Nitrogen System - Customer Inquiry Form Date: Company Name: Project Name: Contact Name: Address: Tel:
Office: Direct:
Mobile: Fax:
Email:
Nitrogen Requirement Hourly Flow: Minimum Nitrogen Pressure: Operating Purity: Shutdown Purity (if any): Application:
SCFH PSIG % Mole Nitrogen % Mole Nitrogen
Facility Information On-line: Ambient Temperature:
Hours/Day,
Days/Week
Min. (˚F)
Max. (˚F)
Design Ambient Temperature:
(˚F) (Ft) (%) Volts
Site Elevation: Design Relative Humidity: Supply Voltage Available: Electrical Classification Area: Location (Indoor/Outdoor): Equipment (Mobile/Stationary):
Phase
Scope of Supply (check for each item) (ü).
Hertz
Supplied by: Customer Generon
Air Compressor: (if available, Pressure _______, Flow _______) Air Compressor Type: Oil free or Oil Lubricated, please specified. Air Dryer: (if available, Pressure _______, Flow _______) Air Receiver (if available, Size _______ gallons): Nitrogen Generator: Nitrogen Receiver (if available, Size _______ gallons): Nitrogen Booster: (if available, Pressure _______, Flow _______) Nitrogen Booster Type: Oil free or Oil Lubricated, please specified.
Options: (Yes or No) Commissioning Training Special Documentation Special Inspections
Packing and Crating Freight Special Specifications Special Certifications
Other Information
Please Send Completed form to Sergio Gonzalez Email: sgonzalez@generon.com Fax: 713-937-5250 External Customer Inquiry Form Rev.1