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Inquiry form for distillation and water evaporators

Information Request FORM:  Distillation and Evaporators

Select the items that apply, and then let us know how to contact you.
If you have any process information, please include it within the "Comments" box

I know that I personally hate to use a Form, so I've made this one as easy as possible.

Item marked (*) are Required fields.  This Form will allow us to respond to you will the proper information.

 

I Am Interested In*

Distillation   Water Evaporator

Requested Response*

 Call Me       Send Quotation      Send Product Literature

My waste stream is*

  Waste Water     Solvents     Inks   Other

My Waste Stream 
Includes these 
Chemicals:

Please tell us what chemicals are included in your waste by percentage. Also tell us if there is a percentage of solids and their composite.

Requested Physical* 
State of Residue

Do you require separation of the waste solvents? Yes     No  I do not know  
(If you have mixed solvent waste, do you need to separate them?)
What is your Volume of Waste to treat?* Use this space to tell us how much waste you need to treat, unit of measure, and how often. 
Please tell us if this waste volume is:* Daily   Weekly   Monthly   Yearly
             (Generation Period)

Type of Process Requested*

  Batch Process  Continuous Process

Hours of Operation

Work Days per Week*

Available Voltages* 220/1 Ø  220/3 Ø  380/3 Ø  
208/3 Ø  480/3 Ø  575/3 Ø  
Utilities Available* Nat. Gas  LP Gas  Chilled Process Water  Steam

Name*

Title

Company*

Address

E-mail*

Phone*

Comments
Tell us anything that you thinks is important, related to your process:

 

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Last modified: February 17, 2010 15:26:42