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About You

Company					Phone
Title		First Name			FAX
Last Name					Web address
Position					E-mail
					No. of Employees	No. of Employees... 0-5 5-10 10-25 25-100 100-500 500+
Address					Approx. Turnover	Approx. Turnover...(GB£) 0-50 000 50 000 - 100 000 100 000 - 300 000 300 000 - 500 000 500 000 - 1 000 000 1 000 000 +
Address (cont..)
Town					Any Other comments
County
Post Code
Country

 

Technical Requirements

Are you currently using a hydrostatic test system?		Please select.... Yes No
IF YES:	Manufacturer		Year Installed
	Model
TEST JACKET	Dimension(s)		Length
Please indicate which of the following cylinders you will be testing:
HIGH PRESSURE CYLINDERS	Oxygen		Medical "E" Aluminium
	SCUBA		Medical "E" Steel
	SCBA		Special Gas
	CO2		Fire Extinguishers
	Steel Industrial		Aluminium Industrial
LOW PRESSURE CYLINDERS	Propane		LPG
	Halon		CNG
	Refrigerant		Chlorine
ANY OTHER CYLINDERS
OTHER OPTIONS	Do you need a Cylinder Dryer?		Choose.... Yes No
	Do you need a water fill station		Choose.... Yes No
	Do you need a Cylinder valver/de-valver?		Choose.... Yes No
	Do you need a data logging facility?		Choose.... Yes No
	Preferred jacket and test head material		Select... Carbon Steel Stainless Steel
	Carbon Steel is the usual material used in installations worldwide. However, in some instances it can suffer surface corrosion requiring more regular maintenance. Stainless Steel is more expensice than Carbon Steel.
Please Provide the following specifications
CYLINDER DIMENSIONS AND PARAMETERS	Max Height	mm	Max Diameter		mm
	Min Height	mm	Min Diameter		mm
	Inner Neck Diameter	mm
	Lowest Test Pressure	units Bar PSI	Min. Cylinder Expansion		cc's
	Highest Test Pressure	units Bar PSI	Max. Cylinder Expansion		cc's
	Max. No. of cylinders to be tested per hour		Max. no. of cylinders to be tested per month
	Projected maximum no. of cylinders per month
	Will you be using any of the following?	Oxygen Service Cylinders
		Tapered threads
		Straight threads
	Please specify Cylinder types, heights, diameters and weights to be tested
AREA/SITE INFORMATION	Test Area Width	mm	Test Area Length		mm
	Test Area Height	mm
	Do you have a 90 C water heater installed?	Please select... Yes No	If yes, what is the capacity of the heater?		kW
	Do you have an existing compressor?	Please select... Yes No	Max PSI of compressor
		If yes: ->	Max CFM of compressor
			Horsepower of compressor
	What is your current Air supply?	Please Select... Nitrogen Carbon Dioxide Shop Air
	What are the details of your current electrical supply?	Current (AMPS)
		Voltage (VOLTS)
		Phase
		Cycle
PIT DIMENSIONS	If you have an existing or proposed pit, please provide the following dimensions as per the diagram (click here to view).	Max. Cylinder Length			mm
		Height from bottom of "I" beam to floor			mm
		Existing Pit depth			mm
	Television / Radio Transmitters may cuse interference with the scales. Are there any within 1/2 a mile of the site?				Please select.. Yes No
	If Explosion Proof Equipment is required, please specify EX rating code, apparatus group and T-class (NB - For painting machines, paint type may require an EX system)		Ex code... Ex e Ex nA Ex d Ex nW Ex q Ex ia Ex ib Ex nL Ex p Ex nP Ex m Ex o Ex nR Ex s
			Apparatus Group... I M1 M2 IIA IIB IIC II
			T-Class T1 T2 T3 T4 T5 T6
	If you are unsure of any of the classes, please provide as much relevant information as you can
Any additional information?

 

 

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