Sampler Data Sheet

This is designed to electronically send the details of your equipment to Bulk Pro Systems. The more information you can provide the quicker and more accurate their response will be.
If you are unable to complete this form online or wish to have a printable version, please click the Download Datasheet link just to the right. For the quickest response fax your completed datasheet to (763) 767-3282.

Business/Contact Details
	Business Name:
	Contact/Attn:
	Data Taken By:
	Address:
	City:
	State/Province:
	Zip:
	Country:
	Phone Number:
	Email:
	Confirm Email:
	Fax:
	Project/Comments:

Conveyor Data (Tag No. )

Material:

Material Size:

Capacity:

Belt Width:

Belt Speed

Fixed Variable
Add'l Details:

Electrical Data:

460 VAC 380 VAC 60Hz 50Hz

Density:

Moisture:

Angle or Rise Per Foot:

Belt Thickness:

Electrical Rating

NEMA:
IEC:

Sampling Data

Single Machine:

Lot Size:

Lot size is the number of tons the final sample is to represent

Crushing Required:

Yes No

Crush Size Required:

Reject to Ground:

Reject to Main Flow:

Sample Collector:

Single-Can Two-Can 4 or 8-Can

Multiple Stage System:

Final Sample Per Lot:

Sampling Standard:

ASTM:
ISO:
Other:

Please complete the dimensional data below: click for larger graphic
	(A)	Trough Angle:	degrees
	(B)	Backing Height:
	(C)	Stringer Depth:
	(D)	Distance to Ground:
	(E)	Inside Dimension:
	(F)	Bolt Hole Centers
	(G)	Outside Dimensions:
	(H)	Idler Height:
	(I)	Distance Across Idler:
	(J)	Roll Diameter:
	(K)	Idler Bolt Centers:

Please describe below any special operating conditions or requirements:

Click here to download the Sweep Sampler Data Sheet

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