Fill out the ScrubPac™ Proclean Proposal request information below as completely
as possible to ensure satisfying all your requirements.

* Areas marked with a red asterisk are required.

Address Proposal To:
* Name:
* Title:
* Company Name:
* Address:
* City:
* State:
* Zip:
* Country:
* Phone:
* E-mail:
* Proposal Required By This Date:
How Did You Hear About Us:
Gas Volume: ACFM
Gas Temperature: °F
Gas Composition:
Component:
Amount (specify units):
Contaminant(s) to be Reduced:
Contaminant:
Outlet Loading or Removal Efficiency (specify units):
If there is a maximum allowed pressure drop for the pollution device, state what it is:

Any specific scrubbing solution you woul like to use. If so, state composition, temperature and, if applicable, quantity available:

Do you want us to select an appropriate chemical reagent or scrubbing solution, if applicable, quantity available:

Preference on material of construction for the unit or are we to advise and select:

Is the particulate contained in the gas stream of a sticky or tacky nature:

Quantity of water available for makeup, if needed; GPM:
Maximum allowable blowdown rate; GPM:
Supply of optional accessory components (See product brochures on available options.) List the items required:

Furnish the voltage and power available including electrical area classification for equipment:

Is freeze protection required for outdoor service. If so, state components requiring insulation and heat tracing:

If a fan is to be supplied with the system, what is the external static pressure drop of the system without the scrubber:

Additional Information:

How did you hear of Bionomic Industries, Inc.?

Is this project funded:
Yes No
Type of Quotation required?
Firm Budget

Please enter the following:

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