Cleanroom Questionnaire
1.0 General
Company
Street
City
State
Zip
Tel
Fax
Contact(s)
Desired Completion Date of Room:
2.0 Room Details
Room Size:
L
W
H
Anti-Room:
L
W
H
Air Shower:
L
W
H
Windows:
Qty.
Size
Doors:
Qty.
Size
Floor - (Epoxy, Vinyl, Raised)
Sprinklers
Does Plant Have Sprinklers?
Walls - (Hardwall, Softwall)
Pass-Thru’s
Room Monitoring Equipment - (Magnehelic, Particle, Counter, etc.)
Electrical Outlets
Union Labor Requirements
3.0 Room Operating Specifications
Temperature
Humidity
Class
Lights (F.C.)
4.0 Room Operating Conditions
Number of Occupants
Ambient (Plant)
Temp
Min
Ambient (Plant)
Humidity
Min
Internal Dissipated Heat
Watts
HP
BTU
Made-Up Air Can Be Drawn From - (Plant or Outdoors)
Exhaust, Process
CFM To
5.0 Plant Information
Present Floor Material and Condition
Overhead Clearance
To Underside of Joints or Beams
Present Roof or Ceiling Construction
Distance to Nearest Outside Wall
Possible Location(s) for A/C Equipment
Electrical Services - Available or Desired Voltage/Phase
6.0 Installation
Turnkey
Customer Assemble
Clean Air Systems Install
 

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Clean Air Products  •  www.cleanairproducts.com
8605 Wyoming Ave. N. • Minneapolis, MN 55445 • 800-423-9728 • ph: 763.425.9122 • fax: 763.425.2004