ZYRAMICINC.
Application & Request for Quote
Polymer and ceramic membrane modules
Complete the fields that apply. Check all that apply. This sheet is for module quotation — not a performance guarantee.
| 1. Customer | |||||
| Company | Type |
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| Contact | Position | ||||
| Tel | |||||
| 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 % |
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| 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 |
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| Purpose |
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| Membrane process |
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| 3. Membrane family — check all that apply | |||||
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| If ceramic: preferred geometry |
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| 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
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| Control |
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Material |
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| Power |
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| What to quote |
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| Remarks | |||||