Lochinvar Hot Water Generator Quote Request Form
Boiler Water as the Heat Source
(*Required Fields)
*Company Name ______*Company Contact ______
*Phone#______*Fax# ______
*E-mail:______
*Job Name______*City______
______
Storage Tank Specifications
*Storage Required: ______Gallons
*Tank Lining: Glass___ Cement___ *Working Pressure: 125___ 150___
*Configuration: Vertical___ Horizontal___ *Surface: Bare___ Jacketed & Insulated___
Restrictions: (Note: Standard model tanks will be used unless otherwise noted.)
Maximum Height______” Maximum Length______” Maximum Width______”
Tank Options
Note: All HWG come with the following openings as standard equipment:
(2) Circulation, (3) Temp. Sensors, (1) Hot water outlet, (1) Drain, (1) T&P
Special Tappings:
NPT: Size____” Quantity______Flanged: Size____” Quantity______
Other Options: Manway (11x15)___ (12x16)___ Hand-hole (4x6)___
______
Tube Bundle Specifications
*Tank Side - Recovery
GPH ______Entering Water Temp ______°F Leaving Water Temp______°F
*Tube Side – Heating Supply Water
Entering Boiler Water Temp ______°F Leaving Water Temp______°F
*Tube Bundle Requirements: Single Wall___ Double Wall___
______
Optional Equipment
Control Pkg. (Direct-Sense/Pilot Operated)___ Other (list in Notes & Sp. Req)___
MRHL w/ Solenoid Valve___
T&P Gauge___
______
Drawing Attached: Y___N___ Specification Attached: Y___ N___
Notes & Special Requirements: