Customer Information
 
From:   End User: (if diff. from Customer)
 
Customer Name:   Company:
 
Address:   Address:
 
City:   City:
 
 
State:        Zip:   State:       Zip:
 
Phone:             Phone:          
Contact:   Contact:
 
 
Email Address:  
 
 
Proposal Due Date: Time:
Proposed Installation Date: Target Price Range:
Budget Price   Firm Price   Optional Pricing Required  
Competition:
 
System Intelligence
 
Operator Interface: Yes No Host Interface: Yes No
PC Type:   PC Housing:  
Screen Size:  
Communication Format:
Bar Code Data: (Format, Characteristics, Location)
Other Special Sensors:
System Description:
 
Design Services
 
Check All Requested Services
Design/Engineering
Programming
CAD Drawing
Setup & Test      Location:     
Onsite Startup    Location:    
Field Startup      Location:     
Screens Software Location:
 
Installation Services
 
Check All Requested Services
Power Feed (120 VAC)
Power Feed (480 VAC)
Control Panel
 Sensor Brackets
Sensor Devices
Solenoids
 
Environment/Specifications
 
New Facility:    Yes  No
Temperature:  High:°F   Low:°F   Humidity%
Rating:
NEMA 1  NEMA 12  NEMA 4  NEMA 4X  NEMA 7/9
Explosion Rating:
Class:   Division:   Group:
Conduit: Yes No Connectors: Yes No
Control and Power wiring to share same conduit? Yes No
Conduit Run Location: Floor Overhead Conveyor/Machine
Control Logic: PLC PC Both
Control Voltage: 120 VAC 24 VDC
Motor Voltage: 120 VAC 230/208 VAC 480 VAC
Paint Specification:
Customer Specifications Available: Yes No
End User Specifications Available: Yes No
Drawings Available: Yes No
 
Product/Operation Information
 
Operation:
Constant  Intermittent  Hrs./Day:   Days/Week:
Rates & Capacity:
Loads/Min.:   Loads/Hr.: Max. Rate.:
Conveyor Speed:
Constant  Variable    Speed Required:   fpm
Product to be handled:
Product Size:
Minimum Size: L   W   H   WT
Maximum Size: L   W   H   WT
 
     
 

 




     
  Action Equipment Solutions, Inc.
102-5 Supply Court
Georgetown, KY 40324
 Phone: 502-863-2999
Fax: 502-863-9050
Email: info@aesi-ky.com