Filter Application Request Form

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Filter Application Request Form

Name:

Street Address:

City/State:

Email Address:

Phone:

Fax:

What is the fluid type to filter?

What is the flow rate? gpm lpm

What is the pressure? psi bar

What is the operating temp? Ő F Ő C

What is the solids loading? % by weight % by volume

What is the desired clean DP? psi bar

What is the desired cartridge change out DP? psi bar

What materials of construction?

Vessel?

O-ring/Gasket?

Filter element?

What type of connection/size is required?

ANSI rating of vessel? psi bar

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