Oxidizer Inquiry Form

Please provide the following contact information:

Company Name
*Contact Name
*Phone Number
Fax Number
*Email
Project site location / reference

The following should be filled in as completely as possible to help us understand your application.
(Disregard questions not applicable).

1. Gas to be oxidized

a. Source of gas:

b. Gas Volume:

c. (actual)

Temperature

Pressure

d. Fluctuations in volume and/or temperature (range):

e. Is there any pressure drop other then the Oxidizer: if yes, how much?

2. VOC's in waste gas

List: Concentration (% by volume / % by weight)

3. Oxidizer information

a. Space available (LxWxH)

e. Flame Arrestor Required:

b. Type of Oxidizer desired:

f. LEL Monitor & Controller required:

c. Fuel available:
Other:

g. Heat Recovery Required:
If yes (Minimum efficiency):

d. Burner Insurance Rating:
     UL
     FM
     IRI

h. Electrical Requirements (Area Classification):

i. Electrical Service Available:
(230/460/3 ph) Other:

4. Additional Information/Comments: