Customer Date Purchase Order Customer Contact The end user is responsible for assessing the explosion risk on site. In order for ACI to supply the customer with the correct fan we have constructed this form. Please note we can only continue with the order when this is completed. This form will then become part of the contract. Zone required (gas) Inside fan Zone 1 Zone 2 Tick appropriate box Outside fan Zone 1 Zone 2 Gas group (eg IIB) Inside fan Enter appropriate group Outside fan Temperature ‘T’ rating (eg T3 etc) Inside fan Outside fan Zone required (dust) Inside fan Zone 21 Zone 22 Tick appropriate box Outside fan Zone 21 Zone 22 Nature of dust Dry Abrasive Wet Corrosive Max. surface temp. dust Inside fan (enter temp. deg. C) Outside fan Customer Signature Date ATEX Requirements: Air Control Industries Ltd. Silver Street, Chard, Somerset, TA20 2AE, UK Tel: 01460 67171, Fax: 01460 61700 Email: sales@air-con.co.uk Web: www.air-con.co.uk

ACI the solution providers for air movement problems radial bladed blowers www.aircontrolindustries.com Radial Bladed Centrifugal Blowers Single inlet centrifugal blowers/exhausters • Flow rates up to 6000m3/hr (3500CFM) • Pressures up to 160mBar (65in.SWG) • Reliable • Robust • Many configurations available • Inlet filters and silencers • Full acoustic covers Typical Applications • ACI Airknife Systems • Combustion Air • Exhausting • Aeration • Cooling • Pneumatic Conveying A i r C o n t r o l I n d u s t r i e s