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ZYRAMICINC.

Application & Request for Quote

Polymer and ceramic membrane modules

Zyramic, Inc.
10 Tucker Drive
Poughkeepsie, NY 12603 USA
+1 845 402 6318
tom@zyramic.com

Complete the fields that apply. Check all that apply. This sheet is for module quotation — not a performance guarantee.

1. Customer
Company Type
Contact Position
Tel Email
Website
Ship-to / project location Target delivery
How you heard of Zyramic (optional)
2. Project & feed
Product & liquid name
Components A–G
Name + ppm or %
ABCDEFG
Component
Conc. (ppm or %)
Current process
Process requirement
SS ppm TDS ppm Viscosity cP or mm²/s
Temperature °F / °C Density lb/gal or kg/m³ pH
Feed concentration Other data
Project status
Purpose
Membrane process
ZYRAMIC, INC.Application & Request for Quote — continuedtom@zyramic.com
3. Membrane family — check all that apply
If ceramic: preferred geometry
If MBR / wastewater
MLSS mg/L Design flux (if known) gfd Tank L × W × SWD ft
Permeate quality target
BOD / TSS / turbidity
Available scour air (if known) SCFM
4. Duty, hardware & quote scope
Capacity
m³/day gpm hours/day
Control
Material
Power
What to quote
Remarks