Compressor Inquiry Form - Waterflood Service & Sales LTD.

Customer (required):

Attention:

Address:

City:

Province/State:

ZIP/Postal Code:

Phone:

Fax:

Cell:

E-mail (required):

Sales Contact:

Site Location:

Site LSD:

Gas Makeup:

Fluid Flow:

Suction Pressure:

Discharge Pressure:

Humidity

K Value

Particle Size in Microns

Solids in Fluid

Specific Gravity

Elevation

Gas Temp

Ambient Temp

Engine:	Slip Stream AOX Oil Filter Hospital Grade Muffler Hospital Grade Plus Muffler Air Start Oil Day Tank Flow Meter Inlet Filter
Piping:	Sweet Sour Inlet Filter
Cooler:	Ladder Expansion Tank Sour Spec
Vessel:	Blow Case Bruin Pump Sour Spec
Building/Package:	Flow Meter CSA Fugative Emmision Low Pressure Bypass Balue Inlet Control Valve Solar Panel Battery Pack
Heater:	Electric Gas
Electrical:	Wired LEL Detectors H25 Detectors Fire Detectors Fire Loop
Panel:	External ESD Cooler Vibration Return O/C Building Temp Sales Gas Automation Speed/Bypass

Xray:

Corrosion Allowance:

Pressure Test
Internally Coated

Area Classification:

Driver Type:

Prefered Manufacturer:

Driver Options:
RTDs
Clutch
Thermistors

Roof & Walls Exterior:

Roof & Walls Interior:

Exterior Color:

Exterior Trim:

Acoustic Liner and Trim
Door Canopies
Translucent Roof Panels
Downspouts & Gutters
Removeable Section
Ventilators
Ridge Vent
Louvers
Whirlybirds

Power Exhaust Fans Qty.:

Single Doors Qty.:

Windows Qty. (3' x 3' Std.):

Double Doors:

Delivery Date Requested:	Trucking: WSS Other
	Loading: WSS Other

Purchase Lease to Purchase Rent