Please note: if you are accessing this page from an offers website, you may wish to consider that this offer is for industrial detergents and is not intended for household use.

If our standard sample which makes 1 gallon (3.8 liters) of test cleaning solution will not be enough for your sample evaluation, please e-mail cleaning@alconox.com.

To help us send the right samples for your application, please check all boxes that apply, or fill in where indicated.

Contact Information

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Your Principal Activity
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if other please describe
Your Primary Job Function
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if other please describe

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

Single boxes or bottles

Units
-
+
Units Frequency
  • - select -
  • Weekly
  • Monthly
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Boxes or bottles

Cases
-
+
Cases Frequency
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  • Weekly
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  • Yearly

50-100 lb or 5-15 gal drum

Drums/Galons
-
+
Medium Sizes Frequency
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  • Weekly
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300 lb or 55 gal drum

Bulk Sizes
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+
Bulk Sizes Frequency
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  • Weekly
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Estimated annual purchases of high-quality cleaners, if known

Estimated Annual Purchase

Cleaner Usage

What are you cleaning?

Polycarbonate, acrylic, and other sensitive plastics
Filters, membranes, RO or UF systems
PC boards, wafers, electronic components
Pipets in syphon washers
Soft metals: aluminum, copper, brass, other non-ferrous
Stainless steel, iron, nickel
Glass, ceramic, porcelain, rubber, fiberglass, plastic
Other
if other please describe

What soils are you removing?

Proteinaceous soils, blood and other body fluids, tissue
Inorganic soils, scale, salts, metallic complexes, metal oxides, trace metals
Silicone oils, mold-release agents, buffing compounds, radioisotopes, radioactive contaminants
Oils, cutting fluids, chemical, solvents, bio-residues, particulates, laboratory soils
Heavy oils, greases, baked-on residues
Conductive residues, resins, rosins, solder, fluxes, particulates, salts
Other
if other please describe
What do you use the cleaner for?
if other please describe

How are you cleaning?

Type of Cleaner used

If you clean by immersion, how?

By Hand
Soak or circulate clean-in-place
Syphon pipet washer
Power spray wand
Ultrasonic Cleaner Brand
Age (years)
-
+
Other Non-spray
describe other non-spray
Age (years)
-
+

What machine cleaner do you use

Glassware Washer
Brand name
How many years
-
+
CIP Spray
Brand name
How many years
-
+
Washer/Sanitizer
Brand name
How many years
-
+
Solvent Vapor/Soak
Brand name
How many years
-
+
PC Board Washer
Brand name
How many years
-
+
Parts Washer
Brand name
How many years
-
+
Power Spray Wand
Brand name
How many years
-
+
Other
Brand name
How many years
-
+
Is there an acid rinse cycle?
If you use cleaning machinery, are you planning to purchase new, upgrade, or replace it in the near future?

Detergent

Do you currently use an Alconox, Inc. detergent?
Please specify what you currently use

Issues, Comments, Concerns

Are you are currently experiencing problems with the cleaner you are using?
Any special waste treatment/disposal concerns?
Additional comments

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

  • - select a option -
  • Yes, we can receive hazardous corrosive liquid detergent samples
  • No, please do not send hazardous corrosive liquid detergent samples
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.
If you wish to purchase the book, please order it on our website or call Alconox, Inc. at 1-877-877-2526.