Vacuum System Request Form

Screw Dimensions:

Head Diameter: “D” Size (mm)

Head Height: “t” Size (mm)

Length: “L” Size (mm)

Shaft Diameter: “d” Size (mm)

Tip Size for Bit: ( P1, P2, T1, T2, Etc)

Please indicate if screw is fitted with a washer

f screw is fitted with a washer (Yes or No):

Drawing of Fastener

astener (Yes or No):

Requirement! We must have at least 50 sample screws at components, and test with screw presenters and the vacuum pick order. Failure to send sample screws will delay final design valid We must have at least 50 sample screws at the time of order to validate and finalize the design, fabricate the components, and test with screw presenters and the vacuum pick-up solution. The sample screws can be returned with your order. Failure to send sample screws will delay final design validation and fabrication. the time of order to validate and finalize the design, fabricate the up solution. The sample screws can be returned with your

Comments:

Customer's Application Information  We need to understand the working environment and screw placement, as this is required to determine accessibility, bit, and mouthpiece requirements. length requirement for a vacuum pick-up solution  A photo of the application and the working environment helps determine potential obstacles and specific requirements, such as countersunk screws, nested a fastening points, orientation of fasteners, etc.  In scenarios where there are nested assemblies, countersunk screws, and objects near the fastening points, we will need detailed drawings  Mouthpieces are typically made using stainless steel. may be susceptible to scuffing or scratching, which may require the use of an alternate material for the Mouthpieces, i.e., Delrin or Acetal.  Attach all supporting documents to the Box files tab uthpiece requirements. There is a minimum bit up solution. and specific requirements, such as countersunk screws, nested assemblies, objects near the . stainless steel. Please advise if any finished surfaces for the opportunity (internal).

Obstructed Application (Examples of Non Applicable)

Customer's Application Details:

Clear Application (Examples of Applicable Project)

1080 North 11th Street, San Jose, CA 95112 | Phone: (408) 292 SILICON VALLEY HEADQUARTERS 1080 North 11th Street, San Jose, CA 95112 | Phone: (408) 292-2214 | Fax: (408) 292-2733 | mountztorque.com mountztorque.com

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