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Your Principal Activity

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Alconox Inc. Dealers
Biotech/Biopharma
Cannabis
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Dental
Electronics
Environmental (Water)
Food & Beverage Manufacturing
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Healthcare
Industrial Manufacturing
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Lab (University)
Medical Device Manufacturing
Medical Device Reprocessing
Metal Cleaning
Optics
Passivation
Pharmaceutical
Photovoltaic
Precision Manufacturing
Tattoo
Veterinary
Other

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Your Primary Job Function

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Administrative Assistant
Consultant
Corporate Management
Engineer
Healthcare
Lab Manager
Owner
Plant Manager
Purchasing
Qc/Qa Validation
Safety/Regulatory Compliance
Sales/Marketing Distribution
Scientist/Researcher/Teacher
Stockroom/Store/Warehouse
Technician
Other

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What size/how often do you purchase high-quality cleaners?

Single boxes or bottles

Units

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Units Frequency

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Weekly
Monthly
Yearly

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Boxes or bottles

Cases

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Cases Frequency

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Weekly
Monthly
Yearly

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50-100 lb or 5-15 gal drum

Medium Sizes

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Medium Sizes Frequency

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Monthly
Yearly

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300 lb or 55 gal drum

Bulk Sizes

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Bulk Sizes Frequency

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Weekly
Monthly
Yearly

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Estimated annual purchases of high-quality cleaners, if known

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What surfaces are you cleaning?

Surfaces Cleaned

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What soils are you removing?

Soils Cleaned

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What do you use the cleaner for?

Household usesLabwareField sampling equipmentOther re-usable items/instrumentsFiltration membranesLarge manufacturing equipmentManufactured itemsSelling/DistributionRestaurant equipment and facilitiesOther

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if other please describe

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What type of cleaner do you use?

Type of Cleaner used

Liquid cleanerPowder cleanerI can use either powder or liquid

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If you clean by immersion, how?

Immersion Methods

By handSoak or circulate clean-in-placeSyphon pipet washerUltrasonicOther non-spray

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If Other Method:

describe other non-spray

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What machine cleaner do you use?

Machine Cleaners

Glassware WasherCIP SprayWasher/SanitizerSolvent VaporPC Board WasherParts WasherPower Spray WandOther

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Other

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Is there an acid rinse cycle?

NoYes

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Cleaners

What cleaners are you currently using?

AlconoxAlcojetAlcotabsCitrajetCitranoxDetergent 8DetojetDetonoxKeylajetLiquinoxLuminoxSolujetTergajetTergazyme

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If no, what do you use?

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Are you are currently experiencing problems with the cleaner you are using?

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Any special waste treatment/disposal concerns?

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Is rusting an issue?

yesno

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Additional comments

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Are you willing to receive hazardous corrosive liquid detergent samples if the questionnaire indicates that they should be tested for your application?

No, please do not send hazardous corrosive liquid detergentYes, we can receive hazardous corrosive liquid detergent

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Special complimentary book offer - $39.95 value - The Aqueous Cleaning Handbook

I agree to try the samples being sent as a result of this request

I agree to let Alconox know the results of my sample trial by completing the sample report card (will be included with samples)

I understand that I will be billed $39.95 for the book if I fail to try out and report the results of my trial

Please SEND me the Aqueous Cleaning Handbook. I agree to terms stated above.

NoYes

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If you wish to purchase the book, please order it on our website or call Alconox, Inc. at 1-877-877-2526.

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