Blast Room Submission ID #Your InformationYour Role(Required) End User Distributor Date(Required) Regional Manager(Required)UnknownJerry ConoverMike AkuszewskiNick ParcherJosh BassChase SilvaCustomerCompany(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact(Required) First Last Phone(Required)ExtensionEmail(Required) Distributor (if known)Company(Required)Enter "n/a" into the Distributor fields if unknownDistributor Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact(Required) First Last Phone(Required)ExtensionEmail(Required) PartsParts to be Processed(Required)Area to be Processed(Required)Estimated Production Rate(Required)Media Type(Required)Media Size(Required)Surface Finish Desired(Required)Overall Plant Space Available (WxLxH)(Required)Sight Constraints / Obstructions(Required)Blast Room Enclosure TypeEmpire Enclosure?(Required) Yes No Blast Room Enclosure Type(Required) Field Erected – Custom Engineered to meet your needs PEB Booth – Pre-Engineered Booth, Standard equipment Modified PEB – Modified Pre-Engineered Booth Package Room – Shipped as an oversized load, factory assembled & welded Enclosure Size (WxLxH)(Required)Main Work Access Doors (WxH)(Required)Door Type(Required) Swing Rubber Roll-Up Bi-Fold Main Door Access(Required) One End Only Drive Thru Drive Thru Optioned Man Access Door(Required) Include as standard Option Qty (Man Access Doors)Comments (Enclosure Information)Interior LED Lighting(Required) Ceiling (std) Ceiling and Side Wall LED Lighting CommentsSpecific/ Additional Enclosure RequirementsRoom Enclosure OptionsSide Wall Curtains(Required) Include Option None Curtains run from floor to 6' heightSide Wall Curtain DetailsWork Cart with Tracks?(Required) Include Option None Capacity (Work Cart) 2K Capacity (4' x 6') 10K Capacity (6' x 8') Other Turntable?(Required) Include Option None Please attach additional specificationsTurntable CapacityTurntable DiameterTurntable DetailsOverhead Monorail Beam(Required) Include Option Existing (Crane Slot Required) None Crane Slot LengthWeight CapacityDetails (Overhead Monorail Beam)Exterior Manual Work Station Include Option None Other / Explain (Exterior Manual Workstation)Recovery SelectionRecovery Selection(Required) Mechanical Pneumatic None Mechanical Recovery EquipmentMounting(Required) Pit Mounted (Below Grade) Above Grade (No Pit Required) Recovery Floor Dimensions (WxL)Screw Floor(Required) Sweep Chute Cross Single Sidewall "U" Shape "H" Shape "E" Shape Full Floor Other Other (Screw Floor)Single Sidewall Details(Required) "T" Shape "L" Shape Other Floor Grating Capacity (lbs) 500 lb (standard) Other Note: Forklift, Trailer, Workcart, Wheel span, # of Contact pointsFloor Grating DetailsBucket Elevator Bucket Elevator w/Air Wash Bucket Elevator w/Rotary Drum Separator Special Requirements (Bucket Elevator)Pneumatic Recovery EquipmentPneumatic Recovery Unit Yes No Mounting(Required) Pit Mounted (Below Grade) Above Grade (No Pit Required) Trough Design(Required) Standard Rubber Lined Air Floor(Required) Partial Full N/A ("W" Section Trough)Partial Air Floor Details(Required) Single Trough (select length below) "U" Shape "E" Shape Single Trough Length(Required) 8 ft 10 ft 12 ft Other Floor Grating Capacity 500 lb (Standard) Other Special Requirements (Floor Grating Capacity)Media Storage HoppersEmpire Supplied Hopper(Required) Yes No N/A Hopper Design(Required) Stack-On Free Standing Stack On(Required) 6 1/2 Cu. Ft. 10 1/2 Cu. Ft. Free Standing(Required) 25 cu. ft. Single Outlet 50 cu. ft. Single Outlet 50 cu. ft. Dual Outlet 100 cu. ft. Dual Outlet Hopper Dimensions (H x W x L)(Required)Other/Explain (Hopper Information)To option enter size in text boxOperator Blast EquipmentEmpire Supplied Vessel(s) Yes No Existing Existing VesselS/O or Job #Equipment 6 1/2 cu. ft. Room Vessel, 1 Operator 6 1/2 cu. ft. Room Vessel, 2 Operators (2) 6 1/2 cu. ft. Room Vessels, 1 Operator Ea. 10 1/2 cu. ft. Room Vessel, 1 Operator 10 1/2 cu. ft. Room Vessel, 2 Operators (2) 10 1/2 cu. ft. Room Vessels, 1 Operator Ea. N/A Dimensions RequiredOther/Explain (Operator Blast Equipment)Operator Safety EquipmentStandard Include Option N/A (Hood, Air Purifier, Air Conditioner & Clothing)C.O. Monitor Include Option N/A (OSHA requires when breathing compressed air)Ambient Breathing Air Pump Include Option N/A (AC not available, one pump req. each operator)Room Ventilation SystemCross Draft 50 FPM Cross Draft (standard) Special Cross Draft FPM Required for Special Cross DraftOther/Explain (Cross Draft)Collector Location Inside Building Outside Building N/A Ventilation Air to be Exhausted Inside Building Outside Building N/A ASHRAE Filter Include Option N/A HEPA Filter Include Option N/A Comments (Room Ventilation)Paint Color Torit Blue (standard) Special Other / Explain (Paint Color)Electrical System RequirementsEmpire Supplied Electrical Control Box Yes No Electrical Requirements(Required) 230 Volt/60 Hertz/3 Phase 460 Volt/60 Hertz/3 Phase - 3 Wire - 120 Volt Lighting 575 Volt/60/Hertz/3 Phase - 120 Volt Lighting 50Hz Other/Explain (Electrical Requirements)Empire Installation and Start UpEmpire Installation and Start Up(Required) Turnkey (Installation, Start-up, & Training) Supervised Installation Start-up & Training None Number of Days On Site3 days recommendedSpecial System Requirements (toxic dust, customer spec, OSHA noise levels, etc)ExplainFile UploadFile Attachments Drop files here or Select files Max. file size: 50 MB, Max. files: 5. 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