FILTRATION SYSTEM QUESTIONNAIRE The information provided on this form will be used to generate your proposal. Please provide accurate information. Please contact your sales representative if you have any questions. Company: From: Phone: Fax: Address: Email: Application: Due Date: Space Limitations: Length: Width: Height: Ft In m FLUID CHARACTERISTICS Name of Liquid: Composition of Liquid: Density: Lb/ft3 Viscosity: Kg/m3, Pressure: PSI Bar, pH: Operating Temperature: cps, Temperature: °C °F Room Temperature: cps, Temperature: °C °F Manufacturer/ Part Number/ Other: Flow Rate: GPM Operating time: Process: LPM, Constant Variable, Describe: Hrs/ day Continuous Days/ week Batch, If Batch, Volume: Gal Weeks/ month, L, QTY Per EXISTING FILTRATION SYSTEM Make: Type: Model: DE Filter Aid: Solids: Cellulose Yes Total Activated Carbon Cartridge, No Specifications: Suspended, per hour by: Weight: Other PSID Existing Cake: Pressure Drop % or PPM or PSID Gal L Composition of Solids: Cake Washing, Purity, Disposal: JLM: July 27, 2010 Page 1 of 4 ELECTRICAL CONTROLS Controls required: Yes No, Level of Automation: Available Power V Hz, Control Voltage Manual, Automatic V Hz Requirements: THERMAL CHARACTERISTICS Ambient air temperature Cooling required: Yes min, No, max °C Cool-down Time °F Hour Desired Coolant Temperature min, max °C °F Minimum Coolant Temperature min, max °C °F °C °F Coolant: Chilled water Heating required: Yes Glycol (attach data sheet), Temperature No, Heat up time Hour Desired temperature min, max °C °F Maximum temperature min, max °C °F °C °F Source: Hot Water Temperature Steam, Line Size In m, Pressure PSI Bar Other/ Requirements TANKAGE Above Grade: Below Grade: JLM: July 27, 2010 On Floor Sump At Every Machine on Floor Overhead Drain Piping In Pit Floor In Pit Shared for Several Machines Trench in Floor – Gravity Drain To Tank Page 2 of 4 PROCESS MACHINE Manufacturer Type Quantity Number of Grinding Spindles Total Grinding Spindle Power Grinder: Drain to Floor In m, Drain Elevation Swarf: Loading Lb Upstream Separation Required: Yes Kg, KW In per Hr m Day Week PSI Bar No, If yes, describe: Machining Process: Milling Type of Grinding: Cylindrical Face Super Finishing: Polishing Honing Material: Steel Clean Pumps: QTY HP Turning Drilling Flute EDM Hardened steel Deep Drilling, Other: External V Gear, Other: ECM, Other: Cast iron , Flow Rate: Balance Pressure Relief Valve Carbide, Other: GPM LPM, Pressure: VFD Stand-By NOTES: JLM: July 27, 2010 Page 3 of 4 JLM: July 27, 2010 Page 4 of 4
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