General Questionnaire

	General Questionnaire
	Name:	Title:
	Company:	Telephone: Fax
	Address:	E-mail:
	City:	State: ZIP

	Type of Product Requested:	Humidity Indication Dehydration Desiccation
1.	Equipment /container volume	cubic ft/in
2.	Required dewpoint	dewpoint/RH
3.	Available space/envelope	dims
4.	Maximum allowable pressure differential	ins.wg/psi.
5.	Air transport max Rate of ascent	ft/min
6.	Air transport max Rate of descent	ft/min
7.	Maximum operating temp.	deg F
8.	Minimum operating temp.	deg F
9.	Maximum storage temp.	deg F
10.	Minimum storage temp.	deg F
11.	If RF screening is required indicate level	attenuation @ ghz
12.	What particulate filtration level is required	micron
13.	Minimum period between desiccant changes	months
14.	Mil Spec requirements	Spec heading
15.	Abnormal environmental hazards
	shock	vibration
	nuclear/biological	corrosion
16.	Container construction
	material	gaskets/seals dims/mat
17.	Hygroscopic loading: CCA/cable/potting	dims/wt
18.	Other comments

54 Wrightstown-Cookstown Road , PO Box 0128 • Cookstown, NJ 08511-0128 USA
Tel: 609-758-1794 - Fax: 609-758-1774
E-mail: drytech@drytechinc.com
www.drytechinc.com