FURUKAWA MFG. CO., LTD.

- Worldwide Food Packaging Equipment and System -

200-65, Obara, Nutanishi-Cho, Mihara-Shi
Hiroshima-Ken 729-0492 Japan
Tel: (0848) 86-5853
Fax: (0848) 86-6350

Customer Inquiry Sheet

DATE: June 4, 2020

Name: Yoyok Setyo H

Address: Bekasi, Jawa Barat, Indonesia
TEL: +62 896 6940 7162 FAX: E-MAIL: yoyok@ptoremco.co.id

To estimate suitable model and price for customer’s requirement, the following sheet should be filled
out as initial information.

1. Required Type of Machine

Manual Loading Model ( ) or Full Automatic Model ( x )

2. Product : Height x Width x Length (mm)

( ) ( ) ( )　
a. Name of Product : Onion paste

b. Product Weight/Bag : 500 gr/bag

c. Shape of Product :-

d. Product Nature : Liquid ( )

Paste (x)
Solid ( )
Powder ( )
Mixed with ( )
Product Temperature before
Filling/Vacuumizing ( 40 )℃
* In case of powder,
- Bulk Specific Gravity : -
- Particle Size : -
- Character of Powder : -

e. Filling Method
Manual Filling ( ) or Automatic Weighing Machine ( x )
.
* Type of weighing machine to be prepared by customer
Manufacturer :
Model :
Type :
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 FURUKAWA MFG. CO., LTD.
- Worldwide Food Packaging Equipment and System -
200-65, Obara, Nutanishi-Cho, Mihara-Shi
Hiroshima-Ken 729-0492 Japan
Tel: (0848) 86-5853
Fax: (0848) 86-6350

f. If optional liquid filling device is required: ( ) cc/bag

* Type of liquid filling device to be prepared by customer
Manufacturer :
Model :
Remarks :

g. VacuumPackage ( ) or Filling/Sealing Only ( x )

h. Necessity of coding on the bag/pouch by packaging machine

　　　　　
If yes, type of coding device: Liquid ink stamp ( )
Hot printer ( )
Thermal printer ( )
Ink jet printer ( )
Other ( )
*Please attach your desired coding pattern with this inquiry sheet,
then return to us for our information.

3. Bag/Pouch
a. Bag Size : Width x　Length (mm) , Thickness (μm)
( 250 ) 　　 ( 100 ) ( 50 )

b. Bag Material :　
* In case of laminate, composition of laminate:

c. Type of Bag
1. Four Side Sealed Pouch ( )　　　　　　　　　　　　　　　　　　　　　　　
　2. Standing Pouch ( x )　　　　　　　　　　　　　　　　　　　
5
　3. Tube Type ( )
　4. Pillow Style ( )
5. Tetra Style ( )
6. Others ( )

d. Bag with a Zipper ( )

If yes, the position of a Zipper: Pre-sealed bottom side ( )
Packaging machine sealing side ( )
4. Expected Production Volume
a. Daily Production : ( 32000 ) Packs/Day
b. Normal Working : ( 8 ) Hours/Day
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 FURUKAWA MFG. CO., LTD.
- Worldwide Food Packaging Equipment and System -
200-65, Obara, Nutanishi-Cho, Mihara-Shi
Hiroshima-Ken 729-0492 Japan
Tel: (0848) 86-5853
Fax: (0848) 86-6350

5. Treatment after Packed

( ) Refrigerated at ( )℃
( ) Frozen at ( )℃
( ) Retorted at ( 121 )℃ ( 7 ) minutes
then, Cooled at ( 40 )℃ ( 15 ) minutes
( ) Sterilized at ( )℃ ( ) minutes
then, Cooled at ( )℃ ( ) minutes

6. Packaging Environment
a. Temperature in Packaging Room : 25 ℃
b. Humidity in Packaging Room : 52
c. Height of Packaging Room :3m
d. Door Size of Packaging Room :2m

7. Power Supply Voltage at Customer’s Plant

( 3 ) Phase, ( 380 ) Volts, ( 50 ) Hz (cycles)

8. Gas Flush Device Requirement ( )

Gas Composition N2 ( )%
CO2 ( )%
O2 ( )%
Others ( )% *Name of Gas :
Required Inert Gas Replacement Ratio ( )%

9. Destination
Destination Port:
Name of End User:
Address: TEL: FAX:
10. Delivery Terms:
( )Ex-Factory
( )Ex-Go-Down : Place( )
( x )F.O.B. : Place( Jakarta )
( )C.F.R. : Place( )
( )C.I.F. : Place( )

11. Required Regulations: ( )

12. Remarks
Customer may be requested to provide sample bags/pouches, products and liquid for further test
and consideration. Thank you very much in advance for your cooperation.

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