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RFQ - Application Form
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Separation Application Form
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900 S. Glaspie St.
Oxford, MI 48371
Ph: 800-787-3624 or 248-628-3808
Fax: 248-628-3808
www.puritanmagnetics.com
magnet@puritanmagnetics.com
Application Form Instructions
Please complete as much of the form as possible. This will minimize un-necessary delays and allow us to get back to you faster with the correct magnetic separation solution.
Application Form
CONTACT INFORMATION
(* = required)
Customer:
*
Email:
*
Contact:
*
Phone:
*
Address:
*
Fax:
City:
*
State :
*
Zip:
*
Country:
APPLICATION
Magnetic Material preference:
ceramic
rare earth
recommend
Product:
Bulk Density:
lbs/cu. ft.
Powder:
granular
lumpy
dry
wet other:
Flow Rate:
lb/hr
TPH
CFM
METHOD OF CONVEYING
Gravity
Vertically or
Degree of Angle
Spout size:
in/mm
How full:
%
Pneumatically
Dilute Phase or
Dense Phase
Line size:
in/mm
Line pressure:
PSI
Conveyor Belt
Belt width:
in/mm
Belt speed:
FPM
Burden depth:
in/mm
INSTALLATION
Specific Location:
above flow
below flow
in-line
Access:
easy access
difficult access
RESTRICTIONS
Dimensional Limitations:
Weight:
Target Ferrous Contaminants:
large
medium
fine
Describe
(size, weight, shape,
and source if possible)
Please enter the numbers above.
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