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http://www.aaamachine.com aaamachine@aaamachine.com
Tel: +1-847-481-8264, skype: carlishito
Engineering Data Sheet (EDS) -Confidential Tel : +1-800-996-0070 Fax : +1-847-376-3530
AAAmachine, Inc. 1291 Rand Road, Des Plaines, IL 60016
Company :Department :Address :City :
State :
Zip code :Country :Telephone :Fax :Submitted by :Title :

Date :

1. Material (Please include MSDS along with this form)
1.1 Trade Name :1.2 Chemical Name :1.3 Amount of Material supplied :1.4 Container type :1.5 Sample delivery date :1.6 Delivery method :2. Purpose (Please check)
2.1 [ ] Preliminary equipment evaluation
2.2 [ ] Product evaluation
2.3 [ ] Contract manufacturing
3. Process Requested (please check)
3.1 [ ] Air classification only ( )NISSHIN Turbo-Classifier TC-15NS ( )Matsubo Elbow Jet EJ-L3**NOTICE** Maximum particle size of sample material must be under 0.5mm.
**Please note you have responsibility to pay for any damage to test equipment incurred with forbidden large particles.

3.2 [ ] Grinding and classification[ ] closed circuit system [ ] open circuit system
3.3 [ ] Grinding only( ) other
3.4 [ ] Other ( ) Fujisaki Electric Spray Dryer, ( ) ACO Jet Separator (dust remover) CFS-100,( ) ACO Wet Scrubber, ( ) other
4. Feed Material Characteristics
4.1 Maximum particle size (microns) :4.2 Medium particle size (microns) :by (measuring method) :4.3 Bulk density (loose) (g/cm3) :4.4 Specific gravity :4.5 Please check all those which applies[ ] abrasive[ ] poisonous[ ] cohesive, adhesive[ ] conductive[ ] explosive[ ] electrostatic[ ] hygroscopic[ ] flushing[ ] otherPAGE 2 OF 2

5. Requirements :[ ] control/target sample shipped with feed
5.1 End product should be :[ ] Fine fraction[ ] Coarse fraction[ ] Middle fraction
5.2 Desired particle size distribution of the end product : [ ] control sample shipped with feed
[ ] above
microns,%[ ] below
microns,%
comments :5.3 Feed rate (kg/hr) :5.4 Estimated production rate of end product (kg/hr) :5.5 Please specify which of the following requirements is most important :[ ] to get strict particle diameter rather than yield[ ] to get certain yield rather than strict particle diameter[ ] other
5.6 Minimum amount of target sample required for customer’s evaluation :5.7 Rest of tested and non-tested material should be :[ ] Shipped back (collect) Carrier:Account No.:[ ] Shipped back (prepaid if you do not have a carrier account), [ ] Other* The remained material may not be disposed of by AAAMachine because of environmental regulation.
6. Particle Characterization
6.1 We have the following measuring apparatus. Please choose one.
[ ] Coulter counter Multisizer IIAperture :microns[ ] Cilas 930L - laser type (wet)[ ] other
6.2 Dispersion condition :[ ] Liquid and/or Media :[ ] Wet reagent :[ ] Ultrasonic wave bath (sec./min.) :[ ] Other :7. The method how to evaluate the products on site:
8. Please specify possible or impossible material to be contacted (if you need):[ ] possible[ ] impossible
9. Please specify contamination allowance (if required) :10. Desired Test Date://20
11. Attendance of test:[ ] No, [ ] Yes (Customer)
12. Have you processed this material before? Please describe results.

(Agent)CONFIDENTIALITY
AAAMachine will hold in confidence the identification of your sample, and confidentially marked specifications from you, the date we generate,
and the results we provide to you. AAAMachine dispose all excess sample material, unless make specific provision for its return.

MATERIAL SAFETY DATA SHEETS (MSDS) ARE REQUIRED BEFORE SAMPLES CAN BE PROCESSED.