CONTACT
INFORMATION
* Company
Name:
* Address:
* Contact
First:
Address
2:
* Contact
Last:
* City:
* Phone
No.:
( )
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* State:
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WV
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Fax
No.:
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* Zip:
E-mail:
APPLICATION
INFORMATION
Process
Type:
Point
of Chemical Addition:
Process
Flow: Min.
Max.
(please
specify units)
Injection
Pressure: psi
Process
% Solids:
(thickening
or dewatering applications only)
CHEMICAL
INFORMATION
Chemical
to be used:
Purpose
of Chemical Addition:
pH
/ Alkalinity Adjustment
Filtration
Enhancement
Chemical
Dosage: Min.
Max.
(please
specify units-i.e., mg/L, #/dry ton, etc.)
Disinfection
Thickening
Enhancement
Odor
Control
Dewatering
Enhancement
Taste
Oxidation
Chemical
Form: Liquid
Dry
Clarification
Enhancement
Other
Concentration:
% as supplied
Dry
Chemical Storage Preference:
55#
(22kg) Drum
Silo
(Indoor)
110#
(44kg) Drum
Leg Support
50#
(20kg) Bags / Hopper
Skirted Support
Super
Sacks #
Silo
(Outdoor)
Leg Support
Bulk
Density:
# / ft3
Skirted Support
Storage
Requirements:
Hrs. Days
Other
storage considerations: (temperature ranges, high humidity, etc.):
UTILITY
INFORMATION
Power:
120 VAC, 1 Ph., 60 Hz.
Water
Supply Available:
psi @ GPM
240 VAC, 1 Ph., 60 Hz.
240 VAC, 3 Ph., 60 Hz.
Air:
scfm
psi
380 VAC, 3 Ph., 60 Hz.
480 VAC, 3 Ph., 60 Hz.
Other
CHEMICAL
SOLUTION DELIVERY SYSTEM
Feed
Type:
Delivery
Pump Type Preference: (if applicable)
Gravity
(Tank Overflow)
Peristaltic
(or hose)
Gravity
(Metered by Dipper Wheel)
Diaphragm
(Air)
Eductor
Diaphragm
(Hydraulically Actuated)
Pump
Diaphragm
(Mechanically Actuated)
Diaphragm
(Solenoid Actuated)
Progressive Cavity
Turbine
Centrifugal
Other
CONTROL
REQUIREMENTS & PREFERENCES
Control
Type:
Chemical
Pacing: (if applicable)
Discrete Relay Logic
Yes
Programmable Logic Controller (PLC)
No
Closed Loop
PLC
Preference: ( if applicable)
Allen Bradley
Alarms:
Modicon
Yes (typical per equip. type-consult factory)
Siemens
No
Other
Remote
Monitoring of System Status:
PLC
Human Interface Type (HIM): (if applicable)
Yes
Selector Switches / Lights
No
Alpha / Numeric Display
Touch-Screen
Communication
Type:
Discrete & Analog
Remote
Control: (if applicable)
Ethernet
Yes
PLC Protocol (data highway, mod bus, etc.)
No
OTHER
CONTROL CONSIDERATIONS OR COMMENTS:
GENERAL
COMMENTS:
CUSTOMER
NEEDS:
Specifications
General Catalog Drawings
Budget Pricing
Sales Visit