Large Capacity Autoclave Questionnaire

Model / Manufacturer

YesNo

Single DoorDouble Door

YesNo

What floor in the building will the autoclave be installed?

Is there clear access to the location from outside the facility?

If site is on upper floor is there a freight elevator, or special rigging with crane needed?

Is there a loading dock or will a lift gate truck be necessary?

Are there specific cycles needed with programming capability, as well as data recording capability (ie. printer, chart recorder)?

Do you have access to soft tap water, or to distilled water?

How soon do you need to receive the autoclave?

Please indicate any other specific instructions or concerns:

Name*

First NameLast Name

Email*

example@example.com

Company

Company Name

Phone Number*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

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