Dust Collection Design Worksheet Complete the form below and a representative will review your information. Notice: JavaScript is required for this content. General Information 1 General Information Fill out the general information to the right as best as you can. Name Company Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip Facility Company Phone Company Email Contact Name Contact Phone Divider Dust 2Dust Fill out the general information to the right as best as you can. Description of Dust E.G. fibrous, oily, fine, coarse, density, abrasive, corrosive, etc… Is the dust combustible? Yes No Kst Value Pmax Flammable? Yes No Emissions Requirement Location of System Indoor Outdoor Special Requirements Clean air to be returned into building? Yes No Is there compressed air available?™£ Yes No Type of container for dust discharge Slide Gate Drum Lid Adapter 55 Gallon Drum (Standard) Small Rolling Cart Rotary Air Lock (RAL) Screw Conveyor Other Type of Manufacturing Process If this is a welding application, please also submit our welding worksheet. Number of Dust Sources to be Connected Please Itemize Number of Dust Sources that will be Operated Simultaneously Hours of Operation Per Day Operation Type Continuous Intermittent Will filtered air be returned to the building? Yes No Is this system new? Yes No Is this a replacement system? Yes No Floor Space Available Ceiling Height Electrical Service Available Please enter Voltage, Phase and Hertz. Type of Facility Production School Maintenance Other How far will the farthest machine be from the dust collector? Email Building Layout Please email building layout and any pertinent information regarding the desired system. If you are a human seeing this field, please leave it empty.