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Cogeneration / CHP Preliminary Feasibility Qualification

* Name:
* Company:
* Position/Title:
Address:
State:
ZIP:
* Telephone:
Fax:
* Email:
* Brief description of facility or process:
Details of operating hours/shift patterns:
Total annual hours of operation/occupancy:
Do you have a natural gas supply?:
  Yes
No
Supply Pressure:
Gas price (delivered):
Other primary fuels used at your facility:
Max hourly electricity demand:
Min hourly electricity demand:
Average electricity demand (normal operation):
Electricty tariff day rate:
Electricty tariff night rate:
Electricty tariff weekend rate:
Electricity supply voltage:
Hot Water Flow Temperature:
Hot Water Return Temperature:
Hot Water Average Demand:
Steam Temperature:
Steam Pressure:
Steam Usage Rate:
Steam Feedwater Temperature:
Steam Condensate Rate:
Heated Air Outlet Temperature:
Heated Air Inlet Temperature:
Heated Air Flow Rate:
Air Conditioning Flow Temperature:
Air Conditioning Return Temperature:
Air Conditioning Chilled Water Flow Rate:
Air Conditioning Average Hourly Demand:
Process Cooling Flow Temperature:
Process Cooling Return Temperature:
Process Cooling Medium Flow Rate:
Process Cooling Average Hourly Demand:
Please use the space provided for additional comments that may be of use in this evaluation:
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