Request Data Sheet - Liquid Liquid Coalescer

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	Liquid/Liquid Coalescer - Data Sheet
	To ensure design accuracy, please provide as much information as possible. Required fields are bold

Contact Information
Name
Title
Company
Address 1
Address 2
City
State/Province
Country
Date
Date Quotation Required
Phone
Fax
Email
End User
Location

Proposal No.
Customer Ref.
Date Inquiry
Date Proposal
Budget
Firm
Shipment desired by


	Application: Enter a description of the process/operation creating dispersion.

	Liquid Data - Continuous Phase:
	Liquid Flowrate
	Surface Tension
	Specific Gravity
	Viscosity
	Description of Liquid


	Liquid Data - Dispersed Phase:
	Liquid Flowrate
	Surface Tension
	Specific Gravity
	Viscosity
	Description of Liquid


	Operating Conditions
	Are any solids present in Liquids?
	Description
	Operating Temperature
	Operating Pressure


	Coalescer Vessel:
	Is Vessel Required?
	Space Available
	Vertical or Horizontal Flow?
	Code Stamp Required?
	Design Pressure
	Design Temperature
	M.O.C.
	Corrosion Allowed


	Coalescer Media:
	Desired Coalescing Efficiency
	Coalescer Media Preference
	Pressure Drop Available
	M.O.C. Media
	Comments

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