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Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
Customer Requirements: (check all that apply)
Formal Proposal Budget price only Material testing Information on similar job
MATERIAL CONSIDERATIONS
1 Material to be conveyed is:
Common Name: Trade Name:
3 Particle size: mm
4 Material composition:
Powder Granule Fiber Other:
Prill Pellet Flake
ENVIRONMENTAL CONSIDERATIONS
Conveyor is feeding:
16 Electrical specifications:
Motor: Voltage: Phase: Cycles: IP: Zone: Ex:
Controls: Voltage: Phase: Cycles:
17 Optional equipment:
Containment or dust collection hood options
Containment only Self-contained filtration External filtration
Hopper Options:
Special designed surge hopper Mobile base Air pads Agitator
Level sensors Vibrator Flanged inlet
Hopper Size: 0.23 m³ .08 m³ Other:
20 Sketch installation on a separate page. Show plan and/or side elevation, properly identified with dimensions.
Indicate preferred conveyor path with all possible alternatives. Indicate all clearances and obstructions to allow
us to select the most practical solution should this differ from your sketch.
Fax or email the sketch to Mike Zeluff, Fax: 269-349-2477, mzeluff@hapman.com
Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
Customer Requirements: (check all that apply)
Formal Proposal Budget price only Material testing Information on similar job
Inquiry Status: Budgetary Funded Approved for purchase
Quote needed by (date) Targeted installation date:
Quantity: (Number of units required)
MATERIAL CONSIDERATIONS
1 Material to be conveyed is:
Common Name: Trade Name:
2 What is the bulk density? kg/m³
3 Particle size: mm
4 Material composition:
Powder Granule Fiber Other:
Prill Pellet Flake
5 Material characteristics: (check all that apply)
Corrosive Agglomerates Segregates Aerates and becomes fluid
Explosive Hygroscopic Cohesive Exhibits degradation problems
Toxic Friable Adhesive Packs or smears
Abrasiveness: Non-abrasive Mildly abrasive Highly abrasive
6 Flowability of Material: (check one)
Very free flowing - angle of repose up to 30°
Free flowing - angle of repose 30° to 45°
Sluggish - angle of repose 45° and up
7 Material moisture content:
8 Material temperature at inlet: C Material temperature at discharge: C
9 Atmospheric condition(s) (check all that apply)
Dirty Corrosive Explosive High humidity Temperature Outdoor
10 Duty cycle: Hours per day, days per week.
11 Required discharge height vertical meters, horizontal distance between inlet & outlet meters.
12 Desired discharge capacity of m³ / Hour Desired discharge capacity of m³ / Minute
20 Sketch the installation on a seperate piece of paper. Show plan and elevation and/or side elevation, properly identified,
along with all pertinent dimensions. Indicate preferred material transport path together with possible alternatives. Indicate
all clearances and obstructions to allow Hapman to select the most practical circuit should this differ from your sketch.
Fax or email the sketch to Wendy Roby, Fax: 269-349-2477, wroby@hapman.com
Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
Inquiry Status: Budgetary Funded Approved for purchase
Quote needed by (date) Targeted installation date:
Quantity: (Number of units required)
MATERIAL CONSIDERATIONS
1 Material to be conveyed is:
Common Name: Trade Name:
2 What is the bulk density? kg/m³ g/cc
3 Particle size is mm and under.
4 Material composition:
Powder Granule Fiber Other:
Prill Pellet Flake
5 Material characteristics: (check all that apply)
Corrosive Agglomerates Segregates Aerates and becomes fluid
Hygroscopic Explosive Toxic Friable
Abrasiveness: Non-abrasive Mildly abrasive Highly abrasive
6 Flowability of Material: (check one)
Very free flowing - Angle of repose up to 30°
Free flowing - angle of repose 30° to 45°
Sluggish - angle of repose 45° and up
7 Material temperature Material moisture content:
ENVIRONMENTAL CONSIDERATIONS
8 Atmospheric condition(s) (check all that apply)
Dirty atmosphere Temperature High humidity
Corrosive atmosphere Explosive atmosphere
ENVELOPE
9 Description:
Feeder filled by at an infeed height of meters
Feeder discharges into at height of meters
See sketch (fax to 269.349.2477)
See CAD Drawing emailed to jzerbel@hapman.com
OPERATING REQUIREMENTS
10 Mode:
Volumetric / continuous Gravimetric / continous
Required discharge rate:
Volumetric / batch Gravimetric / batch
Batch Size:
Idle time between discharge cycles: Required number of cycles per hour:
Required accuracy:
11 Duty cycle: Hours per day, days per week.
CONSTRUCTION SPECIFICATIONS
12 Materials:
Polyurethane and stainless steel contact surfaces, powder coated carbon steel frame (standard)
Same as above except with glass steel bead blasted 304 stainless steel frame and side panels.
Other (specify)
Power Supply
Available power: (check all that apply)
Volts Phase hz
IP: Zone: EX:
CONTROL REQUIREMENTS
No controls
Volumetric controls, VFD mounted in enclosure w/short circuit protection and disconnect. Shipped loose.
Independent
Integrates w/ system panel. Specify communication protocol:
Gravimetric (LIW) instrumentation, twin VFD's mounted in enclosure w/short circuit protection
and disconnect. Shipped loose.
Independent
Integrates w/ system panel. Specify communication protocol:
System panel with Allen Bradley PLC to control multiple feeders, refill equipment and downstream
process. Panel shipped loose.
Other: (specify)
Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
MATERIAL CONSIDERATIONS
2 Material to be conveyed is:
Common Name: Trade Name:
5 Material composition:
Powder Granule Fiber Other:
Prill Pellet Flake
ENVIRONMENTAL CONSIDERATIONS
Size: Weight: kg
16 Type of equipment at discharge:
18 Materials of construction:
CONTACT SURFACES NON CONTACT SURFACES
Carbon steel Carbon steel
Stainless steel (304) Stainless steel (304)
Stainless steel (304L) Stainless steel (304L)
Stainless steel (316) Stainless steel (316)
Stainless steel (316L) Stainless steel (316L)
19 Exterior Paint (Carbon steel only)
White enamel Epoxy (specify color)
Blue enamel
20 Internal finish
Standard (primary mill finish)
Food grade (2B mill finish)
Sanitary (150 grit finish)
21 Plant Service: Power: Volts Phase hertz Air: 2 bar: 20 L/m
IP: Zone: EX:
22 Elevation above Sea level: meters
23 Requested delivery of weeks
24 Describe your process:
25 Sketch the installation on a seperate piece of paper. Show plan and elevation and/or side elevation,
properly identified, along with all pertinent dimensions. Indicate preferred material transport path
together with possible alternatives. Indicateall clearances and obstructions to allow Hapman to
select the most practical circuit should this differ from your sketch.
Please sketch and fax to 269-349-2477, Att: Steve Grant, RE: company name
Type job notes here:
North America Europe India
6002 East Kilgore Road City Business Centre 1 D-24, Sardar Estate, Ajwa Road
Bulk Bag Filler
Kalamazoo, MI 49048, USA Karadžičova 8, 824 08 Bratislava Vadodara-390 019, Gujarat, India
Ph: 269-343-1675 Slovak Republic Ph: 91 265 6456106
Inquiry Form
Fax: 269-349-2477 421 2 325 53 098 Fax: 91 265 239 8948
info@Hapman.com info@Hapman.EU info@Hapman.IN
Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
Inquiry Status: Budgetary Funded Approved for purchase
Quote needed by (date) Targeted installation date:
Number of units:
DESCRIPTION OF MATERIAL TO BE HANDLED & BULK BAG DIMENSIONS
1 Material:
Common Name: Trade Name:
Moisture Content:
2 Weight per cubic foot kg/m³
3 Angle of repose °
4 Particle Size: Max: mm Min: mm
5 Material characteristics: (check all that apply)
Dry Corrosive Abrasive Fluffy Friable
Flaky Wet Explosive Powdery
Granular Sticky Toxic Hygroscopic
Other
Describe any possible contamination problems:
Degradation problems:
8 Operation Specifications:
a Number of bags to be filled per hour:
b Net weight to be filled= kg + kg
c Bags will be set on: Pallet Plywood slip sheet Other:
d Vibration required? Yes No
e Unusual operating conditions (high temp, dirty atmosphere, other) Specify:
f Fill valve required at spout inlet? Yes No
g Duty cycle: Continuous hours Intermittent: On time: Off time:
h How will the material be delivered to the filler:
9 Please reply by: Requested delivery of weeks
12 Sketch the installation on a seperate piece of paper. Show plan and elevation and/or side elevation, properly identified,
along with all pertinent dimensions. Indicate preferred material transport path together with possible alternatives. Indicate
all clearances and obstructions to allow Hapman to select the most practical circuit should this differ from your sketch.
Fax or email the sketch to Craig Thomas, Fax: 269-349-2477, Craig.thomas@hapman.com
13 The dimensional illustration shown below must be filled out completely. Provide Dimensional data for each bag to be filled.
Strap Width Loop Length Bag Height Spout Length Dia Square Width Depth Ceiling Height
A 1 cm 2 cm 3 cm 4 cm 5 cm 1 cm 1 cm 1 cm 1 cm
B 1 cm 1 cm 4 cm 1 cm 1 cm 1 cm 1 cm 1 cm 1 cm
C 1 cm 1 cm 1 cm 1 cm 1 cm 1 cm 1 cm 1 cm 1 cm
Type job notes here:
North America Europe India Bulk Bag Unloader
6002 East Kilgore Road City Business Centre 1 D-24, Sardar Estate, Ajwa Road
Kalamazoo, MI 49048, USA Karadžičova 8, 824 08 Bratislava Vadodara-390 019, Gujarat, India
Inquiry Form
Ph: 269-343-1675 Slovak Republic Ph: 91 265 6456106
Fax: 269-349-2477 421 2 325 53 098 Fax: 91 265 239 8948
info@Hapman.com info@Hapman.EU info@Hapman.IN
15 Sketch the installation on a seperate piece of paper. Show plan and elevation and/or side elevation, properly identified,
along with all pertinent dimensions. Indicate preferred material transport path together with possible alternatives. Indicate
all clearances and obstructions to allow Hapman to select the most practical circuit should this differ from your sketch.
Fax or email the sketch to Craig Thomas, Fax: 269-349-2477, Craig.thomas@hapman.com
16 The dimensional illustration shown below must be filled out completely. Provide Dimensional data for each bag.
5m
Date: Rep:
Company: Phone: Fax:
Contact: Email:
Address: City:
State: Country: Zip:
Location of Installation:
Customer Requirements: (check all that apply)
Formal Proposal Budget price only Material testing Information on similar job
Inquiry Status: Budgetary Funded Approved for purchase
Quote needed by (date) Targeted installation date:
Quantity: (Number of units required)
MATERIAL CONSIDERATIONS
1 Material to be conveyed is:
Common Name: Trade Name:
2 What is the bulk density? kg/m³
3 Particle size = Largest particle present: Smallest:
4 Material composition:
Powder Granule Fiber Other:
Prill Pellet Flake
5 Material characteristics: (check all that apply)
Corrosive Agglomerates Segregates Aerates and becomes fluid
Explosive Hygroscopic Cohesive Exhibits degradation problems
Toxic Friable Adhesive Packs or smears
Abrasiveness: Non-abrasive Mildly abrasive Highly abrasive
6 Flowability of Material: (check one)
Very free flowing - angle of repose up to 30°
Free flowing - angle of repose 30° to 45°
Sluggish - angle of repose 45° and up
7 Material temperature °C Material moisture content:
ENVIRONMENTAL CONSIDERATIONS
8 Atmospheric condition(s) (check all that apply)
Dirty Corrosive Explosive High humidity Temperature Outdoor
6 Operation is: continuous Intermittent (batch)
7 Define the length of operation: Hours per day Days per week
8 The material is contained in? (bag, drum, etc.)
Size: Weight:
9 Type of equipment at discharge point:
Is moisture present? Yes No
Is a slide gate required? Yes No
10 What size opening does the hopper need to mate with?
11 Location/envirnment - indoor only (place X in box)
Dry Wet/Washdown Explosion* Hazzard Area
Blower
Controls
12 Materials of construction: CONTACT SURFACES NON CONTACT SURFACES
Carbon steel Carbon steel
Stainless steel (304) Stainless steel (304)
Stainless steel (304L) Stainless steel (304L)
Stainless steel (316) Stainless steel (316)
Stainless steel (316L) Stainless steel (316L)
13 Internal finish: Standard (primary mill finish) Food grade (2B mill finish) Sanitary (150 grit finish)
14 Exterior Paint (Carbon steel only)
White enamel Blue enamel Steel-it Epoxy (specify color)
15 Plant Service: Power: Phase Hertz Volts Air: L/m Bar
IP: Zone: EX:
16 Please reply by:
17 Requested delivery of weeks
19 Describe your process:
20 Sketch the installation on a seperate piece of paper. Show plan and elevation and/or side elevation, properly identified, along
with all pertinent dimensions. Indicate preferred material transport path together with possible alternatives. Indicate all
clearances and obstructions to allow Hapman to select the most practical circuit should this differ from your sketch.
Please sketch and fax/email 269-349-2477, Att: Steve Grant, steve-grant@hapman.com
Type job notes here:
Please type any job notes here