Survey Form

Better Quality

Better Service

IT’S JUST GOOD BUSINESS!

Please fill out the following information and test us with your application.  We promise to provide well conceived, detailed and professional solutions in response.

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Please tell us about your application:

Company Name
Contact Name
User Email
User Telephone
User Fax
Boiler Make/Model:
Boiler Horsepower:

Boiler Type:            SteamHot Water

Output Capacity:

BTU/hr(hot water):

Lbs/hr(steam):

 

Primary Fuel:

Type (Nat Gas/Oil etc.):

Cost ($/Gj):

 

Operating Pressure/Temp

Steam Pressure(PSIG):

Hot Water Temp(Deg.F.): 

 

Average Percent Firing Rate:

Operating Hours:

Per Day:

Days Per Month:

 

Additional Comments/Information:

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Revised: 04/30/03.

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