APPLICATION QUESTIONNAIRE
General Heating Application Questionnaire : Part I
Company : |
Phone Number : |
Contact Name : |
Email or Fax : |
Address : |
Your Heating Specialist since 1949
Application : Type of Industry :
PART A : OBJECT TO BE HEATED
Object that needs heat :
Dimensions of object : ( Please include a drawing or sketch ) Unit of measurement ?
Cylinder : |
|
Rectangle / Cube : |
|
|
Diameter : |
X Length : |
Length : |
X Width |
X Height |
Multiple objects with varying dimensions |
Object wall thickness :
Are there any obstructions or clearance issues that may restrict heater placement ?: If yes , please provide documentation .
Yes No
Material of Object ( s ): Steel Stainless Steel Non-Metal Other
Content : Name :
Flow rate : |
|
|
|
|
|
|
|
Beginning state : |
Gas |
Liquid |
Solid |
Desired ending state : |
Gas |
Liquid |
Solid |
PART B : ENVIRONMENT |
Unit of measurement ? |
º C |
º F |
Ambient Temperature : |
Maximum |
º |
Minimum |
º |
Environment : ( check all that apply ) Indoor Outdoor , Wind Speed : Moisture
Chemical
Hazardous-Area , Class Cleanroom , Class
Division Other
Group
APPENDIX
PART C : HEAT REQUIREMENTS
Unit of measurement ? º C º F
Starting content / object temperature : º Heat up to : º, within Hours Maintain at : º but never below : º and never above : º Will you provide insulation ?: No Yes , Type : Thickness :
Will it cover all surfaces ?: Yes No , please explain :
A-2
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