Centrifuge Application Questionnaire Date MM slash DD slash YYYY Company(Required) Contact(Required) Title Address Address City State Zip AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Fax MobileEmail(Required) SEPARATION EXPERIENCEDescribe the present method of seperation. Centrifuge Filter Centrifuge Type Basket Size RPM Cake Thickness (inches) Actual Capacity/Rate Filter Type Cake Thickness (inches) Pressure Differential (PSI) Actual Capacity/Rate (lbs./hr) How is this method performing? PRODUCT CHARACTERISTICSProvide as much detail as possible. Additional testing might be required.SOLIDS NAME(S)(Required) Bulk Density (lbs./ft³)(Required) Angle of Repose (° from horizontal) Description of flowability Filtering/Drain Rate (gallons/minute/ft²) Buchner Funnel Information Additional Assistance Needed Filtering/Drain Rate (gallons/minute/ft²)(Required) Particle Size Distribution Additional Assistance Needed% less than mesh or μ % less than mesh or μ % less than mesh or μ Solids Form: Crystalline Colloidal Gelatinous Cohesive Foaming Fibrous Abrasive Friable LIQUID NAME(S)(Required) % Percent Solids (normal)(Required) % Percent Solids (max.) Feed Temp. (normal) °F °CFeed Temp. (max.) °F °CRheological Characteristics:(Required) Newtonian Thixotropic Dilatant Pseudo-Plastic Viscosity(cps) Viscosity(@ temp) °F °CpH THROUGHPUTGallons or lbs./hr(Required) Process will Operate:(Required) Continouous Intermittent Continouous (hours/day)(Required) Intermittent (hours ON / hours OFF)(Required) Final Moisture Level Desired (%) UTILITIES AVAILABLEElectrical:Voltage Phase Hz Air Clean Shop Air Shop Air: psig Shop Air: cfm Water °F °C gpm psig ELECTRICAL CLASSIFICATIONNote if centrifuge and controls are in different areas. Enclosures: NEMA-12 NEMA-4 (washdown) NEMA-4X (washdown & corrosive) NEMA-7 (XP) Other (including IP designations) Other IP designations Motor Classification Class Div. Grp CONTROLS & INSTRUMENTATIONControls None Basic Controls Automation (PLC) Instrumentation: Temperature Pressure pH Fluid Flow Viscosity O2 Other Instrumentation: Other Signal: 0-20 mamp 0-10vdc HART Fieldbus Other Signal: Other MATERIALS OF CONSTRUCTIONMaterials: 304 304L 316 316L Hastelloy C276 Inconel Titanium Other Materials: Other ANCILLARY EQUIPMENTAncillary Equipment: CIP Pre-Mixers Feed Tanks Feed Pump(s) Vapor Control Discharge Chute Solids Conveyor Other Ancillary Equipment: Other PROJECT SCHEDULEStart-Up Scheduled for QTR 1 2 3 4 Of: 20__ Project is Funded Yes No Installation Location (State or Country) CommentsThis field is for validation purposes and should be left unchanged.