MizAir® Application Questionnaire

 

Date:_________________________

 

Contact:_____________________________________________________________________________________________________

 

Location:____________________________________________________________________________________________________

 

Distributor/Distributor Salesman:_________________________________________________________________________________

 

The Pumps:

 

Quantity of AODDs?__________________________________________________________________________________________

 

Brand and Model Number:______________________________________________________________________________________

 

Model of Center Section of Pump:________________________________________________________________________________

 

Media Inlet (suction)/Outlet (discharge) Line Size:___________________________________________________________________

 

Muffler on Pump?_____________________________________________________________________________________________

 

Is icing an issue?_____________________How is the problem solved at the plant?_________________________________________

 

____________________________________________________________________________________________________________

 

What material is used in the diaphragms and seals?___________________________________________________________________

 

Utilities, Area Classification:

 

Inlet Air Pressure Min/Max (PSI):________________________________________________________________________________

 

Inlet Air Flow Min/Max (SCFM):________________________________________________________________________________

 

Air Supply Line Size:__________________________________________________________________________________________

 

Is 24 VDC available at the site?__________________________________________________________________________________

 

Area classification where pumps are located?_______________________________________________________________________

 

How is flow controlled on the pump?______________________________________________________________________________

 

Media, Duty Cycle:

 

Media being pumped?__________________________________________________________________________________________

 

Media flow rate?____________________________________________________________________________

 

Head pressure (typical) of media?______________________________________________________________

 

Duty cycle of pump, i.e., usage, and over what period?______________________________________________

 

Notes or Sketch of Site:

 

 

 

Proportion-Air, Inc., 8250 North 600 West, McCordsville, IN 46055

Telephone 317-335-2602  Facsimile 317-335-3853  Web: www.proportionair.com

© Proportion-Air, Inc 2009                                                                                                                                                                                    Revised 9/17/09