/ Technical Questionnaire / SOF-0502
Independence, Kentucky / LATEST REVISION DATE: 07/01/2011 / Page 1 of 3

Instructions: To change the unit of measure click on the grey box to select the new units. Type data into blocks. If data is unknown, insert N/A into the block. Please sign and return the filled in questionnaire to Flottweg.

The below frame will be filled in by Flottweg.

Offer No. Project Manager

Firm:

Address:

Department: Phone:

Contact person: Telefax/e-mail:

Project Location:

Process Objective:

RequiredCritical Process Information: This section must be completed in entirety otherwise technical staff will not be able to evaluate the application.

Description of the product to be handled:
Rate per day: / m³/dkg/dgal/d
Rate per hour: / m³/hkg/hgal/h
Operating hours per day: / h/d
pH-value:
Operating temperature: / ° C° F
Max admissible operating temperature / ° C° F
Does the process require pressurization (pressure vessel)? / Yes / No
If yes, what pressure is required? / psiPa
Is the process required to be gas-tight? / Yes / No
What is the area classification where material is processed?
Are the materials to be separated of the same density? / Yes / No

Additional Information:This is needed for evaluation (please fill out to the best your knowledge)

Before Separation

Density of feed (suspension): / kg/m³
Percentage of solids (total): / % by wt.g/L
Percentage of solids (soluble): / % by wt.g/L
Percentage of solids (insolubles): / % by wt.g/L
Residue on ignition (determined at ° C° F): / % by wt.
Sand contents: / % by wt.
Halide level (chlorides, florides, bromides): / ppm
Sludge index: / mL/g
Description of solids
Density / kg/m³
Particle size distribution: / % < / µm
% < / µm
% < / µm
Average particle size (d50): / µm
Particle shape (eg. spherical amorphous, etc.):
Type of solids (eg. fibrous, crystalline, etc.):
Description of the liquid (single liquid phase):
Density: / kg/m³
Dynamic viscosity (at operating temperature ° C° F): / Pa ∙ s
For liquid-liquid-mixtures (e.g. mixture oil-water, oil-water-solids):
Description of the light phase (e.g. oil):
Percentage of total liquid: / % by wt.% by vol.
Density: / kg/m³
Dynamic viscosity (at operating temperature ° C° F): / Pa ∙ s
Description of the heavy phase (e.g. water):
Percentage of total liquid: / % by wt.% by vol.
Density: / kg/m³
Dynamic viscosity (at operating temperature ° C° F): / Pa ∙ s

After Separation

2-Phase (liquid-solid)
Requested solids-/sludge contents in discharge: / % bt wt.
Admissible solids (insolubles) in effluent: / % by wt.g/L
Solids recovery: / %
3-Phase (oil-water-solid)
Solids
Admissible light phase: / % bt wt.
Admissible heavy phase: / % bt wt.
Light phase
Admissible solids (insoluble): / % by wt.g/L
Admissible heavy phase: / % bt wt.
Heavy phase
Admissible solids (insoluble): / % by wt.g/L
Admissible light phase: / % bt wt.

Other

May additives (flocculants, de-emulsifiers, etc.)be used? / Yes / No

Voltage and Frequency requirements:

Necessary precautions, danger name of product:

Comments (eventual former lab test, seasonal fluctuations, medium-term increase of capacity, special material, etc):

Flow schematic of the process.

Please draw a schematic of the process and indicate where Flottweg equipment would fit in:

______

Place, Date Stamp, Signature

Flottweg Separation Technology, Inc.

10700 Toebben Drive, Independence, KY 41051. 859 448 2300