Screening Questionnaire Customer Contact:* Company Name:* Street Address:* City:* State:* Zip:* Phone Number:*Fax Number:Email:* Feed MaterialMaterial Name: Bulk density/volume: Temperature of feed source: Shape of particles: If slurry, is the concentration calculated by weight or volume?: Particle size distribution: Liquid Separations% of slurry? Viscosity or Slurry Liquid medium: WATER/ SOLVENT/ OTHER Feed MaterialAbrasive? Yes No Explosive? Yes No Chemically Aggressive? Yes No Toxic? Yes No Flammable? Yes No PowdersDoes your material contain any moisture? Yes No Does your material have tendency for agglomeration? Yes No Liquid Separations Please fill out the following to the best of your abilitiesRequired cut point/ D50 and D90 point: Required feed capacity: Product undersize or oversize: Required efficiency: Allowed % of undersize in oversize: % fines in product: Amount of fractions to be separated: Existing Process with this material:Machinery used: If you use vibratory screeners, please specify the existing situation (model/size of screener, number of them, and mode of operation). Please list existing cut points, feed capacity, efficiency and lifespan of meshes:Please list if you’ve experience issues with blinding of meshes, short lifespan of meshes, poor efficiency, low feed capacity, material not being fine enough or other issues your material has encountered:What did an end-user to do fight those problems and what were the achievements:Dynamic load on support structure limitation:Space and weight limitations (please specify the length, width, height and weight limits):Limitation of use for the materials the Ultimate Screener is made of (carbon steel, stainless steel, rubber, silicone, polyurethane, nylon):Request for special motors (waterproof, explosion-proof, special electric-proof class): Regular class of motors on the Ultimate Screener –IP 65How did you find us?Google SearchBlog PostLinkedInReferralThomasnetBulkInsideTrade ShowsOther Industry Publication (specify which)OtherSpecify Other CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ