Customer Specification Sheet

Project Name
Company *
Primary Contact *

First Name Last Name
Primary Contact Phone Number *
Please include country code for numbers outside the United States.
Primary Contact Email *
example@example.com
Are you able to identify the requirements for this project? *
Please provide a brief description of what you are looking for and one of our sales representatives will be in contact with you shortly.
Brief project description *

	Length	Width	Height
Dimensions

PACKAGE DETAILS
Package Details Defined For This Project?
Package Types (check all that apply)

Books Boxes Flats Padded Bags Paper Bags Plastic Bags Poly-Wrap Foil Wrap Tubs / Trays Other
Other Package Types

Types of Linear Barcodes on Labels (check all that apply)

UPC EAN Industrial 2 of 5 Interleaved 2 of 5 Standard 2 of 5 POSTNET Code 11 Codabar Plessey Code 39 LOGMARS Code 128 Code 93 IMpb Other-Linear Barcodes
Types of 2D Barcodes on Labels (check all that apply)

QR Data Matrix PDF417 Aztec Other-2D Barcodes
Other Barcodes
Minimum Barcode MIL Spec

	Length	Width
Dimensions

NPI To Provide Manual Encoding Stations?
Is Conveyor Under-Guarding required?
Peripherals
Same Peripherals On Both Lanes?
Peripherals (check all that apply)

Top Reader Bottom Reader Right Side Reader Left Side Reader Front Reader Back Reader Scale Dimensioner (VMS) Label Applicator Verifier No Peripherals
Peripherals for Lane A (check all that apply)

Top Reader Bottom Reader Right Side Reader Left Side Reader Front Reader Back Reader Scale Dimensioner (VMS) Label Applicator Verifier No Peripherals
Peripherals for Lane B (check all that apply)

Top Reader Bottom Reader Right Side Reader Left Side Reader Front Reader Back Reader Scale Dimensioner (VMS) Label Applicator Verifier No Peripherals
Preferred Reader Brand?
OCR Required?
Legal For Trade Scale?
Use Pre-Printed Labels In Applicator?
Preferred Label Finish
Legal For Trade VMS?
Cuboidal Detection Required?
Backend
Output Configuration For This Project *
Output Width (select all that apply)

22 in (56 cm) 44 in (112 cm) 33 in (84 cm)

Recirculation Options

A to A Hospital A None
Recirculation / Crossover Options (check all that apply)

A to A B to B A to B B to A Hospital A Hospital B None
Container Types Length x Width x Height (check all that apply)

Gaylord - Small (48"x40"x35" plus 5" pallet) Gaylord - Medium (48"x40"x46" plus 5" pallet) Gaylord - Large (48"x40"x60" plus 5" pallet) Gaylord - High Capacity (48"x40"x69" plus 5" pallet) Hamper - Wheeled (48"x31.5"x38.25") Bin (48"x40.75"x45.75") USPS Sack (43"x30") Other-Container Types
Discharge Types (check all that apply)

Chute, Divider, Accumulation Slide, Conveyor-Gravity Roller, Conveyor-Powered Belt, Conveyor-Cross Under, Sacks, Other-Discharge Types
Other Description
Output Options (check all that apply)
Sensor Options

Container Present Container Full Sort Confirmation None
User Assistance Options

Displays Lamp-Bin full Lamp-Container missing Horn None
Container Manifesting Options

Manifesting None
Purge Options (check all that apply)
Sensor Options

Container Present Container Full None
User Assistance Options

Displays Lamp-Hi-Vis Horn-Adjustable Volume Output Reset Button None
Output Options

Direct to Container Accumulation Conveyors Accumulation Chute Closeout Gate Safety Fencing None
Backend Safety options (check all that apply)

Sort Module Side Guards Sort Module Under-Guarding None
Description of Requested Solution

	Lane A
Number of Semi-Auto Feed Stations
Number of Accumulation Hoppers
Number of Semi-Auto Dumpers / Unloaders
Number of Manual Encoding Stations
Number of Conveyor Lines Upstream of Feed Table Directly Feeding the Feed Lane

	Lane A
Quantity

	Lane A	Lane B
Quantity

	Lane A
Quantity

	Lane A	Lane B
Quantity

	Lane A
Quantity

	Lane A	Lane B
Quantity

SPARES & CONSUMABLES
Spares Defined For This Project? *
Replacement parts are categorized as Spares or Consumables and share a common provisioning value. Consumables include: bearings, belts, filters, fuses, lights, lubricants, and paddle deflector / diverters. All other parts are considered spares.

Level 1: COMPLETE: All categories of spare parts are included.

Level 2: MAX PRODUCTION: Some of the system can run w/o these parts but production / output may be reduced.

Level 3: MAX PROFORMANCE: System can run w/o these parts but performance will be reduced.

Level 4: REQUIRED: Minimum Critical Spares are included.
Replacement parts are categorized as Spares or Consumables and share a common provisioning value. Consumables include: bearings, belts, filters, fuses, lights, lubricants, paddle deflector / diverters, and roller foam. All other parts are considered spares.

Max Production: Some of the system can run without these parts but production/output may be reduced.
Max Performance: System can run without these parts but performance will be reduced.
General: Nominal spares.
Base Xstream:
Dumper/Hopper:
DWS:
3rd Party Conveyors:

SERVICE & SUPPORT
Service Contract Required? *
Support Options (select all that apply)

Parts 24/7 Phone Support Field Tech On-Call On-Site

	Lane A	Lane B
Number of Semi-Auto Feed Stations per Feed Lane
Number of Accumulation Hoppers per Feed Lane
Number of Semi-Auto Dumpers / Unloaders per Feed Lane
Number of Manual Encoding Stations per Feed Lane
Number of Conveyor Lines Upstream of Feed Table Directly Feeding the Feed Lane per Feed Lane

Output Options (check all that apply)