Please fill out the form below, or call us today to get started. (303) 833-9200 Local, (800) 397-9135 Toll-Free, (303) 833-9205 Fax
Please fill out to the best of your knowledge.
CUSTOMER INFORMATION
Date
Company Name
Contact Person
Street Address
City, State, Zip
Delivery Address (if different)
Delivery City/State
Email Address
Phone Fax
Project Name
TANK INFORMATION
Cylindrical Tank Size Diameter Feet Inches Height Feet Inches
Square Tank Size Width of Side Feet Inches Height Feet Inches
Top Section Height in inches
Bottom Section Height in Inches
Working Volume (include units) Tank Material
Baffles? Yes No Open Tank? Yes Closed Tank? Yes
MOUNTING METHOD
Preferred Mounting Check all that apply.
Please explain any diffences to what is selected above or fax a sketch to (303) 833-9205.
AVAILABLE POWER
115 / 1 / 60 Hz. 230 / 460 / 60 Hz Explosion Proof TEFC / TENV. Variable Speed Other
WETTED PARTS
316 SS 304 SS Carbon Steel Other Special shaft coating required? (specify)
PROCESS DETAILS
What is the fluid? Desired Mixing Time
Specific Gravity Water-like Fluid? (viscosity) Yes No
Process Type Select One Blending Rapid Mixing Solids Suspension Maintain Homogenous Equalization Flash Mixing Neutralization Flocculation Storage Reactor Aseptic Sanitary Immiscible Fluid Other
Solid Suspension Solid Settling Rate (ft/min) % of Solids by Weight
Continuous Process if applicable Flow Rate (ft/min)
SHAFT SEAL REQUIREMENTS
No Seal Required 15 PSI Stuffing Box 150 PSI Stuffing Box Single Mechanical Seal Double Mechanical Seal Separately Mounted to tank Type of mounting flange for seal and/or mixer mount:
HEADROOM REQUIREMENTS
Adequate headroom Limited headroom (indicate how much)
ADDITIONAL INFO Past experience; budget; current mixer; scale up/down, etc.
