JVI feeder Qform

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JVI Vibratory Equipment

JVI Feeding Equipment - Application Form Customer Name: Phone #:

Project #:

Contact:

Date:

Prepared By:

Feeder Type: * ____Electromechanical ____Electromagnetic

____Tube ____Pan ____Spreading ____Light Duty Dosing ____Extra Heavy Duty

*you may leave this section blank if you would like JVI to recommend the best feeder type based on your application description below.

_____ Long Slotted Hopper Discharge

Product: Particle Size: Bulk Density: Moisture Content: °F °C

Product Temperature: Product Properties: Statically Charged ____ Sticky ___

Floods ___

Abrasive ____ Other________________

Application Info

Feed Rate Adjustability Required? Y

N

Range of Variation % needed?

Discharge size of hopper feeding machine: Machine is fed by: (hopper, chute, etc): Equipment Requirements

Capacity:

(lbs/hr or t/h)

Mat’l of Machine Construction: Feeder Design:

Open or Closed (covered)? Discharge chutes?

Feeder Length:

ft

Position of Feeder Installation:

Horizontal or % of incline or decline? Base mounted or suspended?

Mounted In/On (floor, steel structure, etc) Voltage/Frequency: Explosion Proof? (describe application) Comments:

Fax to: (832) 467-3800. This form can also be completed electronically at www.jvivibratoryequipment.com

JVI Vibratory Equipment - Po Box 40564 - Houston, TX 77240, U.S.A. - (832) 467-3720


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