| Military, Industrial, Commercial, Medical, Marine and Alternate Fuels Compression Systems & Components
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Personal Contact Information:
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Military, Industrial, Commercial, Medical, Marine and Alternate Fuels Compression Systems & Components
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Personal Contact Information:
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| 1. Company Name:
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| 2. Your Name:
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| 3. Email Address:
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| 4. Street Address:
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| 5a. City:
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| 5b. State:
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| 5c. Zip Code:
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| 6. Country:
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| 7. Phone Number(s):
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Information About Your Compressor Application:
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| 9. Enter Manufacturer's model number: (if known)
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| 10. Compressor block, design configuration preferred: (Ctrl-Click to Make Multiple Selections)
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| 11. Compressor block, lubrication design preferred:
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| 12. Compressor block & system cooling design preferred: (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 13. Installation site for the compressor: (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 14a. What is the minimum ambient temperature at the installation site?
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| 14b. What is the maximum ambient temperature at the installation site?
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| 15a. What is the minimum temperature of available cooling water?
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| 15b. What is the maximum temperature of available cooling water?
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Information about the Media for Compression:
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| 16. What is the media for compression?
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| 17. For pure gases, provide a name, chemical formula and molecular weight:
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| 18. For mixed gases, provide a chemical name, chemical formula, molar % and molecular weight for each gas type:
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| 19. Is the media to be used for breathing air?
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| 20. What media flow rate is required?
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| 21. If you know the power requirement, please enter it here:
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| 21. At what altitude will the compressor system operate?
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| 23a. What is the minimum inlet pressure of the air or gas?
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| 23b. What is the maximum inlet pressure of the air or gas?
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| 24a. What is the minimum inlet temperature of the air or gas?
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| 24b. What is the maximum inlet temperature of the air or gas?
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| 25a. What is the minimum (cut-in) discharge pressure of the air or gas?
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| 25b. What is the maximum (cut-out) discharge pressure of the air or gas?
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| 26. Final (preferred) system discharge temperature of the air or gas:
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Information About the Electrical Utility Power Source Available:
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| 27. Electrical Power Available: (complete all)
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Hertz
Phase
Voltage
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| 28a. Electrical Code / Classification and Standard(s) Applicable:
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Section(s)
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| 28b. Environmental Classifications (primary): (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 29. Electric motor specifications: (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 30a. What type of motor starter features do you need? (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 30b. How do you want the Motor Starter incorporated? (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 31a. If there is NO electrical power available, check this box:
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| 31b. We can offer gasoline, diesel or hydraulic drives. Please specify your drive preference (if not electric):
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Specification Detail & Features or Options Required:
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| 31. Do you require compressed air or gas drying (water vapor removal)?
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| If yes, specify Pressure Dew Point (PDP) required:
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| Select dryer design preference, if any: (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 33a. If you require filtration, specify the permissible carryover value, units of measure:
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| 33b. What published air or gas quality standard is applicable? (Ctrl-Click to Make Multiple Selections)
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Section(s)
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| 34. If you require an inlet pressure-vessel, please specify size:
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| 35. If you require a discharge pressure-vessel, please specify size:
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| 36. What pressure vessel certification standard applies? (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 37. What pressure vessel materials of construction apply? (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 37. Do you require auto condensate drains?
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| 38. Do you require condensate filtration?
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| 40. Do you require turnkey packaging of all system components and controls on a common structural base with completed inter-piping, wiring and full system test?
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| 41. What type of system control features are required? (Ctrl-Click to Make Multiple Selections) (Select One or Many)
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| 42. Are there any other special controls, features, accessories and options required? Please explain in detail.
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| 43. Are there any written specifications available? Enter here or see above file attachment feature. You can also send a separate email to info@uapc.com or send a fax to (757) 461-0077 with additional written requirements.
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| 43. Describe the product application and the geographical location. Please explain in detail.
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| Note:
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See File Attachment Feature at the Top of this Form.
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| Send Copy to Self
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