3 headed Dismantler

Do you wish to use these in the overall solution or do you wish to sell any of this equipment?

Closing Questions

What is your timeframe for implementation?

What is your project budget?

Do you have any other quotes? If so, how much and from whom?

Are you the sole decision maker?

Yes

No (Who else will be involved?)

What criteria will you use in your decision making process?

Price

Quality

Availability

Return on Investment