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To help us assist you and better understand your process, please fill out our data sheet. It gives us the detailed information that we need to expedite a response. Thank You!

CUSTOMER CHECK LIST FOR BATCH BLENDERS

First Name:
Last Name:
Title:
Company:
Address: (No P.O. Boxes please)
Address 2:
City:
Country:
State/Province:
Post Code:
Telephone:
Fax:
Email:
Question:

MATERIAL CHARACTERISTICS
Material Name(s):
(1)	(2)	(3)
Material Bulk Density:
(1)	(2)	(3)
Maximum initial particle size or Mesh size:
(1)	(2)	(3)
Percentages:
(1)	(2)	(3)
Particle size:
(1)	(2)	(3)
Moisture content:
(1)	(2)	(3)
Is the material friable?	Yes	No
Is the material abrasive?	Yes	No
Is the material explosive?	Yes	No
Is the material toxic?	Yes	No
Is the material heat sensitive?	Yes	No
Is the material corrosive?	Yes	No
Is the material free flowing?	Yes	No
Is the material Interlocking?	Yes	No
Does the material fluidize?	Yes	No
Is the material hydroscopic?	Yes	No

Is there a liquid addition?	Yes	No
by weight / by volume	(1) %	(2) %
Liquid Addition Name(s):
(1)	(2)

MIXER REQUIREMENTS Mixer/Agitator Type:
Rotary Drum- Gentle	Hi-Intensity	Double Ribbon
How is the material fed? Batch Size (cubic ft) Batch Weight? No. of batches per hour / per day / Blend Time Will the mixer be started under load? Yes / No. If 'yes' how frequently? Heating/cooling jacket required, specifics: Intensifiers required?: How are you currently mixing? Electrical Requirements: Voltage Construction Materials:
carbon steel	304 stainless steel	316 stainless steel
Special Notes:

1-800-944-6644
(NY: 1-315-797-0090)