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MIXING DATA SHEET

Your effort to complete all segments of this form will allow us to provide you with the very best equipment, selected to meet your specific needs.

Your Information:

* required

Company Name:*
Attention:*
Address:*
City, State & Zip Code:*
Telephone Number:*
Fax Number:
Email Address: *
Your Reference:
   

Application Description:

Operational Data (Check All That Apply):

Gas Dispersion Blending miscible liquids Solids Suspension
Chemical reaction Dissolving Heat exchange
Wetting-out Dispersing immiscible liquid Fermentation
Other (Please Describe)  

Result Desired (What the mixer must satisfactorily accomplish):

Is this mixing application presently in operation Yes No
If yes, please describe your present setup:
Present Batch size:

Vessel Dimension:

Motor Specifications (Volts, amps, phase, Hp.):

Impellers on existing mixer (describe & check box below):

Propeller Turbine Other

Mixer type required:

Top entry Side entry Bottom Entry

Level of Agitation Desired:

Mild Moderate Vigorous Violent
Continous:
(gpm)
Retention Time:
Batch Mixing time:
Normal Batch (gal):
Largest Batch (gal):
Smallest Batch (gal):

Do you wish mixer sizing for normal or maximum batch size?

Normal Maximum

Materials:
Type
Relative %
Sp. Gr.
Viscosity (cps)
Temp °F
Component #1
Component #2
Component #3
Final Mix
XXXX
XXXX

Description of Solids (if present):

Soluble Crystalline Sticky or gummy Insoluble Light or fluffy
Other Particle size/sieve analysis:
Check One: Uniform suspension required Prevent settling only


Tank Dimensions & Data:
Diameter: Vertical cylindrical Horizontal cylindrical
Overall Length (including heads): Straight sides:
Top Shape: Open or loose cover Closed
Flat Dished (if so, depth, in.)
Bottom Shape: Flat Dish
Cone Depth, if applies:
Rectangular or square tank:  
  Length: Height:
  Width: Headroom (inches):
Baffled (how many?): Unbaffled
Mounting Description:
Is steady bearing permitted: Yes No
Opening size to pass impeller:
Mixer operational when: Filled Empty
Describe any heating coils:  
Internal Coils? Yes No

Gearbox Data:

Type: Helical Helical/Bevel
Worm Other:

Material of construction (parts in contact with product):

Electrical Data:

Voltage: Cycle: Phase:
Type of motor required Air Totally enclosed
Cl. 1 Gp. D, XP

Additional Specifications:



Thank You For Considering Magna-Safe for Your Mixing Needs
   
Magna-Safe International
Corporate Office
PO Box 447
Old Bridge, NJ 08857-0447
Tel: 732-603-2188
Fax: 732-972-0393