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Company Information |
Company: * |
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Quote Due Date: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Country: |
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Telephone: * |
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Fax No.: |
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Name: * |
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Title: |
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E-Mail: * |
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Copy To: |
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Title: |
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E-Mail |
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Project Name: |
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1. Application |
Application: |
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Unit of Measures: |
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2. Process |
Describe your process |
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3. Materials To Be Conveyed |
Materials To Be Conveyed: |
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Avg. Particle Size: |
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Max. Particle Size: |
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Bulk Wt.: |
Lbs./Cu. Ft |
Material Degradation a Concern? |
Yes No |
Moisture Content as a %: |
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Probe Required: |
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Characteristics of material: |
dry wet hot sticky fibrous abrasive electrostatic acid oily
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Maximum Material Temperature: |
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4. Conveying Rate |
Required Conveying Rate per hour |
Please Specify Units(tons, liters, gallons etc...) |
Max. Conveying Distance: |
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Horizontal: |
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Vertical Up |
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Vertical Down |
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No. of Turns |
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Elevation of Jobsite |
feet above sea level |
5. Hose Diameter |
Preferred Hose Dia.: |
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6. Questions for Fixed Manifold System |
Piping Required: |
Yes No |
Piping Layout Attached: |
Yes No |
Multi-Vac To |
size pipe supply pipe install pipe |
Total Number of Pick Up Points: |
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Total Number of Drop Points: |
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Number of operators at same time: |
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Silo/Bin/Bunker: |
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7. Electrical |
Electrical Service: |
Please Specify Volts, Phase, Hertz |
Explosion Proof NEMA Classification: |
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Powered By: |
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Compressed Air Available: |
Yes No |
psi: |
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8. Hopper System |
Description of Hopper System Required |
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Product Discharges: |
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Other Type of System, please describe: |
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What happens to material after it is collected: |
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Vacuum Power Pack located: |
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Similar To Model or Photograph No.: |
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Add any details we should be aware of: |
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9. Vacuum |
Vacuum to be Towable: |
Yes No |
Towable: |
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Ground Clearance: |
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10. HEPA Filtration |
HEPA Filtration: |
Yes No |
Noise Specification: |
Yes No |
Required Decibels @ 3 feet: |
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11. Surface Preparation |
Special Surface Preparation: |
Yes No |
Specification: |
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12. Paint |
Special Paint Required: |
Yes No |
Specification: |
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13. Special Features |
Intercept Hopper: |
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14. Specifications |
Specifications Required: |
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15. Base Price Special Equipment |
Special Equipment To Be Included In Base Price: |
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16. Optional Special Equipment |
Special Equipment To Be Included As Optional Items: |
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17. Delivery Requirements |
Shipping, Unloading, and Installation Considerations: |
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Smallest opening equipment passes through: |
Please Specify wide x high |
Headroom limitations: |
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Floor load limitations: |
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Floor space limitations: |
Please Specify wide x deep |
18. Purchase Time Frame |
Please indicate a purchase time frame for this application: |
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19. How did you find us? |
Please advise how you found us: |
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To complete your request please enter the 5 character security code. |
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request new code |
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