Electronic Form

Customer Information

Customer Name:

Company:

Street Address:

Address (cont.):

City:

State/Province:

Zip Code:

Country:

Work Phone:

FAX:

Email Address:




Boiler Information

Plant Location:

Type of Boiler:


(i.e., "D", "O", Field Erected, etc.)

 

Boiler Manufacturer & Model No.:

Boiler Heating Surface - Ft2:

Furnace Dimensions:


(setting dwg. preferred if available)

 

Present Type & Quantity of Burner:

Does the Boiler have an Economizer?

Does the Boiler have an  Airheater?

If yes, what is the Outlet Gas Temp., °F?

Pounds of Steam Per Hour - Maximum:

Pounds of Steam Per Hour - Minimum:

(Turndown Normal on gas = 10:1, On Oil = 8:1)
(Extended Turndown Available)

 

Operating Steam Pressure - PSIG:

Steam Temperature, °F:

Feedwater Temperature, °F:

Furnace Pressure @ Full Firing Rate, Inches W.C.:

Plant Elevation - Ft. Above Sea Level:

Type of Installation:

Combustion Air Temperature, °F:


(Normal = 80 °F)

 

Fuel Type (Gas) - @BTU/Cu. Ft.:


(Natural Gas = 1000; Propane = 250)

 

Gas Main Plant Header Pressure - PSIG:

Regulation of Gas Pressure to Gas Train By:

Gas Pressure Available to Gas Train - PSIG:

Fuel Type (Oil):

Type Atomization Preferred:

Electric Current for Motors:


(Volt, Phase, Hertz)

 

Electric Current for Controls:


(Volt, Phase, Hertz)

 

Type Operation:

Type Combustion Controls:

Combustion Controls Furnished By:

Insurance Requirements:

Type of Proposal Required:


(i.e., Budget, Close Budget, Firm)

 

NOx Emission Level Required:


(ppm or LB/MMBTU)

 

Required Shipment Date for Equipment:

 


Should Freight be included in the Base Price?  

Yes  No
(FOB Lock Haven, PA with freight prepaid & included)

 

Additional Comments:

 

NOTE:  If fuel is not a standard, such as natural gas, propane, No. 2 oil or No. 6 oil, or if NOx reduction is required, a detailed analysis will be required.

 






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