Conveying Requirements Survey Step 1 of 5 20% General InformationProposal TypeFullBudgetDate Required Date Format: MM slash DD slash YYYY CompanyAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneFaxEmail Attn: Material Description (For Conveying)Material NameUseBulk Densitykg/m3lb/ft3AeratedPackedParticle Size: MaxParticle Size: MinParticle Size: UnitsParticle Size DistributionMoisture Content % MaxTemperature°C°FMaxRangeFlowabilityFree FlowGoodModeratePoorDoes Not FlowHygroscopicityYesNoCorrosiveCausticExplosiveYesNoAngle of ReposeAbrasivenessNonabrasiveMildModerateHighVery High Site Conditions (General Environment)ElevationmftMax Humidity, %Ambient Temp°C°FAmbient Temp: MaxAmbient Temp: MinSystem/Equipment LocationIndoorOutdoorBothCompressed Air AvailabilityYesNoNm3/minscfmArea Classification (NEC)Operational Location (city, state) Process Requirements (Actual Conveying Needs)System Rate Req'dkg/hrt/hr (x2000lbs)System DistancemftHorizontalVertical# Vertical Runs# BendsFeed ArrangementMaterial Degradation a concern?YesNoFeed ConditionsPressureVacuumUnitsFeed HeadroommftReception ArrangementDischarge ConditionsPressureVacuumUnitsBatch Weighing RequiredYesNoSizeTimeMaterials of ConstructionCarbon Steel304 SS316 SSExplosive AtmosphereYesNoStandardNEMA 7XATEXDescription and Sketch (Please provide as much detail as possible.) Scope of Supply (Please provide quantities for all that apply.)TransporterWeigh SystemTransporterDistribution ValvesFeed HopperReception BinFiltersBendsPipeLevel ProbesCompressorTerminal BoxElectrical ControlsOther (specify)PhoneThis field is for validation purposes and should be left unchanged.
