Company Name
Contact Name
Address
City 
State/Region
Zip
Country
Phone
Fax
Email
Need or Problem?
Fluid to be Dried
or Purified		 Liquid Gas
Source
Operating
Conditions		 Pressure Max.    Min.
Temperature Max. Min.
If Intermittent, detail:
Entering
Moisture/
Contaminants
content
Desired Effluent Moisture / Contaminants Content:
Utilities Available
Electric
Volts
Hz
pH
Natural Gas psig oF
Stream psig oF
Instrument air min/max psig

Purge Gas Composition    Water Content

    oF psig cfm max.
Cooling Water oF psig
Other
Materials of construction
Equipment
Specifications

Control: Manual Semi-Automatic Automatic
Electrical Enclosures NEMA 1 NEMA 4
Hazardous Area:
Class Group Divison Other

Location Inside Outside Protected Unprotected
Minimum / Maximum Ambient Temperatures
Space Limitations
Design Pressure Minimum
Properties Viscosity Heat Capacity
S.G. M.W.
Flow Type of Measurement:
Amount of Flow
Optional Features Desired (List)
General Process
Comments