Client Data Request


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American Custom Drying Co.

109 Elbow Lane

Burlington, New Jersey USA 08016-4123

Telephone: (609) 387-3933

TeleFax: (609) 387-7204

acd@109elbow.com

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    American Custom Drying Company  ....  (609) 387-7204

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CLIENT DATA REQUEST FORM

Proprietary data should be noted as such

Please include all related MSDS information

Please supply samples of feed and/or finished product

Prepared by______________________________ Date___________

COMPANY INFORMATION

 Company Name_____________________

Plant Location______________________________

___________________________________________

__________________________________________

Address___________________________________

________________________________________

_________________________________________

Fax________________________________

______________________________________

Telephone____________________________

______________________________________

E-mail______________________________

COMPANY CONTRACTS

Technical _______________________________

Business ____________________________

QA/QC__________________________________

Purchasing __________________________


PRODUCT INFORMATION

 Name/Composition ________________________________________________________________________________

Chemical Formula ________________________________________________________________________________

Usual Application/End Use: ________________________________________________________________________________

Status

 

Quantity Desired

[ ] Production

 

______________________LBS.

[ ] Market Sample

 

By:___________________Date

[ ] Development

 

 

PRODUCTION SCHEDULE


__________LBS. PER YEAR AT_________________WEEK INTERVALS ______________MONTH INTERVALS

 

SPRAY DRYING / PROCESS DESIRED

(Check all required)

[ ] Dry only

[ ] Heating

[ ] Spray chilling

[ ] Control Powder Properties

[ ] Cooling

[ ] Fluidized bed

[ ] Homogeneous Powder from wet batch

[ ] React

[ ] Dehumidified air required

Other____________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________


PRIOR SPRAY DRYING EXPERIENCE

Type of Dryer

Atomization

MFGR: __________________________________

Centrifugal

Size:_____________(Dia.)_____________(Height)

_______________________________Disc. Dia.

Capacity:____________________ LBS. Product/Hr.

__________________________________RPM

Heat Source

__Nozzle

___Direct Gas ___Indirect

__Hydraulic

Preference_______________________________

 

MFGR:_______________________________

 

 

Size: ___________________________________

Operating Temperatures

 

Pressure: ___________________________________

Inlet___F° or C° ___Outlet___F° or C°

__Two Fluid (Air Atomizing)

 

 

MFGR: ___________________________________

Air Flow

 

Size: ___________________________________

___Cocurrent

___Countercurrent

Air/Feed Pressure: _____________________________________

FEED DATA

__Solution

__Newtonian

__Suspension

__Dilatant

__Emulsion

__Thixotropic

__Gel

__Rheoplastic

__Other __________________________________

Does Rheology change markedly

_________________________________________

with concentration, heating, pH

_________________________________________

Please comment _________________________

_________________________________________

____________________________________

pH

______at_____

Viscosity (Brookfield)

______cps. At_______F° or C° ____________spindle

Average particle size in feed

_____________________________________microns

Filter size to remove foreign matter

________________________________microns/mesh

Concentration (% solids wgt.)

_______min._______avg._______max.

Specific Gravity (1.0 = water)

________________________________________g/cc

Specific Heat

__________________BTU/LB. at _________F° or C°

Volatiles other than water (concentration ppm)

 __________________________________________

Does material form stable foam

__Yes

__No

Can anti foam agent be used

__Yes

__No

Is the material abrasive/corrosive

__Yes

__No

__ Corrosive

__Abrasive

If yes, please comment

_____________________________________________

MATERIAL HANDLING

How will feed be delivered

[ ] Bags.

[ ] Bulk Bags

 [ ] Drums

[ ] Totes

[ ] Tanker

[ ] WGT

[ ] LBS

Desired product package

[ ] Bags.

[ ] Bulk Bags

 [ ] Drums

[ ] Totes

[ ] Tanker

[ ] WGT

[ ] LBS

PRODUCT DATA

Moisture content (%WGT.)

MIN.______AVG.______MAX.______

Particle Size

MIN.______AVG.______MAX.______ Microns/Mesh

Bulk density gm/cc

MIN.______AVG.______MAX.______

Heat stability

______________F° or C° ______(time)

Melting Point

__________________F° or C°

Specific Heat

_________________BTU/LB.

Heat of Crystalization

_________________BTU/LB.

Sublimation

_________________F° or C°

Hygroscopic

__Yes __No

RESPONSIBLE CARE/SAFETY AND HEALTH DATA

Permissible emission in exhaust

___________________________________gn./cu. ft.

 

Effluent water limits

 

__________________________________________

 

Is feed or product toxic

 

__________________________________________

 

TLV

 

__________________________________________

Are products of decomposition toxic

__No __Yes __Explain

 

 

__________________________________________

 

What conditions may cause decomposition

 

__________________________________________

 

 

Air Over Layer Ignition Temperature

__________________F° or C°

Bulk Powder Temperature

__________________F° or C°

Is dust explosive

__Yes __No

 

Explosivity Classification

 

_________________________________________

 

Explosivity Severity (Kst value)

 

__________________________________________

 

QUALITY SYSTEMS

Are you ISO 9000 certified

__Yes

__No

__In Progress

Are Standing Operating Procedures available

__Yes

__No

__In Progress

Is a HACCP plan available

__Yes

__No

__In Progress

Are samples available

__Yes

__No

 

 

Please include all related MSDS information with the Client Data Request.

Please use open space to draw diagram.
  NOTES___________________________________________________________________________________

 

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_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

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109 Elbow Lane, Burlington, NJ 08016-4123
(609) 387-3933  PHONE    (609) 387-7204  FAX
Last modified: 12/13/2004