| Customer
Information: |
| *
Name: |
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| Title/Job Function: |
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| *
Company /
Organization: |
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| *
Address 1: |
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| Address 2: |
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* City: |
* State: *
Postal
Code: |
| Country: |
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| *
Phone: |
* Fax: |
| *
E-mail: |
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| |
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Project
Information: |
| Customer Reference #: |
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| *
Project Name: |
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| *
Location: |
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| Engineer/Consultant: |
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| Location: |
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| *
Due Date: |
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| *
Project Status: |
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| *
Estimated Date
of Purchase (Mo./Yr.): |
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Model and Application
Details: |
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*
Quantity of
units required: |
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Item name / Tag
Number: |
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| * Grinder Model: |
(For model selection please refer to engineering catalog or sales brochure.)
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*
Channel Width (inches)
: |
(Required for Channel
Mounted units.)
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*
Description of Liquid: |
(Please include
full details, including type, size and percentage of solids, pH,
temperature, etc.) |
|
*
Electrical Service: |
Volts:
Phase:
Frequency: |
| |
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Mounting Configuration , Options and Accessories: |
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* Mounting
Type: |
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| * Motor
Options: |
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Hydraulic Drive Frame Assembly:: |
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Hydraulic Hose Pack: |
* If hose pack is required,
specify distance between Grinder and Hyd. Drive Pack.
For distances greater than 50 ft. (15.2 m) hard piping is recommended.
|
|
Channel Mounting Rails (for single
grinder): |
(For channels 12.5" ~
14.25" in width) |
|
Channel Frame Assembly: |
(Channel frames include
provisions for optional Slide Gate.) |
|
Slide Gate: |
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|
Wet-Well Mounting Frame Assembly: |
Optional Trash Basket for
Wet-Well Frame:
Dual Guiderail Kit for Wet-Well
Frame:
Specify total guiderail length required:
Lifting Cable / Chain:
Specify total Cable/Chain length required:
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|
Control Panel: |
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Enclosure: |
(Contact factory for all
other enclosure types.)
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Special Features/Options: |
Please list all
special control features and options required:
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| |
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Additional
Requirements / Comments: |
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