Commercial Side Stream Cooling Tower info Request Form

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Customer Information

Minimum data to generate a quote marked with an asterisk (*)

Company: *

Email: *

Address:

Phone: *

City, Zip/Postal:

Cell:

Contact Person: *

Type of Business:

Title:

Application:

Site Data

Minimum data to generate a quote marked with an asterisk (*)

Cooling Tower Pressure (psi):

Min: *

Max:

Avg:

Flow Rate Range (gpm):

Min:

Max:

Avg:

Turbidity (NTU) in ppm:

Average Water Temperature (°C):

Cooling Tons: *

BTU / hr:

Side Stream Filter Line Size (in): *

Pipe length to Cooling Tower Line (ft): *

Number of elbows in the pipe back to cooling tower:

Height of the pipe back to cooling tower line (ft):

Filtration Required: *

1 micron

5 micron

Pressure in separate source line (psi):

Min: *

Max:

Avg:

Separate Source Line Size (in): *

Existing Cooling Tower Equipment Data

Not Applicable

This section is optional

Filter 1:

Individual Unit ID:

Unit Type:

Manufacturer & Year:

Model:

Tank Capacity (ft³):

Tank Diameter:

Tank Construction:

Control Type:

Filter 2:

Individual Unit ID:

Unit Type:

Manufacturer & Year:

Model:

Tank Capacity (ft³):

Tank Diameter:

Tank Construction:

Control Type:

Other 1:

Individual Unit ID:

Unit Type:

Manufacturer & Year:

Model:

Tank Capacity (ft³):

Tank Diameter:

Tank Construction:

Control Type:

Other 2:

Individual Unit ID:

Unit Type:

Manufacturer & Year:

Model:

Tank Capacity (ft³):

Tank Diameter:

Tank Construction:

Control Type:

Optional Pre-Piped Skid

This section is optional

Carbon Steel Skid Pre-piped:

PVC Piped

Copper Piped

Not Required

Allocated Space

Minimum data to generate a quote marked with an asterisk (*)

Dimension (ft): *

Height: *

Length: *

Width: *

Door Size (in):

Height:

Width:

Weight Limitation (lbs):

Quality through innovation

Excalibur Water Custom Engineered Commercial & Industrial Solutions

Water treatment product information request forms for commercial & industrial applications.

Quality through innovation

Excalibur Water Custom Engineered Commercial & Industrial Solutions

Water treatment product information request forms for commercial & industrial applications.

Commercial Side Stream Cooling Tower info Request Form

Customer Information

Site Data

Existing Cooling Tower Equipment Data

Filter 1:

Filter 2:

Other 1:

Other 2:

Optional Pre-Piped Skid

Allocated Space

Comments & Notes