| 1. Customer Information |
| |
|
|
|
|
|
Company Name: |
|
|
|
|
Contact Person: |
|
|
|
|
Address: |
|
|
|
|
City: |
|
St: Zip: |
|
|
E-mail Address: |
|
|
|
|
Phone: |
|
|
|
|
Fax: |
|
|
|
| |
Title: |
|
|
|
| |
Project Deadline: |
|
|
|
| |
|
|
|
|
| 2. Process Information |
| |
|
|
|
|
| |
Process Description (explain): |
|
|
|
| |
|
|
|
|
| |
Number of stacks or recovery units: |
|
|
|
| |
NOTE:
If more than one stack or recovery unit please
provide the information listed below at the end of this document under the
additional comments section. |
|
| |
|
|
|
|
| |
Make of stack or recovery unit: |
|
|
|
| |
|
|
|
|
| |
Model # of stack or recovery unit: |
|
|
|
| |
|
|
|
|
| |
Stack Temperature: |
|
°F |
|
| |
Stack Flow: |
|
SCFH |
|
| |
Stack Height: |
|
Feet |
|
| |
Stack Diameter: |
|
Feet |
|
| |
Distance from stack ports to CEMS: |
|
Feet |
|
| |
Access to stack sample ports: |
|
Yes
No
|
|
| |
Explain: |
|
|
|
| |
|
|
|
|
| |
Explosion Proof Environment: |
|
Yes
No |
|
| |
Gases to be monitored: |
|
|
|
| |
Flows to be monitored: |
|
|
|
| |
Temperatures to be monitored: |
|
|
|
| |
|
|
|
|
| |
Air Permit Number: |
|
(NOTE:
Please provide copy of air permit). |
|
| |
Special Permit Requests: |
|
|
|
| |
|
|
|
|
| 3. Equipment Requirements |
| |
|
|
| Analyzer Type |
Scale/Range |
Units |
Output |
|
|
| |
1: |
|
|
|
| |
2: |
|
|
|
| |
3: |
|
|
|
| |
4: |
|
|
|
| |
|
|
Example: Scale/Range 0-1000, Units PPM, %, Output 0-10vdc, 4-20ma |
|
| |
|
|
|
|
| |
Data Acquisition System: |
|
Yes
No
NOTE: If yes, attach a complete description of
requirements. |
|
| |
Chart Recorder: |
|
Yes
No
NOTE: If yes, attach a complete description of
requirements. |
|
| |
Calibration Control: |
|
Auto
ManualNo |
|
| |
Heated Sample Line: |
|
Feet |
|
| |
Non-heated Sample Line: |
|
Feet |
|
| |
Sample Pump: |
|
Yes
No |
|
| |
Heated Sample Pump: |
|
Yes
No |
|
| |
Heated Filter Box: |
|
Yes
No |
|
| |
Sample Conditioner: |
|
Yes
No |
|
| |
Probe Type: |
|
Inconel, SS316, SCH40,
etc. |
|
| |
|
|
|
|
| |
Enclosure Requirements:
(i.e. NEMA 12, NEMA 4,
Freestanding Cabinet, Wall Mount) |
|
|
|
| |
|
|
|
|
| 4. System Location and Utilities |
| |
|
|
|
|
| |
Indoor: |
|
Yes
No |
|
| |
Outdoor: |
|
Yes
No |
|
| |
Temperature Range: |
|
°F |
|
| |
Relative Humidity: |
|
% |
|
| |
110VAC/60Hz: |
|
Yes
No |
|
| |
220VAC/60Hz @ 60 Amps: |
|
Yes
No |
|
| |
Phone Line: |
|
Yes
No |
|
| |
|
|
|
|
| |
Additional Environmental Conditions or
Requirements: |
|
|
|
| |
|
|
|
|
| 5. Documentation |
| |
|
|
|
|
| |
CEMS Manual Quantity: |
|
|
|
| |
|
|
|
|
| 6. Additional Comments |
| |
|
|
|
|
| |
Special Calculations (explain): |
|
|
|
| |
|
|
|
|
| |
Testing Requirements (explain): |
|
|
|
| |
|
|
|
|
| |
Other: |
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
|
|