jvi feeder qform

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JVI Feeding Equipment - Application Form Customer Name: Phone #: Contact: Project #: Date: Prepared By: Feeder Type: * ____Electromechanical ____Electromagnetic ____Tube *you may leave this section blank if you would ____Pan like JVI to recommend the best feeder type ____Spreading based on your application description below. ____Light Duty Dosing ____Extra Heavy Duty _____ Long Slotted Hopper Discharge Product: Particle Size: Bulk Density: Moisture Content: Product Temperature: °F °C Product Properties: Statically Charged ____ Sticky ___ Floods ___ Abrasive ____ Other________________ Application Info Feed Rate Adjustability Required? Y N Range of Variation % needed? Discharge size of hopper feeding machine: Machine is fed by: (hopper, chute, etc): Equipment Requirements Capacity: (lbs/hr or t/h) Mat’l of Machine Construction: Feeder Design: Open or Closed (covered)? Discharge chutes? Feeder Length: ft Position of Feeder Horizontal or % of incline or decline? Installation: Base mounted or suspended? Mounted In/On (floor, steel structure, etc) Voltage/Frequency: Explosion Proof? (describe application) Comments: JVI Vibratory Equipment - Po Box 40564 - Houston, TX 77240, U.S.A. - (832) 467-3720 Fax to: (832) 467-3800. This form can also be completed electronically at www.jvivibratoryequipment.com JVI Vibratory Equipment

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Feeder Type: * ____Spreading Product Properties: Statically Charged ____ Sticky ___ Floods ___ Abrasive ____ Other________________ Feeder Length: Equipment Requirements Position of Feeder JVI Vibratory Equipment - Po Box 40564 - Houston, TX 77240, U.S.A. - (832) 467-3720 Capacity: Base mounted or suspended? Open or Closed (covered)? Discharge chutes? Fax to: (832) 467-3800. This form can also be completed electronically at www.jvivibratoryequipment.com JVI Vibratory Equipment Application Info

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Page 1: JVI feeder Qform

JVI Feeding Equipment - Application Form Customer Name: Phone #: Contact: Project #:

Date: Prepared By:

Feeder Type: * ____Electromechanical ____Electromagnetic

____Tube *you may leave this section blank if you would ____Pan like JVI to recommend the best feeder type ____Spreading based on your application description below. ____Light Duty Dosing ____Extra Heavy Duty _____ Long Slotted Hopper Discharge

Product: Particle Size: Bulk Density:

Moisture Content:

Product Temperature: °F°C

Product Properties: Statically Charged ____ Sticky ___ Floods ___ Abrasive ____ Other________________

Application Info

Feed Rate Adjustability Required? Y N Range of Variation % needed?

Discharge size of hopper feeding machine:

Machine is fed by: (hopper, chute, etc):

Equipment Requirements

Capacity: (lbs/hr or t/h)

Mat’l of Machine Construction:

Feeder Design: Open or Closed (covered)? Discharge chutes?

Feeder Length: ft

Position of Feeder Horizontal or % of incline or decline?

Installation: Base mounted or suspended?

Mounted In/On (floor, steel structure, etc) Voltage/Frequency: Explosion Proof? (describe application) Comments:

JVI Vibratory Equipment - Po Box 40564 - Houston, TX 77240, U.S.A. - (832) 467-3720

Fax to: (832) 467-3800. This form can also be completed electronically at www.jvivibratoryequipment.com

JVI Vibratory Equipment