| Background | Products | References | RFQ | Links | HS Worldwide

Bulk Product Sampler (BPS) Questionnaire


Please fill out the form below and give us as much information about yourself as possible.  Fields marked with an asterisk (*) are required. 
We will only use your e-mail address and information supplied by you to contact you about services/products that you have indicated are of interest to you.


Contact Information
* Company Project
* Contact Title
* Phone Fax
* Email Website URL
Logistics
Number of Trucks (or Rail cars):  per hour orper day
Number of indexed positions taken per container (i.e.# of stops along container where samples will be taken in container) 
Or Total Number of Holes:
Describe current method of sampling:

Dimensions of Container: L= W= D=

Describe Sampling Location:
Describe structure to be built:
Drawings of Existing Structure are available and will be sent Yes No
Sampling Criteria
Moisture Analysis
% Moisture expected
Assay analysis
%  expected
Particle Size of Concentrate
Power Requirements (two power sources to choose from)
1) Plant Air Available at Location Yes No
2) Hydraulic Unit Required at Location Yes No (Quote as an option)
Electrical Power Available 460 VAC  
3 phase
50-60 Hz  

If no Electrical Power Available, give comments

Ambient Temperature Range

to
Additional Comments