Centrifuge Application Questionnaire Date MM slash DD slash YYYY Company Contact 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 PhoneFax MobileEmail SEPARATION EXPERIENCEDescribe the present method of separation.Centrifuge (type) Basket Size RPM Cake Thickness (inches) Actual Capacity/Rate Filter (type) Cake Thickness (inches) Pressure Differential Pressure Differential PRODUCT CHARACTERISTICSOLIDS NAME(S) Bulk Density (lbs./ft3) Angle of Repose(° from horizontal) Description of flowability Filtering/Drain Rate (gallons/minute/ft2) Particle Size Distribution: Solids Form:CrystallineColloidalGelatinousCohesiveFoamingFibrousAbrasiveFriableLIQUID NAME(S) % Percent Solids (normal) % Percent Solids (max.) Feed Temp. (normal) °F °CFeed Temp. (max.) °F °CRheological Characteristics: Newtonian Thixotropic Dilatant Pseudo-Plastic Viscosity(cps) Viscosity(@ temp) °F °CpH THROUGHPUTGallons or lbs./hr Process will Operate: Continuous: hours/dayProcess will Operate: Intermittent: hours ONProcess will Operate: Intermittent: hours OFFFinal Moisture Level Desired (%) hours ONUTILITIES AVAILABLEElectrical: VoltageElectrical: PhaseElectrical: HzAir: Clean : Atmospheric pressure psigAir: Clean : Volume cfmAir: Shop Air : Atmospheric pressure psigAir: Shop Air : Volume cfmWater: Temp °F °CWater: Flow gpmWater: Atmospheric pressure psigELECTRICAL 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) Motor Classification: ClassMotor Classification: Div.Motor Classification: GrpCONTROLS & INSTRUMENTATIONControls None Basic Controls Automation (PLC) Instrumentation: Temperature Pressure pH Fluid Flow Viscosity O2 Instrumentation: Other Signal: 0-20 mamp 0-10vdc HART Fieldbus Signal: Other ANCILLARY EQUIPMENTMaterials: 304 304L 316 316L Hastelloy C276 Inconel Titanium Materials: Other ANCILLARY EQUIPMENTEquipments: CIP Pre-Mixers Feed Tanks Feed Pump(s) Vapor Control Discharge Chute Solids Conveyor Equipments: Other PROJECT SCHEDULEStart-Up Scheduled for QTR 1 2 3 4 Of: 20__ Project is Funded Yes No Installation Location (State or Country) Local Rep
