Fixed Oil Skimmer Installation Questionnaire

Fields marked with * are required.

In order to offer the most appropriate skimmer solution, please complete the following;
Name*
First Last
Company
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Comments
Pond / Tank surface area: Open or closed tank: Constant or fluctuating effluent level (Please list Maximum and Minimum.) Dimension A: Dimension B: Dimension C: Dimension D: Dimension E: Air Available: Please list psi and cfm. Air Quality: Power Available: Please list V, HZ, and Phase. Standard of Motor Enclosure: Anticipated Use: (Hours / Day) Volume of Oil to be Recovered / Day: Oil Type: Fresh or Salt Water: Oil Viscosity at Water Temp: (Cst) Air Temperature: (F / C) Effluent Temperature: (F / C) Chemicals / Acids Present in Effluent: Effluent Ph: Water Velocity: Are Waves Present?: Is The Water Turbulent?: Debris Present?: Please Describe The Debris:
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