General Information
Customer:
Division or Plant
Complete Address:
Customer type:
Contractor
End User
Names & Titles of Contacts:
Telephone:
FAX:
Specific Information
Date:
Rep Firm:
Sales Engineer:
Requirements:
Budget Only
Detail Quotation
Timing:
Date Proposal Needed?
When is the installation planned?
Summary
Volume of air to be cleaned (specify units):
Temperature of air to be cleaned (specify units):
What contaminant must be collected?:
What quantity of contaminant must be collected?
Are the airborne contaminants composed of solid, liquid or vaporized materials?
What process or operation generates these contaminants?
Be specific. Add as much detail as possible.
This Application Involves:
(check those that apply)
In-Plant Air Cleaner
Exhaust Polluntion Control
Source-Capture (ducted)
General Ventilation (unducted)
Application
Material Being Processed/Worked
in the operation(s) that generate these pollutants
Contaminant Sources:
(Describe each source, give indentification, process or source of emission, and show locations on sketch.)
Capture Techniques:
(Specify how contaminant from each interior source will be captured.)
Maximum Opacity or Contaminant Loading:
(in ppm or weight per hour)
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