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Application Aproval Form (AAF)

Company Name:    Date:       
Street: City: State: Zip:
Contact Name: Title:  
Phone: Fax: E-mail:  


Product Name: Bulk Density:  lb/cu.ft.
Quantity of tanks to monitored:
Max pressure:
psi bar
Max temp inside bin: deg F
Vessel Shape:
Square Round
if square supply:
Length:     Width:     Height: 
if round supply:
Diameter:     Height: 
Drawing of vessel attached: YesNo
Internal Structure:
Cleanout Cage  Agitator  Stiffening Bars 
Bag House  Temp cables  Aeration Tubes 
Other: 
Internal Movement:
If yes, please describe:		 Yes No
Exsplosive area:
If yes, please designate
classification:		 Yes No
24vDC Power available YesNo
Previous technology used:
Outputs requierd:
Current RS485 Both
Outputs used for:
Inventory Control Both
Approved by: