JVI screen Qform

Page 1

JVI Vibratory Equipment

JVI Screening Equipment - Application Form Customer:

Project #:

Date:

Prepared By:

Product Info

Product Name: Particle Size: Particle Size Analysis:

( mesh size by % )

Bulk Density: Moisture Content: °F °C

Feed In Temperature: Application Info

Application: ____Classifying/Dry screening ____Wet screening with sprinkler device

____Dewatering ____Pre-screening ____Coarse Separation (Grizzly)

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

Capacity:

(lbs/hr or t/h)

Mat’l of Machine Construction: Mat’l of Screen: Screen Design:

Open or Closed (covered)? Discharge chutes?

Number of Screen Decks: Required Mesh size and % efficiency for each:

Restrictive Dimensions:

Length: Width: Height:

Position of Screen Deck: To be Installed in/on (i.e foundation or steel structure, above hopper, etc) Voltage/Frequency:

% decline

Explosion Proof? 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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