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Customer Name

Contact Name

Contact Email

Contact Phone

Requested Response Date

Fluid State

Working Fluid

Fluid Density (lb/ft3)

Dynamic Fluid Viscosity (cP)

Design Pressure (PSIA)

Design Temperature (F)

Volumetric Flow Rate (SCFM, GPM)

Pressure Drop *

Element Media Material

Element Construction

Filtration Requirement

Housing Material

O-Ring Material

Inlet/Outlet Port size and type

Applicable Design Standards

Additional Design Notes

Different Pressure Indicator

Bowl Drain

S Ports

Comments

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