Jim Robbins and Associates, Inc.

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Screening Application Data Questionnaire 

Contact Information (*=required fields)

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

Material Properties

Material Name: 
Bulk Density:  (lbs./ft3)
Particle Shape: Pellet, Powder, Flake, Curl, Chip, Lump, Fibrous, Granular, Other
Material Temperature: (deg. F)
Max. Temperature Rise:  (deg. F)
Moisture Content:  (%)
Fat Content:  (%)
Flows:  Well     Average     Poor
Abrasive:  High     Medium     Low
Subject to Static Charge? Yes       No
Other Characteristics: Hygroscopic, Sticky, Toxic, Aerates, Packs, Other
Explosive:  No     Yes, if so... K-st      P-max
Material Cost: (dollars per ton/ pound)
 

Particle Size Distribution/ Screen Cloth Specification:

Average Material Size: (please indicated units)

Maximum Material Size: (please indicated units)

Screen Cloth Specifications: US Mesh,Micron, in., mm, Tyler, Tensile Bolting Cloth, Other

Size % Retained Screen this Level?

 

System Requirements

Rate:  (lbs./hr.)
Upstream Equipment:
Downstream Equipment:
Size Limitations: 
Material Contact: Carbon Steel, 304 SS, 316 SS, Sanitary, Other (please specify)
Motor Requirements: TEFC, Chem. Duty, Explosion Proof, Other
Electrical Enclosure Requirements: NEMA 12 (dust tight)     NEMA 4 (water tight)     NEMA 4X (corrosion resistant)     NEMA 7/9 (explosion proof)
Please Explain Application: 

 

Project Status

Quote Status Required: Budget, Firm, Sealed Bid
Projected Order Date:
Project Funded: Yes, No
Required Delivery Date:

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