| Company | | *
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| Division | |
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| Street | |
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| City | | *
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| State | | *
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| Zip | | *
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| Name | | *
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| Title | |
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| Phone & Ext | | *
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| Fax | |
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| Email | | *
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| Quantity Required | |
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| Are Product Samples Available? | | |
| Are Tramp Samples Available? | | |
| Separator Type Requested: | | |
| Other: | |
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| Process / Product Description: | |
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| Product Flow Rate:
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| Product Density:
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| Product Burden Depth: | |
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| Product Volume Rate of Flow:
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| Product Moisture Content: | | None
Low
Medium
High |
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| Product Tendency: Bridges
Cakes
Clumps
None
Other | |
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| Product Lump Size: Largest
[dropdown-173] | | Average:
None |
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| Minimum Angle for Sustained Product Flow: | |
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| Tramp Metal / Material To be Removed / Recovered: | |
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| Tramp Metal Quantity / Volume / Weight: | |
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| Tramp Metal Density:
| | Average
| None |
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| Available / Desired Chute Width for Magnet: | |
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| Available / Desired Chute Height for Magnet: | |
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| Magnet Size / Mass Restrictions / Dimension Constraints: | |
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| Magnet Cleaning Clearance Restrictions / Dimension Constraints: | |
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| Magnet Cleaning Procedure | | |
| Framework Support Structure Required: | |
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| Additional Chute Work Required: | |
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| Other Magnet Accessories Required (Controls, Gates, Valves, Vibratory, etc.): | |
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| Additional Description: | |
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| Please Verify Image: | | *
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