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Questionaire for our offer<br />
1. Medium<br />
1.1 Type chemical formula<br />
1.2 Concentration %<br />
1.3 Density g/cm3 1.4 Viscosity mPas/cP at °C<br />
1.5 Operating temperature °C<br />
1.6 Suspended solids g/l hard soft particle size mm<br />
1.7 Does the medium tend to crystalize? yes no at °C<br />
1.8 Which materials according to your experience are resistant against the medium (tubes, fittings)?<br />
2. Operating conditions<br />
2.1 Capacity flow m3 /h or l/min<br />
2.2 Delivery head (including pipework resistance) m wc<br />
2.3 Operating conditions? portable permatent vertical horizontal<br />
2.4 Immersion depth mm flange yes no<br />
2.5 Drum bunghole diameter mm<br />
2.6 Strainer yes no<br />
2.7 Operating hours per day closing frequency<br />
3. Motor<br />
3.1 AC DC three phase current compressed air<br />
3.2.1 Voltage Volt / Frequency Hz<br />
3.2.2 Pressure bar<br />
3.3 Flame proof required? yes no<br />
Class of hazard: Protection:<br />
Special requirements:<br />
4. Offer to<br />
Company:<br />
Address:<br />
Telephone: Telefax:<br />
Date: Signature:<br />
E<br />
Questionaire<br />
pages<br />
34 35
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