This form is split into sections, please just skip
over the sections that do not apply to you and your company.

 

General Information

* means it is a required field!!   If you can not fill in a field, enter N/A.

Name:  *
Company Name:  *
Phone:  *
Fax:  *
Email Address:  *
Seminar:  *
Please list any topics or subjects that should be added to future Fluid Processing Technology Seminars.
Please list any products or services that Process Equipment, Sales, & Service should add or offer to serve you better.

Positive  Displacement Pump

Do you use positive displacement pumps in your company?

If possible, please indicate the approximate number or percentage of pumps used in your facility by type.

Rotary Lobe Progressing Cavity
Piston Flexible Impeller
Peristaltic Gear
Centrifugal Other
Do you have other facilities using positive displacement pumps?

Pump Performance

Your satisfaction w/ pump performance at your facility is:
Maintenance or downtime is:
Capital or Purchase Costs for these pumps are:
Interest level in ALTERNATE pump suppliers is:
Importance of pump cleanliness to your process:
Are you aware that a stringent test called the EHEDG test (European Hygienic Design Group), and in order to be approved, the manufacturers pump must clean as good as a piece of tubing 3 feet long.  Would you be interested in a copy of this test?
If regulated by the FDA, are you aware that regulations for any product that comes in contact with the skin, eyes, and mouth are becoming more stringent, due to the possible bacterial content of water and other compounds that you use in the manufacture of your product.  In light of this fact, do you have interest in equipment that can offer a higher level of cleanliness, as well as bacterial tightness?

CIP Standards

Importance of cleaning or rinsing your pumps between product changeovers.
Do you have CIP Standards for pump cleaning?
How important is that CIP Standards FORMALLY created by FDA or USDA?
How important is it to you or your company of European Standards for CIP?
Importance if a company could supply formally approved CIP Pump
Interest level in Alternative Pump Suppliers

Waste Water Treatment

WWT Equipment Performance

Satisfaction with Treatment Performance at your facility
Maintenance or downtime is:
Capitol Costs for these products/systems is
Interest level in Alternative Equipment Suppliers
Does you facility have an existing waste treatment plant?
What type of system or equipment?
How is it performing?
How are the waste solids
handled and disposed of?
Does your plant or process have a water effluent stream containing suspended or dissolved solids, fats/oils/grease(FOG) or other materials that need to be removed prior to discharge as POTW?
If so does your effluent quality meet current regulatory guidelines?
If not what plans to you have to reach compliance?
Do you have a water or fluid stream from which solids need to be removed to enable either recovery of those solids or reuse of the liquid?
What process or procedure are you currently using?
What removal goal or rate do you have?

Beside yourself, who at your facility should we contact regarding process or waste water treatment? Please give a name, number, fax, and email if possible of as many people as possible.

Would you be interested in a Seminar about liquid/liquid or liquid/solid Seperation Equipment and process?
What topics should be covered?
Who should we contact at you company to attend the seminar?