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History
Our Team
Our Technology
Advantages
Frequently Asked Questions
Energy Savings Report
Particle Analysis Report
Water Savings Report
Videos
Customer Profiles
Applications
Product Specification
Request a Quote
Toggle website search
E-SURVEY SUBMISSION FORM
Step
1
of
3
- Step1
33%
Date
MM slash DD slash YYYY
EC Representative
CUSTOMER / CONTACT DATA
Customer
Contact
Address
Cell #
Office #
Email
CHILLER / TOWER DATA
# of Centrifugal Chillers:
Total Tons
# of Absorbtion Chillers:
Total Tons
# of months used annually
Weekly Run-time
Max tonnage needed
Average tons
Condenser PSI
Evap PSI
Any future expansion planned
# Units
# Tons
Number of cooling tower cells
# Tons
Plate & Frame?
Side-stream filter used?
Type
Chemical Company
Satisfied?
Problems
* USE AND COST INFO
*Annual make-up gallons
(Required)
Is use metered?
*Electric - cost per kwh
(Required)
*Water - cost per 1000 gallons
(Required)
( include water & sewer )
* It is essential to provide accurate figures for both use & cost for EC to accurately estimate savings
MISCELLANEOUS
Total Sq Ft
Facility Type
(Office, Data Center, Manufacturing, Process, Hospital. Hotel, Casino, etc).
# Floors
Remarks:
