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Home > Lab Sample Submission Data Form

Lab Sample Submission Data Form

*Customer Name:

*Address:

*City:

*State:

*Zip Code:

*Contact Name:

Title:

*Phone:

Fax:

Sample Identification:

pH:

Color:

Solids Concentration (% by weight):

IMPORTANT: Please include analysis of the composition of the sample(s) being submitted or MSDS.

Oil Content (%):

CorrosiveFlammableAbrasiveToxic

Description of Process, Generating Material:

Type of Separation Required:

Liquid/SolidLiquid/LiquidLiquid/Liquid/Solid

Required Throughput (gallons/day or # of dry solids/day):

Proposed Operating (hours/day):

Proposed Operating (days/week):

Present Method of Separation:

Size of Unit:

Capacity:

Cake Solids (%):

Chemical Addition:

Slurry Characteristics

Solids

Composition:

Suspended Solids Concentration (% by wt.)

Typical:

Max:

Min:

Specific Gravity:

Avg. Particle Size:

(Provide Particle Size Distribution if available)

Dissolved Solids Concentration (% by wt.)

Typical:

Max:

Min:

Liquid

Composition:

Viscosity:

Flash Point:

Operating Conditions

Which is more important:

Clarity of LiquidCake Solids

Maximum TTS of Centrate (ppm):

Minimum TS desire (% by wt.):

Do the solids require rinsing?

YesNo

If yes, rinsing objective:

Process Temperature Range:

to °F

Do you have to maintain containment or pressure?

What are your containment requirements?

What materials of construction do you require?

What are your electrical requirements?

Please provide any additional pertinent information about the slurry or operating conditions.

Please leave this field empty.

Langley Separation and Process, LLC

Main Office: 1205 McLean Street, Lampasas, TX 76550

Mailing Address: P.O. Box 2108, Canyon Lake, TX 78133

Sales Office: 1405 Pecan Circle, Canyon Lake, TX 78133

Sales Office: 25472 Ramrock Drive, Porter, TX 77365

Sales Office: 861 N. Rangeline Road, Carmel, IN 46032

Main Office Phone: 512-662-9917 - Urgent Mobile Phone: 817-269-8388

Request Information

Langley Separation and Process provides water processing equipment and services to companies to companies throughout the United States, Canada, and North America, especially in the states of Texas, Oklahoma, Louisiana, Arkansas, Mississippi, Tennessee, Alabama, Georgia, South Carolina, Florida, and the cities of Austin, San Antonio, Houston, Galveston, Dallas, Fort Worth, Oklahoma City, New Orleans, Shreveport, Jackson, Memphis, Nashville, Mobile, Birmingham, Atlanta, Tallahassee, Jacksonville, Tampa, Orlando, Miami, and more. We can also serve Arizona, New Mexico, Colorado, Kansas, Missouri, and other states.

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