Cooling Systems Applications Questionnaire

Please email the following details to the address below.



Requestor's Information


Name


Company


Street Address 1


Street Address 2


City/Town


State/Province


Zip/Postal Code


Phone


Fax


Email




Cooling Application Information


Equipment

Equipment to be cooled


Quanity Required


Date Required


Active Heat Load

Active Heat Load (Btu/hr or Watts)


Coolant Type

Coolant Type (Water, Glycol, PAO, etc.)


Flow Rate

Coolant Flow Rate


Supply Pressure

Coolant Supply Pressure at Rated Flow


Max. Pressure

Coolant Maximum Pressure to Equipment (Blocked Discharge/No Flow)


Connections

Coolant Connections


Supply Temp

Coolant Supply Temperature


Max. Return Temp

Coolant Maximum Return Temperature


Purity Spec

Coolant Purity Specifications (If Applicable)


Filtration

Filtration (Particulate, Deionizer, Oxygen Removal, If Required)


Cooling Method

Select A Cooling Method Option


Input Power

Prime Input Power (Voltage, 1 or 3 Phase, Frequency)


Indoor/Outdoor

Environment - Indoor/Outdoor (Sheltered/Non-Sheltered)


Operating Temp

Environment - Ambient Operating Temperature (Min-Max Range)


Storage Temp

Environment - Ambient Storage Temperature (Min-Max Range)


Special Conditions

Special Environmental Conditions (Airborne, Shipboard, Coastal Proximity, Altitude, etc.)


Mounting

Mounting (Casters, Mounting Channels/Skids, Rack Mount, etc.)


Noise Limits

Noise Limits (If Applicable)


Instrumentation

Instrumentation (Gauges, Indicators, Flow Meter, etc.)


Interlocks

Interlocks (Flow, Temperature, Level, etc.)


Additional Specs



Email to:

sales@electroimpulse.com