HiVac application

Jim Robbins and Associates, Inc.

Hi-Vac Application Data Form

*Name:**
Title:
*Company:**
*Address:**
*City:**
*State:**
*Zip:**
*Phone:**
*Fax:**
*E-Mail:**
Website:
Primary Product:

*General description of your application:

*Material(s) to be vacuumed:

Characteristics of the material:
(e.g. wet, dry, sticky, hydroscopic, fibrous, granular, abrasive, free-flowing, bridges easily, electrostatic, explosive, acid, etc.)

*Required vacuuming rate:
(metric tons , U.S. tons ,liters, gallons, cubic feet, or other measure per hour)

Expected vacuum use:
(hours per day, or describe different usage rate)

*Horizontal vacuuming distance: (meters / feet)

*Vertical vacuuming distance: (meters / feet)

*Maximum material size:

Typical material particle size:

Material weight: (kg per liter / lbs per cu. ft.)

Material moisture content: (as a %)

Material temperature: (°C / °F)

Type of system required:

A.	Roll end-dump hopper system. Roll end-dump hopper yardage capacities: 1/4, 3/4, 1, 1-1/2, 2
B.	Bottom-dump hopper system. Material container volume required: Preferred method of product discharge: Batch dump, Continuous
C.	Other system; please describe:

Describe how you want the vacuumed material to be disposed/processed after capture.

Available powersupply for vacuum pump: Volts, Phase, Hertz.
If engine drive is preferred, please refer to "Optional Specialty Requirements" question number 3.

*Is compressed air available? Yes, No
...If yes, what pressure is available? (mbars/psi)

Location location: Indoor, Outdoor

Altitude of vacuum pump: (meters / feet above sea level)

Please describe any additional details which we should be aware of:

Additional Questions for Fixed Manifold System (if required):

1. Approximate area to be cleaned:

2. Frequency of cleaning:

3. Vertical vacuuming distance: (meters / feet)

4. Distance to furthest outlet from vacuum system: (meters / feet)

5. Total number of pickup points:

6. Number of persons vacuuming simultaneously:

7. In order to best serve you, please e-mail/fax a plant layout sketch.

Optional Specialty Requirements (if required):

1. Explosion/hazard proof

A. Required NEMA enclosure type?

B. Does motor need to be explosion proof? Yes, No

C. Describe any special construction and/or hazard requirements:

2. Towable In plant, Towable Over-the-road
Special ground clearance requirements: (centimeters / inches)

3. Diesel Engine drive
LPG Engine drive
Gasoline Engine drive

4. HEPA filtration

5. Noise specification
Maximum decibels @ 1 meter from vacuum:

6. Intercept hopper. Please describe:

7. Welding specification. Please describe:

8. For export. Please describe special requirements:

9. Paint specification. Please describe:

10. Please describe any additional requirements that must be addressed:

Comments:

*Please indicate purchase time frame for your application:
Immediate Within 6 months Within 12 months Not known

Please confirm your request by typing "JRA" in this box:

Jim Robbins and Associates, Inc.

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