Application Request Form  

Thank you for your interest in our products and services. If you cannot call us to discuss your needs right now, please take a minute to supply the Application information below. We will do an application estimate and will contact you to discuss potential solutions.

Your name:

Position:

   
Company Name:

Street Address:

City, State, Zip Code:

Your email address:

Telephone Number:  Fax:  

 

INDUSTRY (check all that apply)
Chemicals Type:      
Clean Room  
Electronic/Chip  
Fiber/Fabric Mfr.  
Fluorescent Lamp Mfr.  
Metal Treating  
Recycling Type:      
Tape Mfr.  
Water Treatment  
Sewerage  
Other Type:      

 

GOAL (check all that apply)

 

CONDITIONS
Meet Emission Limit Temp.,Deg.F:  
Odor Control Pressure, psig:  
Process Step Impurity Viscosity, cP:  
Product Purity Flow Rate:  
Protect Equipment Flow Rate Unit:
Protect Enclosed Space  
Safety  

 

CONTAMINANT COMPOUND

 

*EXISTING CONC.

 

*DESIRED CONC.
     
     

 
 
*UNITS OF CONCENTRATION FOR ABOVE CONTAMINANTS:


 
BULK FLUID MAIN COMPONENTS PERCENTAGE WT/VOL
Air
Gas
Liquid
Water
  % Percentages are of:

  %
  %
  %

 

What is Upstream?

 

 

 

What is Downstream?

 

 

 

Have you considered or tried other means to reach this goal? If so, what?

 

TIMING FOR ACTION
 
Immediate need
Project yet to be budgeted, estimate needed for planning
 
Deadline is

Expected Project Implementation Date

    


Selective Adsorption Associates, Inc.  534 Gables Court  Langhorne, PA 19047 USA
Telephone: (215) 702-0323  FAX: (215) 702-0577 Email: sales@selectiveadsorption.com
 
 



 Copyright 2010 Selective Adsorption Associates, Inc.
http://www.selectiveadsorption.com