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" Response.Write "" Response.Write "" Response.End end if %> Form Completed by: Name: Title: Organization: Address: City: State: Zip: Country: Telephone: Fax: E-mail:   Material to be processed: Common name: Chemical components: Density (g/cc): Temperature (°C): Viscosity (cps): Working pressure: psi Kg/cm² Flow rate: gpm liters/min. Corrosive constituents, acid(s), alkali(s):
If slurry, % solids by weight: If slurry, density of solids (g/cc): Particle size range (µm):   Material is conveyed by: pipeline
open trough
other (please describe): Pipe size: Connections: threaded flanged (type):   Metals in contact with material: aluminum
brass
carbon steel
cast iron
stainless steel (type):
other (specify):   Magnetic particles: Type (iron oxide, Fe₃O₄, Fe₂O₃, etc.; abraded iron; nickel catalyst, other): Size range (µm): Amount by weight of
total process flow total solids content: % ppm Desired removal recovery: % ppm Minimum acceptable:   Comments: