Quotation Request Form

1.	Please describe your application using: the metric system or the U.S. Imperial system
2.	List our website photo numbers which might apply to your project:
3.	Your application, e-mail / fax or mail specs:
4.	Material(s) to be conveyed:
5.	Characteristics of the material: (e.g. wet, dry, hot, sticky, hydroscopic, fibrous, granular, abrasive, free-flowing, bridges easily, electrostatic, explosive, acid, etc.)
6.	Required conveying rate if applicable: (metric tons , U.S. tons ,liters, gallons, cubic feet, or other measure per hour)
7.	Material degradation a concern? yes  no
8.	Maximum approximate horizontal pneumatic conveying distances: meters  feet
9.	Maximum approximate vertical pneumatic conveying distances: meters  feet
10.	Grain size distribution
11.	Average material particle size:
12.	Minimum material particle size:
13.	Material bulk weight: kg per liter  lbs per cu. ft.  density
14.	Maximum Material temperature: °C  °F
15.	Description of systems required/or e-mail/fax/mail specifications & drawings: A. Roll end-dump hopper system. Roll end-dump hopper yardage capacities: 1/4  1/3 1/2 1 1-1/2 2  2-1/2  3 5 B. Bottom-dump batch hopper system. Material container gross or net volume required: Preferred method of product discharge: Batch dump, Continuous C. Other system; specifications please describe: D. E. Scaling Specifications  Process Specifications
16.	How you wish the vacuumed material disposed/processed, after capture.
	A. Volumetrics B. Bulk Bag
17.	Available powersupply: Volts, Phase, Hertz.
18.	*Is compressed air available? Yes, No ...If yes, what pressure is available? mbars  psi
19.	Vacuum location: Indoor, Outdoor
20.	Altitude: meters above sea level  feet above sea level
21.	Please describe any additional details which we should be aware of:
	Additional Questions for Fixed Manifold System (if required):
1.	Total number of pickup points:
2.	Number of drop points:
3.	Number of persons vacuuming simultaneously:
4.	In order to best serve you, please e-mail/fax a plant layout sketch.
	Optional Special Requirements (if required):
1.	Explosion/hazard proof, NEMA
2.	Towable In plant, Towable Over-the-road Ground clearance requirement: (centimeters / inches)
3.	Electric Motordrive Diesel Engine drive LPG Engine drive Gasoline Engine drive
4.	HEPA filtration
5.	Noise specification Required decibels @ 1 meter from unit freefield:
6.	Intercept hopper:(Preseparator, Satellite) Portable End Dump Stationary Bottom Dump Size _____ Cubic Yard

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Thank you for your interest in DeMarco Vacuum Corporation. We will respond promptly upon receipt of your request.

NOTE:  All dimensions and specifications indicated can change at any time without notice.