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HEADWORKS INC
MECHANICAL SCREEN INQUIRY SHEET

To request a quote, please complete this form with all relevant information and submit via phone, fax, or
email to the attention of Headworks Screen Quotes:

Project Name (if available):
Category (check one)MunicipalIndustrial
Company Name:
City & State
Country:
Contact Person:
Tel:
Fax:
Email:

MS Bar ScreenPerforatorEliminatorSpiralman
Measurement Units (check one): ImperialMetric
Number of screens required:
Channel Depth:
Channel Width:
Discharge Level :
Water depth:
Maximum flow per screen:
expressed in (check one):L/SMGDGPM
Screen opening size *:
Material of fabrication (check one)SS 304SS 316
Explain special circumstances (example: heavy debris in your channel)
Conveying Equipment *:YesNo
Compacting Equipment *YesNo
Washing system *YesNo

Length

Any other information we should know in order to prepare this proposal: