Liquid Application Solution Request

First Name ______________________                 Last Name _____________________

Company Name __________________                 Email _________________________

Address 1 _____________________                    Address 2 _____________________

Phone___________

Quote needed by: Date  _____________                Time _____ am____pm____

If you wish to attach spec sheet or other documentation, click here

Already a Waco customer?   Yes _____  No _______

Application Data

Fluid ________________   Specific Gravity _________   Density _____ lb/ft³  _____ kg/m³

Process Operation _______________ Hrs/Day __________ Days/Week______________

Flow Rate __________ GPM  __________  Lbs/Hr  __________ M³/Hr _____________

Operating Pressure (PSIG) __________       Operating Temperature:  ºF  _____   ºC _____

Design Pressure (PSIG) __________            Design Temperature:      ºF ______   ºC______

Max Differential Pressure Clean (PSID)  ____ Max Differential Pressure Dirty (PSID) _____

Nature of Contaminant:   Rigid _____      Gel _____  Other _________________________

Micron Retention Required ____________      µm  Removal efficiency required (%) ______

Particle Size Distribution ______________     Total Solids (PPM)  ___________________

System Requirements

Pipe Size ________  Connection Type _____     NPT  ___   Flange Pipe Material _______

Continuous Operation Duplex System Required?      Yes _________            No_________

ASME Code Required?  Yes _____    No _____       U Stamp _____      UM Stamp _____

Special requirements (ex corrosion allowance, x-ray, special paint, linings etc.)

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Thank you for your quotation request. Please contact Randy Moore at rmoore@wacofilters.com or call 800-326-9226 ext. 105 if you have any questions. We will respond to you within 24 hours of when this request was submitted.