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Company: _________________________
Address _________________________________________
Contact: _______________________________
Tel: ( ) ______________ Fax: ( ) ______________
Name of Liquid Compound:
_________________________________________________________________
1. Container type & size: steel, Fiber, Plastic, Tight-head,
Open Head with Lid-lock,
Other: _____________
55 gal. drum, 5 gal. drum, "Specialty drum"
dimensions: ____" Diameter x ____" Height, Other: ______________
2. Drum weight: ____________ lbs.,
Particle size: ________
microns/mesh/inch, Other: ______________________
3. Loading: Single Drum, Double Drum, Variable Drum,
Self-Loading, Heavy Duty (Over 800 lbs.)
4. Protection: Enamel painted, Epoxy (wash-down) coating,
304 Stainless Steel
5. Accessories:
Explosion-proofing, Auto-Batch Timer (elec. only), Safety Cage,
Plastic Drum Cradle
6. Liquid or solution specifications:
Thickness: _____ (Centipoise),
Specific Gravity ______,
Temperature _____ °F
Flammable: Yes No,
Volume: ____ (Gal.), T
typical Drum Contents
Fluid Depth: ______ inches, Liquid pH ____
7. Electric Mixer Drive, Specifications:
___ Volts, ___ Phase, ___ Hz.,
Explosion Proof: Class ____, Div. ____
8. Pneumatic Mixer Drive, Specifications: Air Usage CFM:
____, PSI: ____
9. Shear or Foaming Sensitivity: (Circle on a scale of
1-10):
Stable - 10 9 8 7 6 5 4 3 2 1 - Sensitive
10. Agitation Strength: (Circle on a scale of 1-10):
Strong - 10 9 8 7 6 5 4 3 2 1 - Gentle
11. Agitation Frequency: Continuous blend Batch ____ x
per ______ (day, week, month)
Process Details & Variations:
Send form to (818) 597-4301
or Email service@dispensinglink.com
for recommendations for your mixing
or pumping application. IDS equipment and accessories
are provided as components, each sold on a separate basis.
Ask for literature on IDS drum & tote mixers, drum tumblers, drum & tote
pumps & hand nozzles.
Integrated Dispensing solutions, Tel: (818) 597-4300 and Fax:
(818) 597-4301
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