Material Feeder Questionnaire v6-2017

Client Information
Client Company Name Date
Client Contact Name Telephone
Email Website
How did you first hear of SAMSON?
Please fill in the data appropriate to the planned application of your Material Feeder application:
Project Information
Project Stage Feasibility Budget Approved Ready to order
6 12 12 24
Operation to start in 0 - 6 months
months months
24 plus
Country of Order placement
Country of Equipment operation
Equipment service life 0 - 5 year 5 15 years 15 20 years 20 plus years
Ambient Temperature range Lowest Temp c Highest Temp c
Electrical Supply Voltage v Phase 3 Frequency Hz
Option 1.
To Inline Conveyor
A Incline Angle ()
B Discharge Height (m)
C Belt Width (m) A
B
Option 2. C
To Conveyor at 90
D Belt Width (m)
E Discharge Height (m)
F Incline Angle () E F
Option 3.
D
To Other
Please
Specify
G Discharge Length (m)
H Discharge Height (m) G H I
I Discharge Width (m)
Application Data
Peak handling rate tph Expected operating time
Average handling rate tph Hours per Day
Holding Capacity m3 Days per Week
tonnes Weeks per Year
Variable speed drive Range of adjustment 1 to
Method of Material Delivery to the Equipment
Tipping Truck Front Loader Mining Dump Truck Other Equipment

EU Style

US Style
Vehicle Width (m) Bucket Width (m) Vehicle Width (m) Width (m)
Capacity (m3) or (t) Capacity (m3) or (t) Capacity (m3) or (t) Capacity (m3) or (t)
Discharge Height (m) Discharge Height (m) Discharge Height (m) Discharge Height (m)

Equipment Options
Enviro Protection None PVC Covers Steel Enclosure Dust Extraction
Power Source Mains Elec Site Gen-set Integral Gen-set Diesel Engine
Operator interface Interface only Basic Levers Basic button PLC Cabinet
Additional Remote Hand Held Working lights
interface Remote
Questionnaire continued on next page
 Material Feeder Questionnaire v6-2017

Mobility Option (Please Tick selection)

Fixed Skid Mounted

(Bolted to the (Semi-mobile
ground) push/pulled relocation
infrequently)

Mobile Track Mounted

(Wheel mounted tow (Full self-propelled
travel) mobility)

Additional Application Comments

Full Material Data (shown on the next page) must be completed to define the final equipment specification
and price.

If there are any additional comments / details / Equipment access restrictions, i.e. (Height and Width),
Special design regulations, please advise:-

Questionnaire continued on next page

 Material Feeder Questionnaire v6-2017

Material Data
Materials Handled 1.

Additives 1. %
2. %
Please enter Additives
and there % of the Total 3. %
Material to be handled per hour. 4. %
Bulk Density Maximum t/m3 Repose Angle Minimum
Minimum t/m3 Normal
Lump Size Minimum mm Material Minimum c
Normal mm Temperature Normal c
Maximum mm Maximum c
Lump size Distribution 0 0.5mm % Flow Properties Fluid
0.5 5mm % Free Flowing
Please enter % of Total 5 15mm % Please enter tick the Flowing
material to be handled. relevant description of the
. 15 30mm % material handling Slightly
characteristics. slagging
30 50mm % . Bridge Forming
50 100mm % Sticky
Above % Very Sticky
Moisture Maximum % Free Water Yes
Normal % No
Minimum % Maximum %
Is Material Dusty Yes Does the Material Yes
No have sharp edges No
Is Material Explosive Yes Is Material Brittle Yes
No (breaks up easily) No
Is Material Hygroscopic Yes Does the Material Yes
(Absorbs water easily) No harden No
Is Material Corrosive Yes Material pH Value
No
Wear behaviour Small Material Sample Yes
Medium required
High (Volume 5 ltrs, duration approx. 4 weeks)
Very High

Additional Material Comments

End.