Air & Water Cooled Chiller - Application Data Sheet

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* Required Field - we cannot size a unit without this information*

Contact Information

Full name:

Email address:

Company:

Title:

Address:

City:

State:

Zip Code:

Country:

Phone Number:

Fax Number:

Marketing Information

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Chiller Application Conditions

Mark This Application Urgent?
Yes

When does this unit need to be delivered by?

Your Industry:

Is there an Equipment Data Sheet available? Yes No

Type of Equipment to be Cooled:

Heatload (BTUH):

*Flow Rate (Operating GPM)*

Voltage Available:

Electrical Area Class (NEMA, Explosion Proof, etc.):

Maximum System Pressure Drop:

Pressure

Pressure of Liquid Entering Chiller (PSIG):

Pressure of Liquid Exiting Chiller (PSIG):

Coolant

Coolant type being used:

Coolant - Liquid Flow:
Constant Intermittent

Temperature

All of my temperature measurements are in:
Fahrenheit (F) Centigrade (C)

Ambient Temperature the Equipment will Operate in:

Maximum Design Ambient Temperature:

*Process Temperature: In*

*Process Temperature: Out*

Process Temperature: Rise

Maximum Chiller Outlet Temperature:

Maintain Temperature of Liquid + or - :

Maintain Temperature Range from / to:

Location

Location:
Indoors Outdoors

Altitude at Installation Site:

Condenser

Condenser - Maximum Ambient Temperature:

Condenser - Minimum Ambient Temperature:

Condenser:
Air Cooled City Water Cooled Tower Water Cooled
Remote Air Cooled (Split Unit) High Pressure Air Cooled

Extras

Process Pump Required?
Yes No

Tank Unit Required?
Yes No

Distance Between Equipment:

Total Length of Pipe Run:

Size of Piping:

Type of Piping:

Comments