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APPLICATION QUESTIONNAIRE FOR INDUSTRIAL & GENERAL- PURPOSE APPLICATIONS

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*Name: *Phone: *E-mail: Company: Job Title: Address: City: Zip/Postal Code: State / Province: *Country: 1. TYPE OF TRANSPORTED MATERIAL:

1.1 Chemical composition: 1.2 Concentration: 2. Specific gravity: 3. Fluid temperature: 3.1 Ambient temperature: 4. Abrasive problems: Yes No

5. Required flow rate M³/H: 6. Line length: 7. Altitude differences in the line: 8. Pump pressure (if existing): 9. Slurry minimum critical velocity: 10. Existing pipe material: 10.1 Existing pipe outside diameters: 11. In case of installing a pexgol pipe sample:

11.1 Inside diameter (of existing pipe) at the inlet: 11.2 Local pressure at the inlet: 11.3 Inside diameter (of existing pipe) at the outlet: Message:
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