| CONVEYING Mod_0306 |
Fill this form in , to receive a customized offer free of charge and press send.
The required data in BLUE are essential to formulate a quotation. |
| The undersigned: |
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| authorizes the treatment of the following personal, confidential information, for commercial purposes. |
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| Company name |
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| Main business |
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| Contact person |
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Position |
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| Town |
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| Adress |
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Zip code |
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| Country |
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| Telephone |
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Fax |
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| Mobile |
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| Web site |
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| E-mail |
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| 1 |
Requiem item |
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Loading Bellows |
Quantity pcs. |
Item reference, if identified |
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XIMIX ® |
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Accessories |
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Other |
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| 2 |
Fields |
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Basic name of the product |
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Food industry |
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Chemical industry |
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Building industry |
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Laboratory pilot plant and machinery |
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Ecology |
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Industry |
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Feedstuff |
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Other |
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| 3 |
Product to be handledd |
| 3a |
Solid componentes |
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Product |
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% in weight |
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Density Kg/litre |
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Dimensions µm |
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Moisture % in weight |
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Temperature °C |
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Hygroscopic |
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Sensitive to heat/ to cold |
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Abrasive |
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Corrosive |
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Explosive |
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Poisonous |
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Electrostatic |
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Agglomerative |
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Other characteristics |
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| 3b |
Could You send samples of components? |
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Liters |
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| 4 |
Process |
| 4a |
Type |
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in batch |
No. of loads / day |
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Continuous |
| 4b |
Conveying into |
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Tank truck |
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Open truck |
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Train van |
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Flatboat |
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Ship |
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mixed (specify the priority of load) |
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| 4c |
Control |
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Manual winch |
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Motorized |
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| 4d |
Options |
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Electric control board and push-button panel |
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Electric control board |
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Connector block on the machine with electric connection |
| 4e |
Heigth of the folder hose |
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Stroke of the hose [mm] |
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Maximum loading bellows height [mm] |
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| 4f |
Move cables |
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no.1 inner central cable (in contact with the product) |
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no.3 outer cables (not in contact with the product) |
| 4g |
Pipe |
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Extensible sheath |
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Sliding tubes with Cardan joint |
| 4h |
Level gauge indicator |
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With rotating paddle |
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With vibration |
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Capacitive |
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Other |
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| 4i |
Features |
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ATEX |
Outer Zone |
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Inner Zone |
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| 4l |
Application for |
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new plant |
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existing plant |
| 4m |
Request production m³/h |
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Discharging outlet diameter |
| 4n |
Loading from |
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Silo |
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Screw conveyor |
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Belt conveyor |
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Buck elevator |
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| 4o |
Further data about the process |
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| 4p |
Special requests |
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| 5 |
Feeding |
| 5a |
Electric power three-phase |
Volt |
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Hz |
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| 5b |
Control line |
AC |
Volt |
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Hz |
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DC |
Volt |
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| 6 |
Operation information |
| 6a |
Placing of the machine |
Indoor |
Outdoor |
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| 6b |
Utilization h/day |
2h |
8 h |
16 h |
24 h |
| 6c |
Ambient Temperature [C°] |
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| 7 |
Material of construction |
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Material of construction |
parts in contact with the product |
parts not in contact with the product |
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Carbon steel |
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AISI 304 |
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Other |
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| 8 |
Execution time |
| 8a |
Required time for the reply |
1 day |
3 days |
7 days |
10 days |
| 8b |
Required delivery date |
Week |
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Year |
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| 9 |
NOTE |
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