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Return Equipment Questionnaire


 
  1. Thank you for your interest in the products and services of De Dietrich Process Systems.  Please fill out the form below to the best of your ability.  You will be contacted shortly with the information you've requested. You can also reach us by calling 908-317-2585 to speak to a representative about your inquiry.

     

  2. Customer Information
  3. Has equipment been previously reglassed?:
  4. Does the nameplate legibly display the "U" stamp?:
  5. Was the equipment thoroughly cleaned and free of residual process chemicals?:
  6. Was the Jacket thoroughly cleaned and free of residual media?:
  7. Were MSDS documents sent prior to shipment of vessel?:
  8. Have all plugs, nozzle liners, sleeves and patches been removed from the vessel and jacket?:
  9. Does the equipment have a hole in the GLASS liner into the jacket?:
  10. If so, were any toxic, explosive, flammable, or irritating chemicals used in the equipment during the last production sequence?: if ″″ chosen