Request for Quotation

Name:

Title:

Company Name:

Street:

City:

State:

Zip:

Phone:

E-Mail:

User or O.E.M:

Project ID:

Quantity:

New or Existing:

Project Timing:

Fax:

Representative:

Description of Application:

Primary Purpose: Blending Dispersion Heat Transfer Emulsification Solids Suspension Reaction Other

Degree of Agitation Required: Mild Moderate Vigorous Violent

Degree of Suspension Desired:

ComponentVolumeWeight %Specific GravityViscosity(cp)Particle SizeSettling Rate
Final Mix

Shape:

Tank Diameter, TD:

Bottom:

Top:

Height, Straight Side, HS:

Height, Bottom, HB:

Height, Top, HT:

Height, Mounting Structure, HM:

Baffle:

Baffle Quantity:

Baffle Height, BH:

Baffle Width, BW:

Baffle Space From Wall, BS:

Baffle Elevation, BE:

Liquid Level Normal, LL:

Liquid Level Max:

Liquid Level Min:

Mixer Operates During:

Mixer Type: Clamp Fixed Mount Top Angle Riser Flange Side Entry Other

Motor:

Enclosure:

Phase:

Herzt:

Volts:

Seal:

Type:

Pressure:

Temperature:

Wetted Parts Material: