Please fill out this questionnaire accurately and as fully as possible so that we could guarantee quality execution of orders.
    
  
      
          | NUMBER OF ROLLERS: | 
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          | NUMBER OF DRAFTS: | 
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          | MARK ON ROLLER: | 
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        | 1. RESORT OF USE  | 
      
      
          | INDUSTRY SECTOR: | 
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          | ROLLER FUNCTION: | 
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          | MACHINE TYPE: | 
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        | 2. MEASURES AND TOLERANCE  | 
      
      
          | 2.1. RUBBER COVER  | 
          MEASURE | 
          TOLERANCE | 
      
      
          | COMPLETE ROLLER DIAMETER in mm Ø D: * required! | 
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          | COVER LENGHT in mm L: * required! | 
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          | GRINDING WITH CROWN (dimension/diameter): | 
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          | CILINDRICITY: | 
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          | HEADEDNESS: | 
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        ROLLER COVERING
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          | 2.2. ROLLER CORE  | 
          MEASURE | 
          MANUFACTURER | 
      
      
          | ROLLER CORE DIAMETER in mm Ø D: * required! | 
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          | ROLLER LENGHT WITHOUT ARMLET in mm L: | 
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          | ROLLER LENGHT WITH ARMLET in mm E: | 
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          | CORE WEIGHT in kilos: | 
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          | MATERIAL: | 
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          OTHER INFORMATION ABOUT THE ROLLER CORE: (new, used, hollow, smooth, rough, faceted,...)
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          | 2.3. FRONT SIDE AND ARMLET COVER (we always remove cover from the front side and make it again on your choice)  | 
      
      
          | FRONT SIDE THICKNESS L-L1: | 
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          | FRONT SIDE LENGHT B: | 
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          | FRONT SIDE DIAMETER Ø A: | 
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          FRONT SIDE AND ARMLET COVERING
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          | 3. MECHANICAL REQUIREMENTS  | 
      
      
          | ROLLER IN USE approximately: | 
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          | LINE PRESSURE kp/cm: | 
          MINIMAL: | 
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          | MAXIMAL: | 
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          | ROLLER SPEED IN OPERATION m/sec: | 
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          | REVOLUTION PER MINUTE (RPM): | 
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          | TYPES OF MAIN LOAD: | 
          PRESSURE: | 
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          | FRICTION: | 
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          IS THE SCRATCHER SLIPPING ON ROLLER, UNDER WHAT ANGLE AND FROM WHAT MATERIAL IS IT MADE OF?:
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          OTHER:
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          | 4. HEAT REQUIREMENTS  | 
      
      
          | TYPE OF CONTACT MEDIA V: | 
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          | CONTACT TEMPERATURE in °C: | 
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          | MAXIMAL TEMPERATURE in °C: | 
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          | TEMPERATURE IN RUBBER COVER in °C: | 
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          | ROLLER COOLING: | 
          INTERNAL: | 
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        | EXTERNAL: | 
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        OTHER:
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        | 5. CHEMICAL REQUIREMENTS (paints, lacquer, solvents, acids, alkalis, etc.)  | 
      
      
        | CONTACT MEDIA (incl. CONCENTRATION): | 
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        | CONTACT MEDIA (incl. CONCENTRATION): | 
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        | CONTACT MEDIA (incl. CONCENTRATION): | 
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        OTHER:
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        | 6. PREVIOUS ROLLER COVER  | 
      
      
        | SUPPLIER: | 
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        | HARDNESS Shore A, Shore D: | 
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          | RUBBER TYPE: | 
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        | COLOR: | 
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        | 7. NEW COVER REQUIRED CHARACTERISTICS  | 
      
      
        | RUBBER TYPE: | 
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        | COLOR: | 
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        | HARDNESS Shore A, Shore D: | 
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        | RESISTANCE TO: | 
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        OTHER:
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        | 8. SURFACE TREATMENT REQUIREMENTS | 
      
      
        |  UNGROUND | 
         POLISHED | 
      
      
        |  GROUND | 
         GRINDING WITH CROWN | 
      
      
        |  FINE GROUND | 
         GROOVED | 
      
      
        |  OTHER:  | 
      
      
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        | 9. RUBBER COVER FINISH  | 
      
      
        | RADIUS R: | 
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        LENGHT in mm L: | 
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        | DEPTH in mm T: | 
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        ANGLE (%) a: | 
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        COVER ENDS 
        
        
        
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        | 10. DYNAMIC AXLE BALANCING  | 
      
      
        | ROTOR MASS in kilos: | 
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        | ROTOR DIAMETER in mm D: | 
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        | BEARING SITE DIAMETER d: | 
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        | THE DISTANCE BETWEEN BEARING SPACES L: | 
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        | NUMBER OF REVOLUTIONS DURING FUNCTIONING (min-1): | 
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        | MAXIMUM NUMBER OF REVOLUTIONS ALLOWED (min-1): | 
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        | BALANCING CLASS: | 
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        OTHER:
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        ROLLER BALANCING
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        | 11. DELIVERY TIME:   | 
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        12. WISHES AND OTHER NOTES:   
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