form - Filtration System

	Filtration System: Questionnaire

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	1. Product/Process Information

	Fluid:

	Viscosity:

	Density/specific gravity:

	Temperature:	(maximum)

	Pressure:	(normal/maximum)

	Type of contamination/level (if known):	gels % particulate %

	Is product shear sensitive?	yes (please attach viscosity/temperature curve) no

	Flowrate:	continuous batch

	Filter fed by:	gear pump extruder other

	Pressure budget available:	psi

	Line size:

	Product’s final use:

	Other information:

	2. Filtration Information

	Filtration level required:	microns absolut

	Do you presently filter?	yes no

	Present filter manufacturer:

	filter area:	ft2

	Present filtration level:	microns absolute

	Frequency of change:	days

	Description of any current filtration problems:

	3. System Information

	ASME code stamp:	yes no

	Materials of construction:	wetted parts Non-wetted parts

	Design pressure:

	Design temperature:

	Type:	duplex (continuous) simplex (batch) manual automated other

	Is a control panel required?	yes no

	Type of heating:	heat transfer vapor design pressure: design temperature:

		heat transfer liquid design pressure: design temperature:

		electric voltages available:other:

	Electrical area class:	NEMA 12 NEMA 4 Explosion proof: class

	4. Additional Action Required

	In plant test:	yes no

	Lab test:	yes no

	Plant visit:	yes no

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Filtration System: Questionnaire