Please provide the following information to assist us in preparing our proposal for you:Date:

Company:

Name:Position:

Address:

Telephone:

Telefax:

E-Mail:

Capacity of plant *………………….kg CO2 / hour

*In case not decided or for check –up please complete the questions below

Annual brewery capacity……………………..hl liters/year

Annual soft drink capacity……………………..hl liters/year

Location of proposed plant (city):

Elevation at plant site:______feet (meters) above sea level

Estimate total CO2 requirements in: Previous Year ______, Current Year ______, Next Year (projected) ______

Indicate your present maximum weekly CO2 requirements:

Kindly indicate your Purpose for use of CO2 to quote complete system i.e Inplant Use + Cylinder filling etc ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Brewing Data

Net size of each brew into closed fermenter: ______Barrels (U.S., IMP., etc.) or hectoliters

Daily Brew Schedule
(How many brews/day?) / Total Fermentation Cycle / Blow-Off Period / Collection Period / Gravity at:
Start of fermentation:_____ Plato
End of blow-off:_____ Plato
Start of collection:_____ Plato
Finish of collection:_____ Plato
Days/Wk / M /
T
/ W / T / F / S / S
Summer / Hours / Hours: / Hours:
Winter / Hours: / Hours: / Hours:

Total Brews/Wk: Summer ______Winter ______

Fermenter Operating Pressure: ______PSIG (kg/cm2) Note: Attach time vs. gravity curve if available.

If different beers and/or ales are produced regularly, specify percent of total output of each product and repeat above information for each product on a separate sheet.

CO2 pressure available for collection if different from fermenter operating pressure: ______PSIG (kg/cm2).

Utility Data

Power Voltage: ______Volts, ______Phase, ______Hertz

Control Voltage:______Volts, ______Phase, ______Hertz

Motor starting requirements: Direct on line starting up to and including ______horsepower

 Wye-Delta starting ______horsepower and over

Motors: Open Drip Proof Totally Enclosed, Fan-Cooled Tropical Protection Required

Cooling water temperature:Summer _____F (C)Winter _____F (C)Wet bulb temperature: _____F (C)

Auxiliary coolant available: Glycol  Brine  Alcohol Water – Specify one only at _____F (C)

_____ GPM (U.S., IMP., etc.); _____ % mixture; _____ PSIG (kg/cm2 )

Plant ammonia suction pressure:_____ PSIG (kg/cm2); days steam is available per week: _____ days

Steam pressure available:Maximum _____ PSIG (kg/cm2 ); Minimum _____ PSIG (kg/cm2 )

Dry compressed air supply available:Maximum _____ PSIG (kg/cm2 ); Minimum _____ PSIG (kg/cm2 )

Indicate approximate distance from closed fermenters to proposed location of CO2 collection equipment: _____ feet (meters)

Whether Cooling Tower Is Required ______(Yes / No)

Preferable applied refrigerant for liquefying CO2 ______(R22 / R404A / NH3)

Preferable content CO2 storage tank……………. tons CO2

Preferable CO2 evaporator capacity…………………. kg CO2 /hr

Size of available building (L x W x H) mtrs.

Please submit building drawing (if Possible for submitting the layout)

Whether a Mobile Tanker is Required ______(Yes / No)

Additionally Kindly provide information for economics

1.Present price of purchased CO2/ton delivered:......

2.Present CO2 source:......

3.Present cost of electricity:...... High/generators/KWH

4.Present cost of water:......

Indicate if CO2 is to be used in the beverage industry (i.e.: soft drinks, etc.):

Please send the completed questionnaire to:

Gulati Industrial Fab (P) Ltd.

1404 Chiranjiv Towers

43 Nehru Place

New Delhi 110019

India

Ph - +91-11-26447075, 76, 41608246

Fax - +91-11-2642647 /+91-129-4066707

Email: ;