Name* |
|
Company* |
|
Address* |
|
City* |
State*
Zip*
|
Phone |
Ext.
|
Email* |
|
TYPE
OF COMPANY OR ORGANIZATION: |
|
|
|
| TYPE
OF APPLICATION / PROJECT: |
| |
|
| INSTALLATION
SITE: |
| |
|
| TYPES
OF OIL CONTAMINANTS (Select all that apply): |
| |
Crude Oil
Diesel
Bio-Diesel
Lubricants
Turbine Oil
Transformer Oil
Gasoline
Jet Fuel
Kerosene
Ethanol
Vegetable Oils (Corn, Soybean, Palm, Olive, Etc.)
Other - Please Specify
|
| INSTALLATION
SITE - POWER REQUIREMENTS: |
| |
- Voltage
VAC
VDC
Frequency
Hz
|
| INSTALLATION
SITE - MONITORING, ALARM & CONTROL: |
| |
Hardwired
(To User's existing DCS Scada, PLC, Other
)
Wireless Communications Required
(Distance
Line of Sight
)
Local A/V Alarm Required
Process Actuation (Valve, Pump, Etc.) Required
Other - Please Specify
|
| AVAILABLE
INFORMATION OF INSTALLATION SITE: |
| |
Drawings
Sketches
Photographs
Other - Please specify
|
| INTEREST
IN OIL SPILL & LEAK DETECTION: |
| |
|
| PROJECT
FUNDING: |
| |
|
| PLEASE
DESCRIBE APPLICATIONS AND DEPLOYMENT ENVIRONMENT
(IN DETAIL): |
| |
|
Thank
you for your inquiry. Our Application Engineer will contact
you regarding your needs.
|
