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Closed Loop Fluid Cooler - Application Data Sheet

We Specialize in Custom Applications for all Industries!
Please fill in the form below to the best of your knowledge. If you do not have or know some of the information asked of you, simply skip over the question.

When you have filled in all of the questions that you can answer please note any special requirements for your application or any questions that you have in the comments box.

Then click the SUBMIT button.

Contact Information

Your full name:

Your email address: (e.g.: you@aol.com)

Company:

Your Title:

Address Line 1:

Address Line 2:

City:

State:

Zip or Postal Code:

Country:

Phone Number:

Fax Number

Marketing Information

How did you find to our web site?

If you selected Other, please specify here:

Please rate your experience on our web site:

Do You Have an Immediate Need for a Fluid Cooler?
Yes
No

Mark this Quote Urgent?
Yes

Delivery Date on Job:

Your Industry:

Application Data

Type of Equipment to be Cooled:

All of my Temperature Measurements are in:
Fahrenheit
Centigrade

Ambient Temperature Equipment will Operate in:

Maximum Design Ambient Temperature, Dry Bulb:

Heat Load (Btu/Hr):

Brake Horsepower (BHP) or any other load data:

Operating GPM:

Coolant Type:

If Using Propylene Glycol, What Percent?

If Using Ethylene Glycol, What Percent?

If you are using some other type of coolant please note the details here:

Process Temperature In:

Process Temperature Out:

Process Temperature Rise:

Maximum Cooler Outlet Temperature (Inlet to Your Equipment):

Any Equipment Restrictions (Discharge Temperature, GPM, etc.):

Cooler Location:
Indoors
Outdoors

Altitude at Job Site:

Maximum System Pressure Drop:

Pumping Station Desired:
Simplex
Duplex
None / Not Sure

Voltage Available:

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

Do You Have an Equipment Data Sheet Available?
Yes
No

Distance Between Equipment:

Total Length of Pipe Run:

Pressure Drop Through Equipment:

Size of Piping:

Type of Piping

Additional Information

Is there anything else we need to know about your application?

What is the most important factor we should consider when developing your quote?

What is the 2nd most important factor we should consider when developing your quote?

If you answered OTHER to either of the last two questions please note your answer here: