PSI Data Request Form - Bagging System

Packaging Systems International, Inc.

Data Request Form

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for

Bagging Systems

Customer Information

I Product Description

II Container Description

III Performance Requirements

IV Utilities

V Equipment Description

Action Requested:

Submitted by:

Send completed DRF:

via email to:

Information

Top

Name:

Company:

Address:

City, State, Zip:

Plant location:

Customer ref:

Contact:

Title:

Phone:

Fax:

email

History/Summary:

Quotation due date:

Est. installation date

Funds approved:

Quarter: Year:

Proposal copies to:

Description

Top	Product 1	Product 2	Product 3
Name:
Description:
Particle size (mesh):
Density:
Pack temp.:
Flash point:
Melting point:
Angle of repose
Bridging:
Corrosive:
Abrasive:
Explosive:
Flammable:
Toxic:
Poisonous:

Container
Description
Top	Product1		Product2		Product3
Bags	Empty	Filled	Empty	Filled	Empty	Filled
Bag face (width):
Bag gusset (thick):
Bag length:
Top/bottom width:
Valve size (inside):
Valve location:
Valve sleeve type:
Valve sleeve dim a:
Bag construction:

Rigid Container
	Product 1		Product 2		Product3
Dia/width:
Length:
Height:
Tare weight:
Net filled weight:

Performance
Requirements
Top
	Hours/Day		Days/Week		Weeks/Year
Duty:
	Product 1		Product 2		Product3

Containers/minute:
Accuracy (2 Sigma):
% of production
Operating environment:

	Min		Max		Humidity
Operating temp:

	Product 1		Product 2		Product3
Surge hopper cap.:
Headroom:

Utilities
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Power voltage:
Control voltage:
Classification controls:
NEC class:
Motors:

	PSI	Volume CFM
Compressed air:

Materials of construction
Platework:
Product contact:
Paint:

Equipment
Description
Top
Existing Equipment:

Equipment to quote:

	PSI	Others
Controls by:

Controls Description:

Additional Information:

Packaging Systems International, Inc. 4990 Acoma St. Denver, CO 80216
Phone 303-296-4445, Fax 303-298-1016, Parts 1-800-525-6110

S Y S T E M S O L U T I O N S
Copyright 2007 Packaging Systems International Inc., all rights reserved.
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