Company Information

Company:

Contact Name:

Address:

State:

Email:

Phone:

Fax:

Material Data

Name of Material:

Material Bulk Density:

Moisture %:

By Weight:

Surface:

Material Temperature:

Is Material Friable:

Is Material Abrasive:

Is Material Toxic:

Is Material Explosive:

Material Mesh Size:

Material Hardness:

Maximum Lump Size:

Project Data

Is Project Funded:

Order To Be Placed:

Equipment, Material Of Construction: (Please choose at least one.)

Controls Required:

Installation Required:

Site Data

Site Altitude:

Seismic Zone:

Nema Electrical Classification:

Ambient Temp. Range:

90 to 100 PSI Air Available:

Instrument Air Available:

Performance Data

Conveying Rate:

Horizontal Distance:

Vertical Distance:

Est. Number of 90º Bends:

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