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Your answers to these questions help select the right type of
drum, Tote Mixer or pump for your specific application.
For Drum Rotators:
Click Here.
Your Company Name:
___________________________________________
Your Company
Address ___________________________________________
Your Name: ___________________________________________
Your Title: ___________________________________________
Your Tel:
(__________)________________________________
Best time to reach you: _________AM
_________ PM
If you have TDS (Technical Data Sheet) please
attach and fax or email.
Name and Manufacturer of Liquid or
Process:
_______________________________________________________
________________________________________________________
________________________________________________________
Would you like us to respond via email or
fax?
Email address:
_____________________________________
Fax Number:
_____________________________________
Information:
1. Container type & size
(circle one):
Drum: 5 gal. drum, 55 gal. drum,
IBC ______ gal.
Tote: IBC dimensions (inches):
W______" x
D ______" H ____"
Other Type of Container?: ________________________________
dimensions (inches):
W______" x
D ______" H ____"
Material your Container is
made of:
Mild Steel - Fiber
- Lined -
Stainless steel - Plastic
Other: ___________________
2. Tote depth: outside manway to inside bottom:
Measured in
inches, (Tote mixer shaft length is determined by this
dimension.)
Container is __________ inches
deep.
3. Bung or man-way size (circle one):
2" NPT - Buttress
- Mauser - Open drum
- Man-way
Diameter (in inches)
________"
Other (please describe):
_________________________________
4. Liquid or solution specifications:
Thickness of material: ___________________
(Centipoise),
Specific Gravity ___________
Temperature ______ °F
Flammable? Please Circle and
initial one: Yes
No
Volume: ________ (In
gallons) Typical Fluid Depth:
______ (in inches)
pH _________,
Particulate size __________
(in inches)
Do you require an Electric or Air Drive
product? Choose below:
5. Electric
Drive Requirements
Horsepower: ______
Volts ______
Cycles ______ Hz.
_________
6. Air Drive Specifications:
Air Usage ___, CFM ___, PSI,
___ Hp,
7. Flow Rate Desired:
Gallons Per Minute: _______ Head (Height to be
pumped) ______ Ft.
8. Exhaust Extension?
Please circle one:
Yes No
9. Shear or Foaming Sensitivity:
(Rate on a scale of 1-10):
Circle one:
Stable - 10 9
8 7
6 5
4 3
2 1
- Sensitive
10. Agitation Frequency & Power:
Continuous blend Batch?
YES ______ NO ____
OR blend
______ number
of times per (circle one):
Hour
Day Week
Month
Agitation Requirement: (Rate on a scale of
1-10):
Circle one:
Vigorous - 10
9 8
7 6
5 4
3 2
1 -
Gentle
Date Product is Required:
If you have TDS (Technical Data Sheet) please
attach and fax or email.
Please send this
form to:
Fax:
(818) 597-4301
Email to:
service@dispensinglink.com
Mail to:
Integrated Dispensing Solutions
5311 Derry Drive
Building D
Agoura Hills CA 91301
Attn:
Applications
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