Quick Quote Request Form


First & Last Name
Company Name
Email Address
Address

City and State and/or Province
Zip Code / Postal
Country
Phone Number
Fax Number
Application: Describe application and how the oil becomes mixed with the water

Type of Oil
Operating Temperature Minimum
Operating Temperature Maximum
Operating Temperature Normal
Flow Rate Minimum
Flow Rate Maximum
Flow Rate Units
Inlet Oil Concentration mg/l (ppm)
Are Soaps or Detergents in Use


Flow To Be Pumped


Flow To Be Gravity


If pumped, type of pump
Desired Effluent Quality mg/l of oil
Installation is Above Ground


Installation is Below Ground


Installation is Indoors


Installation is Outdoors


Comments and Concerns ? include anything we may need to know. The more information you can give us, the better solution we give.


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