Propack Sterile Blending Questionnaire
Customer Details
Email address *
Company
Address/ Country
Phone Number
Contact Person & Designation
Product/Application
What is the product/application? *
Product Properties
Specific Gravity
Viscosity
Area Classification
Scope and Capacity - Manufacturing Vessel
Fill out the following if Manufacturing Vessel is required, leave blank otherwise.
Liters/Kg
Nos.
Scope and Capacity - Holding Vessel
Fill out the following if Holding Vessel is required, leave blank otherwise.
Liters/Kg
Nos.
Scope and Capacity - Load Cells for:
Automation
Select all applicable
Type of Automation
Automatic (PLC)
21 CFR Part 11 Compliance
Product - Material of Construction
Contact Parts
Non-Contact Parts
Surface Finish
Roughness Average
Internal Surface Finish:
External Surface Finish:
Jacketed / Non-Jacketed
Jacketed
Non-Jacketed
Manufacturing Vessel
Holding Vessel
Agitator
Manufacturing Vessel:
Holding Vessel:
Vessel Leg Support
Stationary
Mobile
Manufacturing Vessel
Holding Vessel
Accessories required for Vessel
Select all that apply
Inbuilt CIP/SIP Accessories
Required
Not Required
Manufacturing Vessel
Holding Vessel
Filtration System
Enter Filtration Efficiency in Micron for filtration system required, otherwise leave blank.
Pre-Filter
Between Manufacturing & Holding
Post Filter
Between Manufacturing & Holding
Final Filter
After Holding
Filtration Pipeline
Any other specific requirement?
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