NITROGEN SYSTEM REQUIREMENTS FORM

With this handy form, you can provide us with the information we need to specify the right nitrogen generating system for your application.


Date:   (mm/dd/yy)
Name:  
Company:  
Address:  
City:  
State/Province:       Zip Code:
Country:  
Telephone:  
Fax:  
E-Mail:  


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NITROGEN REQUIREMENTS:

  Hourly Flow:   scfh     Nm3 / hr     LPM
  Min. Nitrogen Pressure:   psig     Barg
  Operating Purity:  
  Required Delivery Date:   (mm/dd/yy)
  Plant Location:  



FACILITY INFORMATION:

  Days/Week:     Hours         Days         Weeks
 
Supply Voltage: (choose one)
 460 volt, 3 phase, 60hz
230 volt, 3 phase, 60hz
115 volt, 1 phase, 60hz
Other: volt, phase , hz




AMBIENT TEMPERATURES:
  Minimum:   degrees F       or        degrees C
  Maximum:   degrees F       or        degrees C
  Design Temperature:   degrees F       or        degrees C
  Site Elevation:   ft.(1,000 ft.Standard)    or     m.(300 m.Standard)
  Design Humidity:   %



CURRENT CONSUMPTION INFORMATION (if applicable)

  Source:  
  Application:  
  Flow Rate:  




If you DO NOT KNOW your flow rate, please tell us:  
  How many (enter number) per do you use?
  Is gas consumption continuous?
 
Other Information: