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Lubrication Equipment Application Request: Fax Completed Form To 800-533-9656

This document is a lubrication equipment application request form containing information about a potential customer order. It requests details about the distributor, customer, material supplier, and the application including container size, pump mounting, fluid intake/transfer/dispensing details, material specifications, quotation information, competition, and project dates. The goal is to provide all necessary information for Graco to recommend the proper lubrication equipment for the customer's needs.

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Instruktur Mesin
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113 views2 pages

Lubrication Equipment Application Request: Fax Completed Form To 800-533-9656

This document is a lubrication equipment application request form containing information about a potential customer order. It requests details about the distributor, customer, material supplier, and the application including container size, pump mounting, fluid intake/transfer/dispensing details, material specifications, quotation information, competition, and project dates. The goal is to provide all necessary information for Graco to recommend the proper lubrication equipment for the customer's needs.

Uploaded by

Instruktur Mesin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Lubrication Equipment Application Request

Fax completed form to 800-533-9656 Date:


DISTRIBUTOR: Contact:
Address: Phone:
City, State, Zip Fax:
GRACO REPRESENTATIVE: Contact:
Address: Phone:
City, State, Zip Fax:
END USER: Contact:
Address: Phone:
City, State, Zip Fax:
MATERIAL SUPPLIER: Contact:
Address: Phone:
City, State, Zip Fax:
PLEASE SUPPLY THE MATERIAL SUPPLIER TECHNICAL DATA SHEET FOR THE SERVICE FLUID.
Container Size: 5 gallon 55 gallon, closed 55 gallon, open Bulk , Size: Other:

Pump Mounting: Wall Floor Cart Stand Stand Pipe Drum Ram Other:

Fluid Intake: Siphon Immersed Ram Feed Pressure Gravity Other:

AS AL Manual: Automatic: Flow Rate/Gun:       Width of Pattern (in.):


Spraying:
Qty. of guns: Spray Pressure: Heated: F C Longest run length:

Transfer: Flow Rate: Pipe/Hose Length/Size: Total run length:

Flow Rate/Valve: Reel Hose Length/Size: # valves open at one time:


Dispense:
Longest run length:

Metering: Shot Size: Shots/Min: Accuracy ±       % Time/Shot:

Grease Oil
Material Name:       Material Name:
Material Number:       Material Number:
NLGI Number:       Oil Weight:
Specific Gravity: Viscosity (cp) @Temperature:
Water Based:       Specific Gravity:
Synthetic:      
Fillers: Type:

Rev. 04/20/20
Quotation Firm Quote: Yes/No Project Budgeted: Yes/No Budgetary Quote: Yes/No
& Pricing: Probability of Purchase: % Acceptable Price Range: $

Competition: Competition: Yes/No Who (model):

Order Award Date: Installation Date:


Project Dates:
Deliver Date or Lead Time Required:

Other Application Information or Instructions

Rev. 04/20/20

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