Solids Sampling Questionnaire

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Contact Information
* Company		Project
* Contact		Title
* Phone		Fax
* Email		Website URL
Purpose
Size Consistency Moisture Process Control (Analyzer)
Metallurgical Accounting Inventory Control Other
Target Date for Installation:
Pricing:	Budget Firm
Quote Required by
Process Characteristics
Location (e.g. SAG Mill Feed)			Continuous Intermittent
Duration of Process Flow at Sample Point (hrs/day)
Sample Interval (i.e. 3x/hr, etc.)
Hours per Shift
Final Amount of Sample Req'd: Shift/Day
Remarks
Material Characteristics
Feed Rate(TPH): Min. Max. Normal
Bulk Density
Maximum Particle Size		%Moisture
S.G. Solids Ambient Temperature: Min. Max.
Location of Sampler Interior Exterior
Special Considerations Abrasive properties Low High
Special Considerations Grindability Standard Difficult
Remarks
Feed Conditions
Belt Conveyor: Belt Width Belt Speed: ft/sec m/sec
Inclination from Horizontal: ± Idler Trough Angle: Head Pulley dia:
Remarks
Chute: Preceding Process Equip.: (i.e.Feeder,Screen,Filter,etc)
Discharge: Constant Intermittent
Cross Section: : (input as x by y)
Angle From Horizontal: Vertical FreeFall
Other Applications(Special Feed Conditions):
Remarks
Electric Controls
Power: Volt: Cycle(Hz):
Special Options (Interlocks, Alarm Relays, Sensor Position)
Enclosure Rating(i.e. Nema 4, Nema 4x, Nema 12)
Motor Power: Volt: Cycle(Hz):
Motor Enclosure(i.e. TEFC, Drip-proof): Insulation Class:
Remarks
Air Supply Moisture Free)
Plant Pressure (PSI):		Auto Drain Req'd for F.R.L.: Yes No
Miscellaneous
Hazards:
Special provisions(i.e.Preferred Motor manufacturer):