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Fire Suppressant System for Fume Hoods Application Questionnaire

The key to a successful Esco New Equipment purchase is to have our engineers initiate the project in the right direction. This happens with the Custom Request Form or Project Questionnaire.
The questions that are asked on the form are critical aspects for all applications. You can help Esco by being prepared to answer the questions on the form. With all the information your proposal, purchase, delivery and installation of your new Esco equipment will be more timely and accurate because of the care taken to start on the right foot.

* Denotes required fields for this form.
Section I: About Your Company
Name *
Company Name *
Company Address *
Phone Number and Extension *
Fax  
Email *
You Work For * End User/ Facility Owner
Architect/ Specifier/ Consultant
Lab Builder/ Contractor
Distributor
Section II: Project Information
Application Handled in Fume Hood to Which Fire Suppression System Will be Attached
Describe the Application *
Describe Any Fire Safety Regulations Which Need to be Met *
Chemical Information 
Name *
Dilution (%) *
Type (e.g. Plate, Beaker, Etc.) *
Surface Area of Evaporation *
Type or Work (e.g. Acid Digestion, etc.) *
Temperature of Handling *
Frequency of Work (Per Day, Per Week, Per Month) *
Quantity of Chemical Used *
Duration of Handling (Minutes or Hours) *
(Repeat As Needed for Multiple Chemicals)  
Name of Project (End User/Facility Name) *
Location of Project (City, Country) *
Delivery Date Required  
Level of Need * Have a Approved Budget
Preparing to Submit a Budget for Approval
Gathering Information for Future Reference
Section III: Fume Hood Information
Fume Hood Model (List Esco Hood Model) *
Airflow Volume at Which Hood Will be Operated *
Electrical Supply Required * (Indicate Voltage, Frequency, Single or 3 Phase) *
(Indicate Voltage, Frequency, Single or 3 Phase)  
Quantity Required *
Captcha *