MIST ELIMINATOR QUESTIONNAIRE

Please complete this questionnaire in order to help us determine the correct filters and systems to control emissions in your process. Include units of measure with all values. Include any photos, process data records, and diagrams that would be relevant.

COMPANY:	DATE:
ADDRESS:	PHONE:

FAX:
CITY:	EMAIL:
STATE:	ZIP:	CONTACT:
INSTALLATION LOCATION:	TITLE:

PURPOSE OF SYSTEM:

STACK OPACITY	GAS PURIFICATION

AIR POLLUTION	LIQUID RECOVERY

OTHER:	NEW INSTALLATION REPLACEMENT SYSTEM
TYPE /SIZE OF EQUIP. REPLACED:
TYPE OF QUOTE REQUIRED: BUDGET FIRM
PLANNED PURCHASE DATE:

PLANNED INSTALLATION DATE:
WHAT OTHER EQUIPMENT / TECHNOLOGIES ARE BEING CONSIDERED ?

GAS STREAM
UNITS	NORMAL	MAXIMUM	MINIMUM
FLOW RATE
GAS TEMP @ CECO INLET
GAS PRESSURE @ CECO INLET
COMPOSITION OF GAS STREAM:
GAS VISCOSITY(cP):

LIQUID AND SOLID AEROSOL
COMPONENT	PHASE	FLOW RATE (include units)
LIQUID
SOLID
LIQUID
SOLID
LIQUID
SOLID
LIQUID
SOLID
LIQUID
SOLID
LIQUID VISCOSITY(cP):	LIQUID DENSITY:
AEROSOL SIZE DISTRIBUTION (micron)

< 0.5 μm wt%:	1-3 μm wt%:	>10 μm wt%:

0.5-1 μm wt%:	3-10 μm wt%:

Comments:

PROCESS INFORMATION (DESCRIBE OR ILLUSTRATE YOUR PRESENT SYSTEM SET UP):

LOCATION
AVAILABLE FOOTPRINT x CEILING HEIGHT: WEIGHT LIMIT: LBS.

TO BE INSTALLED INDOORS OUTDOORS GROUND LEVEL ELEVATED-ELV ABOVE GRD

MIN / MAX AMBIENT TEMPERATURES / °F °C
BUILDING CODE / ASME CODE / SIESMIC / WIND LOAD CONSIDERATIONS:

OTHER LOCATION CONSIDERATIONS:

REQUIREMENTS
EFFICIENCY REQUIREMENT (S): WT. %	ALLOWABLE PRESSURE DROP FOR FILTER SYSTEM: INCHES W.C.

ADDITIONAL REQUIREMENTS

CECO SCOPE OF SUPPLY
FILTERS?, PREFERRED MATERIALS: FRAME MEDIA
VESSEL?. CORROSION ALLOW(IN) PREF MATERIAL MAX PRESSURE/VACUUM
BLOWER?, MOC ADDIONAL STATIC REQU
OTHER REQUIRED ITEMS SUCH AS STARTUP ASSISTANCE, INSTALLATION, DUCTWORK, STACK, MOTOR STARTER, VFD, ETC.:

ADDITIONAL NOTES:

For evaluation and specific recommendations, email, mail, or fax the completed questionnaire to:

CECO Filters, division of CECE Environmental.  700 Emlen Way Telford PA 18969

Fax: 610- 825-3108  Phone: 610- 825-8585  Toll Free: 800-220-8021  sales@cecofilters.com

http://www.cecofilters.com

REV031315	Page 1

FILTERS, INC

G.L.

2015-03-13

Matt Lee

Microsoft Corporation