Air Cleaning Blower Project Inquiry Form

Number of Units Needed

Type of Facility & Application for Air Cleaning

Explain Problem / Application

Kinds & Sizes of Particles

Dust Load

Airflow Required

Air Pressure Required

Electrical Configuration

Volts

Hertz

Phase

Are Dusts Hazardous? (Explosive)

Classification of Hazardous Area

Types of Corrosion Present

Class
IIIIIINH (Non-Hazardous)

Group(s)
ABCDEFG

Division / Zone
12

Description of the Application

Comments

Salutation
Mr.Mrs.Ms.Miss

First Name

Surname

Email Address

Position / Title

Company

Street Address

Town / City

State / Province

Postal Code

Country

Country Code

Area Code

Telephone Number