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Note: All data will be held confidential
A. General Questionnaire
Company
Contact/ Title
Street Address
City
State
Zip / Postal Code

Country

Telephone
Fax
Email:
Website
Type of Industry
How did you search for us?

Product Interested in?

B. Please provide a brief summary of your plant objectives in the space below

C. Current Handling Method and Operating Conditions
Batch/ Continuous (If Batch, please specify Size and time)
Batch
Continuous

Size
Time:
Type of Equipment Used
Manufacturer
Size
Model
Operating Temperature (0F)
Production Feed Rate (Lb/Hr.)
Plant Vacuum Capability (mm Hg)
Operating Pressure (mm Hg)
Jacket Temperature (0F)
Plant Cooling Water Temperature (0F)

D. Process Mass Balance
Please enter data on order of Volatility. Start with the most volatile
Comp
Chemical
Mol. Wt.
Feed Comp (Wt %)
Distillate Comp
(Wt %)
Bottoms Comp
(Wt %)
A.
B.
C.
D.
E.
F.

E. Physical Properties
Property
Feed
Dist
Bott
Components
A.
B.
C.
D.
E.
1. Specific Heat (BTU/Lb-F)
2. Viscosity @Ambient Temp. (cps)
3. Viscosity @ Process Temp. (cps)
4. Latent Heat of Vaporization (BTU/Lb)
5. Melting Point (?F)
6. Vapor Pressure (2 pts.)
(mm Hg @ ?F)
(mm Hg @ ?F)
7. Specific Gravity
8. Decomp. Temp (?F)
9. Auto-ignition Temp (?F)
10. Flash Point (?F)
11 Max. Proc. Temp (?F)

F. Recommended Operating Conditions
Operating Pressure (mm Hg)
Operating Temperature (?F)
Jacket Temperature (?F)
Feed Temperature (?F)
Cooling Water Temperature (?F)
Residence Time (sec.)
Other

G. Special Testing Considerations and Precautions
Feed
Distillate
Bottoms
Are the materials sensitive to:
a. Prolonged Heating
b. Air / Oxygen
c. Moisture
2. Please describe any signs of degradation:
What is the recommended method to minimize degradation?
a. Cooling b. Nitrogen Blanket
4. Are the materials abrasive?
Yes No
5. Will the materials sublime?
Yes No
6. Will the materials foam?
Yes No
7. Do any of the materials contain dissolved solids?
Yes No
If yes, will solids precipitate and process condition
Yes No
8. Do any of the materials contain suspended solids?
Yes No
If yes, please provide particle size (microns):

H. Analysis and Sampling
a. Sample size required for analysis:
b. Type of sample containers desired:
c. Special sampling procedure:
d. Please describe standard analytical procedure:
e. Can an analysis be made during trails? Yes No
If yes, please describe method:

I. Materials Handling Precautions
Please attach the proper MSDS with this questionnaire
a. Please describe personal protective equipment required:
b. Please describe any other handling precautions:

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