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APPLICATION DATA QUESTIONNAIRE

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Name: * Title:
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Street:
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Application:  Brief Description:
Bulk
Material:
Product: 
Tons/Hour: Density:
Cu. Ft./Hour:
Lump Size: 
Minimum (in):   Maximum (in):
Equipment to be Protected:
Hours of Operation/Day: 
Transport
Method -
Belt Conveyor:
Width (in):  Speed: (FPM)
Trough Idlers (°):
Max. Burden Depth (in):
Head Pulley Dia. (in):
Conv. Incline (in):
Suspension Height Required (in):
Other Transport Methods: Vibratory Feed:
A. Width (in):   B. Side Height (in): 
Oscillatory Feed: 
A. Width (in):    B. Side Height (in): 
Self Cleaning A. Cross-Belt:
B. In-Line:
Manual Cleaning A. Paralell over Belt:  
B. Over Head Pulley
Magnet Type Permanent:      Electro: 
Tramp Iron Size:  Minimum (in): Maximum (in):
Shape: 
Hex Nut  Cube  Rod   Plate   Sphere
Maximum Length of Tramp Iron to be Extracted: 
Site Conditions Ambient Temp. (degree):
Minimum:  Maximum:
Indoor:   
Outdoor: 
A.C. Input Volts:     Phase:
Hertz:
NEMA Type Enclosure: 
If D.C. Voltage Available Specify Voltage:
Volts:     KW:
Comments: