Data collection sheet
for Brewery Pasteurizer Treatment Programme

NEW CLIENT / NEW APPLICATION
S.No. Description Details
1 Client name with full postal address and pin code
  Phone
  Fax
  Email
2 Attention to whom
Name
Designation
3 Subject
4 Our Sales Person (s) involved
5 Discussion over Phone/Direct Site Visit Phone Direct Site Visit
6 Discussed with whom
Name
Designation
7 Offer to be sent to Fax / Courier : If fax : Fax Number Courier Fax         Fax No.
8 Copies to be sent to ( ie CC to )
Name
Designation
9 Whether manual cleaning is being carried out in pasteurizer deck spray nozzles and screens at present.(If yes, kindly mention the frequency of cleaning at present) Yes   No
10 Kindly mention the approximate thickness (in mm) of slime deposits on the pasteurizer internal wall and in the preheat and pre cool zones.
Pasteurizer internal wall
In thePreheat
Pre cool zones
11 Frequency of water drainage or replacement from the pasteurizer due to foul smell in the work place due to biological growth
12 Total water hold up of the pasteurizer system
13 No of zones in pasteurizer and the temperature of each zone
14 Frequency of water change at present to remove broken pieces of bottles / glasses from pasteurizer zones
15 Fresh makeup water quantity per day
16 Type of fresh makeup water
17 Whether corrosion is there in the system at present Yes    No
18 Material of construction of the pasteurizer and the type of metallurgy in the system
19 Any treatment programmes being followed at present Yes      No 
  If yes please provide the details of the same
20 Total bacterial count level in the recirculating water in the pasteurizer at present
21 If any other specific problems are there at present, please provide the details of the same.
22 Characteristic of the make up water
pH 
TDS ppm  
Total Hardness ppm
P.Alkalinity ppm
M.Alkalinity ppm
Chlorides ppm
Iron ppm
Silica ppm
Sulphates ppm
23 Whether scaling problem is there at present Yes    No 
24 Type of heat exchanger
25 Prodution capacity of pasteurizer (number of bottles/day)
  Recommended Product(s)
  Dosage Details
  Special Instruction(if any)
  Date of Visit by you
  Offer sent Date to Client