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Complete this form to get help in evaluating a propane standby system for your location!
Form
636 EZ
Confidential Gas Energy Profile
Propane Standby System Data
Name
Title
Company
Address
City
St/Prov.
Zip
Email
Phone
Fax
Propane-Air Plant Location
Natural Gas Supply
Local natural gas distribution company
Do you purchase "transported" gas?
Yes
No
Annual gas used (past year)
Mcf or
Therms
Natural Gas delivery basis
Interruptible
Firm
If both are used, provide breakdown if available.
Total Annual natural gas cost
$
If available, provide separate "demand" & "commodity" cost.
Load Profile
Total
connected
natural gas load
MMBtuh
Millions of BTUs per hour. Rating plate data is best source for this.
Facility gas distribution pressure
psig
This is the pressure of the in-plant gas piping system(s).
Do you have any processes that must
Yes
No use natural gas (methane)? Ex: atmosphere generators.
Are any changes in gas use planned?
Yes
No Ex: facility and/or production expansions.
Insurance
Some insurance carriers have special criteria for propane systems.
Factory Mutual
Industrial Risk Insurers
NFPA 58 Other
Other
Do you use propane-fueled forklifts?
Yes
No
If yes, how many?
Do you have other uses for propane?
Yes
No
If yes, please explain in comments area.
Is a lease program of interest?
Yes
No
Please provide whatever additional information you believe may be of use in evaluating a propane standby system for your facility.
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2410 East 38th Street Minneapolis, MN 55406-3018 USA
Phone:
612.721.4473
Fax:
612.724.8434
Email:
info@standby.com