Application Worksheet: Custom or Robotic Enclosure

AirClean Systems manufactures a variety of customized solutions for laboratory equipment and procedures. In order to provide the correct solution, the data below is required by our engineering and technical staff to better understand your needs. Please provide detailed and accurate information so we can best determine if a ductless safety enclosure will work for your application. All applications are not appropriate for a ductless enclosure and only complete and accurate information will allow us to validate the use of our product line. Thank you for your time and interest in our ductless safety products.

Fields marked with an (*) are required.

Your Contact Info

First name *

Last name *

Email address *

Phone number *

Company name *

Street address

City

State/Region

What is the application? ex. robotic enclosure, bulk chemical handling, raw sampling enclosure, etc.

Your Application

To expedite your application validation, please provide the most information possible.

Please tell us what chemicals you plan to use with this equipment:

Chemical Name: *	Concentration:	Volume Evaporated In 24hrs :	Frequency of evaporation (days per week):	Heated Temperature:

Will you be using any powders or particulates? *
Yes
No

Will the equipment be enclosed? If yes, please explain: *

Are you trying to protect the operator or process? *
Operator
Process

What is the minimum required working area for the enclosure? Please include height, depth, and length. *

Will you require any access ports for electrical cords, serial cables, or supply hoses for the equipment inside the enclosure? Select all that apply below.*
None are needed
One or more on the left side of the enclosure
One or more on the right side of the enclosure
One or more on the back of the enclosure

Please add the two numbers to prove you are a human.

Result*