INQUIRY DATA SHEET
INQUIRY DATA SHEET
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| Customer: Address: City/State: |
______________________________ ______________________________ ______________________________ |
Rep: Engineer: Date: |
____________________________________ ____________________________________ ____________________________________ |
| Phone: | ___________________ | Fax: | ___________________ | Email: | ______________________________ |
| Contact: | ____________________________ | Item #: | _________________ | Quantity: | ________________ |
| __ User | __ O.E.M./ Resale | Reference: _________________________________________ |
TANK
| Normal liquid level/Volume: ____"/ ____Ga. | Max.: ____"/ ____Ga. Min: ____"/____Ga. |
| Tank Volume: ___________________ | Baffles: ___________________ | Angle/ Offset: _____________ |
PROCESS DATA
| Description of application:
_______________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ |
| Degree of agitation required: __Mild __Moderate __Vigorous __Violent Mix Scale: ___________ |
| 1) Product: Visc.: Sp. Gr.: |
___________________ ___________________ ___________________ |
Product: Visc.: Sp. Gr.: |
___________________ ___________________ ___________________ |
Final: Visc.: Sp. Gr.: |
____________________ ____________________ ____________________ |
| 2) Solids Present: __No __Yes | Degree of suspension: _____________________________________ |
| Sp. Gr.: _______________of solids | Percent: _______________of solids | __ By Vol. __ By Wgt. |
| Particle size: ___________________________ | Settling rate: ________________________________________________ |
| 3) Blend time: _______________ | 4) Operating temp.: ____________ | Pressure: ____________________ |
| 5) Mixing cycle: __Batch __Continuous | Rate of flow: ________________________________ |
MECHANICAL DATA
| Mixer type:
__Clamp __Fixed
mount top entering __Baseplate
__Angleriser __Flange __Side ent. __Turbine __Other: _________________________________________ |
| Motor Data: Enclosure: ________________________ Phase: ______ Hertz: ______ Volts: ______ |
| Shaft seal data: Type:
____________________________________________________________________ Design pressure: ______________________ Design Temperature: __________________ |
| Material of wetted parts:
_________________________________________________________________
|
| Notes: ______________________________________________________________________________ |
3131 Casitas Avenue, Los Angeles, CA 90039
Tel: (323) 664-1941 Fax: (323) 660-5677