Company Name(*) Invalid Input Line/Job Name(*) Invalid Input Contact Name(*) Invalid Input Phone(*) Invalid Input Company Address(*) Invalid Input City(*) Invalid Input State(*) Invalid Input ZIP / Postal Code(*) Invalid Input Fax Invalid Input Email(*) Invalid Input Product Information: Check the types of containers that are to be weighed: BagBoxCanisterJugDrumOther Invalid Input Describe(*) Invalid Input Dimension each package, or list smallest/largest and highest rate below: Item Length (L) Width (W) Height (H) Weight Prod. Rate 1 Length (L) Invalid Input Width (W) Invalid Input Height (H) Invalid Input Weight Invalid Input Prod. Rate Invalid Input 2 Length (L) Invalid Input Width (W) Invalid Input Height (H) Invalid Input Weight Invalid Input Prod. Rate Invalid Input 3 Length (L) Invalid Input Width (W) Invalid Input Height (H) Invalid Input Weight Invalid Input Prod. Rate Invalid Input 4 Length (L) Invalid Input Width (W) Invalid Input Height (H) Invalid Input Weight Invalid Input Prod. Rate Invalid Input 5 Length (L) Invalid Input Width (W) Invalid Input Height (H) Invalid Input Weight Invalid Input Prod. Rate Invalid Input Accuracy Requirement +/- Invalid Input What is the conveyor speed of your current/new production line? Invalid Input What is the maximum production rate for any package? Invalid Input Environmental Specifications: Our checkweighers can be built for nearly any environmental conditions. Please select the environment for your application, and make note of any special or unusual condition; extreme cold/heat, etc. Type 12 (IP54) unratedType 4 (IP65) wash-downType 4 (IP67) high-pressure wash-downType 4X (IP67) wash-down/corrosive Invalid Input Hazardous (explosive) Areas: Class I (solvents/vapors), Div. 1Class II (dusts), Div. 1Class I, Division 2Class II, Division 2 Invalid Input Mechanical Specifications: Specify Desired Overall Checkweigher Conveyor Length: Invalid Input Specify Checkweigher Conveyor Height: Invalid Input Scale Conveyor Electrical Specification: Standard 240/480VAC 3 Phase 60 Hz. Motorized Drive Roller (VFD Required)Standard 240/480VAC 3 Phase 60 Hz. Fixed-Speed out-board DriveNon-Standard Motor Voltage Invalid Input Specify(*) Invalid Input Mechanical Options: Metal DetectorProduct guide railsWindshield protects scale from ambient air currentsAcceleration or Pacing conveyor Invalid Input Metal Detector Brand Preference: Invalid Input Electrical & Software Options: 3-Zone Stack Light5-Zone Stack Light1” High Remote Digital Display2” High Remote Digital DisplayReject Alarm HornReject Alarm StrobeTrend Alarm LightClosed-Loop FeedbackEmpty Package Detect EyeBarcode Reader InputSPPC Light Data Reporting930 Data LoggerOther Protocol Invalid Input Other Protocol:(*) Invalid Input Reject Options: Stop & Alarm: Reject causes checkweigher conveyor to stop & sound alarm. Operator removes or adjusts package, presses “Restart” button to continue production. For use with low-rate applications only.Ram Reject: Pneumatic Pusher; floor mounted, 24” stroke, ½” airline ported, 24VDC solenoid valve, complete. Push rates to 40/minute. Includes 48” long x 24” wide belt conveyor.Ram Reject Only: Same as above, less conveyor.Space-Saver Reject: Overhead pneumatic pusher keeps rejecter within confines of conveyor framework. 24” stroke, ½” airline ported, 24VDC solenoid valve, complete. Push rates to 30/minute. Includes 48” long x 24” wide belt conveyor.Drop Nose: Separate conveyor that resides directly after checkweigher. Hinged on the in-feed end, out-feed end of conveyor drops preset distance to discharge off-spec product to bin or accumulation area below. Reject Horn: Alerts operator to rejects with either an audible or visual signal. Reject Strobe: Duration of signal set through reject timers within the checkweigher controller. Invalid Input Please provide any notes or descriptions of your production line that will assist us with better understanding your application: Invalid Input Please send this completed form to Thompson Scale Company, and we will generate a detailed proposal based upon the information you have included in this questionnaire. We will also be happy to make suggestions, and work with your company to solve any special applications problems unique to your production line. Customer/Rep Signature:(*) Invalid Input Date:(*) Invalid Input (*) Invalid Input Submit
