Ricsan Filter-Filter Application

(*required fields)

Customer Information:

Company Name:*

Location:*

Contact:*

Phone Number:*

Fax Number:

E-mail Address:*

Process Data:

Fluid*

Concentration

Viscosity*

CP, CKS, Other Specify

Specific Gravity*

Density

lb/ft3

kg/m3

Process Service: hours/day

days/week

weeks/year

Flow Rate*

GPM

Operating Pressure*

psig

Max Differential Dirty

psid

Max Differential Clean

psid

Max Differential Dirty

psid

Description of Contaminate*

Particle Size Distribution

Total Solids (ppm)

Micron Rating*

Removal Efficiency*

Bata Ratio

Is fluid currently being filtered?

Yes

If yes, what type of filter

Part Number of Current Filter

Problems incurring with current filtration:

Specify Media Choice:

Core:

Please fill this application out to the best of your knowledge. The more information we
have about a particular application, the more exact we can be meeting your filtration specifications.
Incorrect data may result in compatibility and sizing problems.