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Please complete the Application Data Sheet below to receive a detailed proposal. Download a printable version.

General Contact Information

Company Contact Person Phone

Fax Email Address

City State Zip Code

Installation Location

City

State

Country

Application

Please include units of measure

Blower
Exhauster

Brief description of application Quantity of Machines

Barometric Pressure Ambient Temperature – High Ambient Temperature – Low Ambient Temperature – Design Air Flow – High

Air Flow – Low Air Flow – Design Inlet Pressure Design Pressure/Vacuum Relative Humidity

General Accessories Required *

Motor Motor Enclosure Voltage Phase Cycle

*If special requirements or specifications on any accessories, please note below:

Controls & Gauges

	Yes	No
Blower Bearing Vibration Sensors
Blower Bearing Temperature Sensors
Blower Midpoint Housing Mounted Vibration Sensor
Motor Bearing Vibration Sensors
Motor Midpoint Housing Mounted Vibration Sensor
Motor Winding Temperature Sensors
Blower Surge and Motor Overload Protection
Flow Meter
Dissolved Oxygen Sensors - Indicate Quantity Below
Automated Valve Actuation
Blower Local Control Panels
Data Trending
Data Output to Plant Control System
Motor Starter
Variable Frequency Drive
Solid State Reduced Voltage Starter
Inlet Pressure Gauge
Inlet Temperature Gauge
Discharge Pressure Gauge
Discharge Temperature Gauge
*If special requirements or specifications on any controls or gauges, please note below:

Tests

	Yes	No
Mechanical Run Test (Standard – No Charge)
Hydrostatic Test
ASME PTC 10 Test
Sound Level Test

General Comments/Additional Information Please include any specifications, items or instructions not covered by this form: