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Find The Right Dishwasher For You

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DISH ROOM SURVEY JOB NAME: Dealer: Contact name: Position/Title: Phone: Email: Address: City: Prepared by: Contact name: Decision maker: Position/Title: Phone: Email: Fax: State: Rep group: Fax: Zip: Email: ON-SITE INFORMATION Ceiling height: NOTE: Floor condition: Meals per day: Manufacturer: Direction of unit: Electrical supply: Circuit Breakers: Tank heat type: Incoming H2O °F Pieces Per Hour: Doorway height: Doorway width: Aisle width: Verify how unit is received and moved into room. Measure elevator with doors closed. Electric LARGEST SECTION SITE CAN ACCOMMODATE Size of Largest ware washed Level Sloped Pitched # of operators: Hours of operation per day: EXISTING UNIT INFORMATION R-L Yes Electric °F Model: Pre-wash tank: L-R 30” Total amps: IF Yes Indicate Location: No Booster heat: Steam Gas IF STEAM PSI: 48” Overall length: Blower/Dryer unit: # Electrical connections: 40° Electric Heat Recovery: Yes 70° Yes No Steam No Is Installation Quotation Required: Incoming Water Temperature Incoming Water Pressure: WATER / VENTILATION INFORMATION Existing Ventilation -CFM Rating: Load End: Unload End: Pantleg Ductwork CFM: Load End: Unload End: Central Ductwork: PHOTOGRAPH MACHINE GAUGES FOR WATER TEMPERATURE AND PRESSURE. USE WATER TEST STRIPS TO ESTIMATE °F PSI WATER HARDNESS.PHOTOGRAPH EXHAUST VENTILATION SYSTEM, TAKE READINGS IF POSSIBLE. CHAMPION RECOMMENDATION Model: Direction of unit: Electrical supply: Tank heat type: Heat Recovery: Special Instructions: R-L Electric yes Pre-wash tank size: Total amps: Gas Steam No Unit width: L-R 30” 24’ 48” Booster heat: 29’ Overall length: Blower/Dryer 48”: Yes # Electrical connections: Electric Gas Tank Length : 4’ 6‘ No Steam 8’ INFORMATION REQUIRED Specifics Needed: Send to: Date Needed: Quotation Dealer Representative Specifications Customer Drawings Other: ________________________ AUTHORIZED SERVICE AGENCY ASA: Phone: Ship address: City: Fax: Contact name: Email address: State: Zip: