Name

Organization

Work Phone

FAX

E-mail

1.  Fluid to be strained/filtered

2.  Density of fluid

3.  Viscosity of fluid

4.  Fluid working pressure

     Maximum working pressure:

5.  Fluid working temp

     Maximum temp

6.  Material of strainer/filter body construction

7.  Strainer/filter construction (Simplex , Duplex, Y Type, TEE Type)

8.  Existing Pipeline size and material

9.  Nature of solids to be collected

10. Size of solids to be collected

11. Clearance limitations   - Above

       Below

       left side facing inlet

       right side facing inlet

12. Maximum pressure drop with clean basket

13. Expected cleaning frequency

14. Flow rate (Gallons per minute)

15. Any additional information