Note: All Required Fields are Marked with an Asterisk(*).
1. Company Name:
2. Your Name:
3. Email Address:
4. Street Address:
5a. City:
5b. State:
Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Col. Flordia Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming *
5c. Zip Code:
6. Country:
7. Phone Number(s):
8. Fax Number(s):
9. Enter Manufacturer's Model Number,
10. Compressor block, design
Reciprocating Rotary Screw Rotary Vane Duplex (Multiple Compressors)
11. Compressor block, lubrication
Select Lubrication Design Oil Lubricated Oil-Free Oil-Less
12. Compressor block, cooling
Air cooled entirely Water cooled entirely Air cooled compressor block Water cooled compressor block Water cooled intercooler (if multi-staged) Air cooled intercooler (if multi-staged) Air cooled aftercooler Water cooled aftercooler
13. Installation site the compressor:
Inside Inside-Water Exposed Outside Outside-Weather Exposed Outside-Salt Air Exposed Hazardous (Explosive gas or dust potentially present)
14. What are the (minimum/maximum)
15. What are the (minimum/maximum) water
16. Is the media?
17. For pure gases, provide a name
18. For more gases, provide a name,
19. If media is breathing air , please check this box:
20. What flow rate is required:
SCFM Nm3 /min
21. If you know the horsepower or kilowatts required, please enter it here:
Hp kW
22. At what altitude will the compressor system operate?
Feet Meters
23. Inlet pressure (minimum/maximum):
PSIG inches water inches Hg BarG
24. Inlet temperature of the air or gas (minimum/maximum):
Fahrenheit Celsius
25. Discharge pressure (cut-in/cut-out):
PSIG inches water inches Hg BarG
26. Final system discharge temperature of the air or gas:
Fahrenheit Celsius
27. Power Available: Hz: Phase:
28. Electrical standards and
NEMA IEC IP CSA Cold Exposure (Below 40 Fahrenheit) Hot Exposure (Above 90 Fahrenheit) Indoor (NEMA 1) Indoor, damp (NEMA 3) Indoor, Dusty (NEMA 12) Indoor, Wet (NEMA 4) Outdoor-Weather Exposed (NEMA 4) Outdoor, Corrosive Exposure (NEMA 4x) Haz. Gases May Be Present (NEMA 7, Division 2) Hazardous Gases Present (NEMA 7, Division 1) Other-See Detail Below
29. Electric motor specification:
NEMA Standard IEC Standard Open drip proof (ODP) Totally enclosed fan cooled (TEFC) Explosion proof Mill & chemical duty Fungus protection Space heater Flexible V-belt drive Direct coupled (shaft to shaft)
30. What type of motor starter do you need?
Full voltage/Across the line Wye-Delta reduced voltage Solid state reduced voltage Disconnect switch remote--loose supply Disconnect switch installed Compressor package mounted starter Remote mounted starter (supplied loose)
31. If there is no electrical power available,
We can offer gasoline, diesel or hydraulic drives. Please specify your drive preference:
32. Do you require compressed air or gas
Specify Pressure Dew Point (PDP) required:
YES NO Refrigerated dryer (+35 degree F PDP) Desiccant dryer (minus 40 degrees F PDP) Membrane dryer Other - see notes below
33. If you require filtration, specify the
PPM micron ISO CGA OSHA
34. If your require an inlet pressure-vessel,
US gallons cubic feet cubic meters
35. If your require a discharge pressure-
US gallons cubic feet cubic meters
36. What pressure vessel certification
ASME TUV Massachusetts code California Seismic Zone California-LA Code Other - see notes below
37. What pressure vessel materials of
Carbon steel, enamel exterior finish only Carbon steel, epoxy lined interior Carbon steel, epoxy coated interior/exterior Stainless steel, 304 Stainless steel, 316 Other-see below
38. Do your require auto condensate drains?
Mechanical Electrical
39. Do you require condensate filtration?
YES NO
40. Do you require turnkey packaging of all
YES NO
41. What type of Control Click features
PLC control center with message board Relay logic control center High inlet temperature Low inlet temperature High inlet pressure indication Low inlet pressure indication High interstage temperature indication High interstage pressure indication High discharge temperature indication High discharge pressure indication Low oil pressure indication Low oil level indication High vibration indication Pre-alarm to shutdown indication Shutdown to alarm contacts for all indicators Audible shutdown indication alarm Common fault indication shutdown Emergency kill button
42. Are there any other special controls,
43. Are there any written specifications
44. Describe the product application and
