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Application Form
Contact: Company: Address: Phone: Fax: E-mail: Quote Type: Budget Firm System Operation by: year 2004 2005 2006 2007 2008 2009 2010 2011 Quarter: 1st 2nd 3rd 4th
Quote Type: Budget Firm System Operation by: year 2004 2005 2006 2007 2008 2009 2010 2011 Quarter: 1st 2nd 3rd 4th
System Requirements
System Capacity: Million BTUs/hr kW kCal
Operating Temperature: °C °F Design Temperature: °C °F
Operating Pressure: psi bar Design Pressure: psi bar
Primary Fuel: Natural Gas Propane #2 Fuel Oil #4 Fuel Oil #6 Fuel Oil Bunker C Waste Gas Product Electric Secondary Fuel: None Natural Gas Propane #2 Fuel Oil #4 Fuel Oil #6 Fuel Oil Bunker C Waste Gas Product Electric
Thermal Fluid type: Other Calflo FG Calflo AF Calflo HTF Calflo LT Chevron 22 Chevron 46 Dowtherm A Dowtherm G Dowtherm HT Dowtherm J Dowtherm MX Dowtherm Q Dowtherm RP Essotherm N32 Essotherm N69 Essotherm N460 Essotherm Light Glycol Marlotherm LH Marlotherm N Marlotherm P2 Marlotherm SH Marlotherm X Mobiltherm 600 Mobiltherm 603 Mobiltherm Light Multitherm 503 Mulitherm IG-4 Multitherm PG-1 Paratherm HE Paratherm NF Petrotherm Shell Thermia B Shell Thermia C Syltherm 800 Syltherm HF Syltherm XLT Texatherm 46 Therminol 55 Therminol 59 Therminol 66 Therminol 75 Therminol D-12 Therminol VP-1 Therminol XP Thermoil 32 Thermoil 46 Thermoil 69 Water Xceltherm 500 Xceltherm 550 Xceltherm 600 Xceltherm HT Xceltherm MK1 Xceltherm XT Other:
Power
Primary: V Ф hz Control: V Ф hz
Users
Desired Flow Rate: gals cu. meters / hour minute # of Users: 1 2 3 4 5 6 7 8 9 10 Other
Pressure Drop of Users: psi bar Accuracy: + °C °F Volume: gals liters
Cooling: No Yes Cooling Medium: Flow Rate Medium: gals cu. meters / hour minute
Location:
Area: Indoor Outdoor Class: General Hose-down Class I Class II Div: None Division I Division II Group(s):
NEMA Rating: 1 12 3R 4 4X 7 Elevation: (above sea level)
Utilities:
Available: Compressed Air Nitrogen Steam @ psi bar
Efficiencies:
Cost: Per Million BTU kW Decatherm Therm
Operation: Hours/Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Days/Week: 1 2 3 4 5 6 7 Weeks/yr: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
If any of the information requested above is not available, just submit with blanks and we will make assumptions based upon our experience or call you for clarification. Additional Notes, Comments or application questions can be entered below: