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Contact Information |
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| Contact Name:(*) |
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| Company Name:(*) |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Country: |
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| Phone:(*) |
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| Fax: |
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| Email: |
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| Cellular Number: |
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System Requirements |
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| The compressor systems wil need to be:(*) |
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| If Stationary, this system willl be permanently located: |
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| What are the power requirements for this system? |
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| If electric, what are the voltage requirements? |
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| Check Hertz (Hz) required: |
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| How many workers do you anticipate using this system at any given time? (quote maximum) |
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| What type of respirator is being used? |
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| What are the flow and pressure requirements? CFM: |
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| @ psi |
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| What other types of devices are you planning on the air system? (pneumatic tools, air vests, etc.) |
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| Will remote air manifolds (point-of-attachments) be required? |
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| Number of remote air manifolds required? |
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| Number of outlets desired per manifold? |
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| Will the remote air manifold need to be: |
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| Wil audible and/or visual remote alarms be required? |
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| If Yes, |
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| Will this compressor be used in an IDLH (Immediately Dangerous to Life or Health) environment? |
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| Are there any special environmental conditions that may exist where the system is located? (i.e. rain, chemicals, vapors, dust, heat, cold, etc) |
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| Please enter code(*) |
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| Thank You! |
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