First name Last name

Company name

Street address

City State DE MD NJ PA VA Zip code

Office phone Cell phone

Email

Please describe your application:

Rate of the process (if applicable) Pounds per hour Cubic feet per hour

Material name

Material density Pounds per cubic foot Grams per cc

What is the material type? Object Pellet Flake Granule Powder

What is the particle size? Microns Mesh Inches

What are the flow characteristics? Sticky Sluggish Free flowing Floods

What containers is the material supplied in? Bulk bag s Bags Drums Gaylord Tote

If conveying, what is the convey distance? Up Over

If conveying, what equipment is the material being delivered to?

If conveying, how many delivery points are there?

If drying, what is the initial moisture percentage? What is the final desired moisture percentage?

What is the temperature limitation, if any, for drying?

Are there any hazards associated with the process? Please describe:

Which equipment that I represent have you used in the past? Acrison NBE Vac-U-Max Witte

If this is an existing process, which equipment are you using?