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Control Quote Form
Package Chiller Information Work Sheet Quote request for MCS Microprocessor Upgrade
*
= required(The more info given the more accurate the quote will be.)
General Information
Name:
*
Address:
*
City:
*
State:
*
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
Email:
*
Phone:
*
(i.e.0123456789)
Company:
*
Country:
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Unit Information
Installation Site Name:
*
Site Unit Number:
*
Model Number:
*
Serial Number:
*
Package Manufacturer:
*
Control Voltage:
*
Select One
24 Volts
115 Volts
230 Volts
Do you want Low Ambient Lockout?:
Yes
No
What type of refrigerant is being used?:
*
Select One
R11
R12
R22
R113
R123
R134a
R404A
R407A
R407C
R410A
R417A
R422B
R422D
R438A
R500
R502
R507
R508B
R717(Am)
R744-CO2
Other
Do you want an emergency stop input?:
Yes
No
Other Refrigerant:
Do you want a BMS Run/Stop input?:
Yes
No
Evaporator Information
What is the Evaporator type?:
*
Select One
DX Remote
DX Chiller Barrel
Other
What type of DX Chiller Barrel?:
*
Select One
Flooded
Direct Expansion
Other
Other Evaporator:
Other DX Chiller Barrel:
Where is the Evaporator located?:
*
Select One
Remote
On Package
Does it have a second expansion valve?:
Yes
No
Does it have a Barrel Heater?:
Yes
No
Does it have an electronic expansion valve?:
Yes
No
Condenser Information
What is the Condenser type?:
*
Select One
Air Cooled
Water Cooled
Where is the Condenser located?:
*
Select One
Remote
On Package
If Common Air, what is the total number of fans?:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
If Common Water, how is it controlled?:
Select One
Pump
Bypass Valve
How many pumps and fans (relay outputs required)?:
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Does the unit have a Frequency Drive?:
Yes
No
If yes, is the drive on the pump or on which fans?:
*
If Air Cooled, how many fan relay outputs on each circuit?:
Circuit 1
0
1
2
3
4
5
6
Circuit 2
0
1
2
3
4
5
6
Circuit 3
0
1
2
3
4
5
6
Circuit 4
0
1
2
3
4
5
6
Circuit 5
0
1
2
3
4
5
6
Circuit 6
0
1
2
3
4
5
6
Circuit 7
0
1
2
3
4
5
6
Circuit 8
0
1
2
3
4
5
6
Compressor Information
What is the Compressor type?:
*
Select One
Centrifugal
Reciprocating
Screw
Scroll
Other
Other Compressor:
How many circuits are there?:
*
0
1
2
3
4
5
6
7
8
How many compressors per circuit?:
*
One
Two
Does the unit have start up bypass?:
Yes
No
Does the unit have fast unload?:
Yes
No
Does the unit have an oil seal cooler?:
Yes
No
Does the unit have liquid injection?:
Yes
No
Does the unit have vapor injection?:
Yes
No
Is there any other information we should know?:
If Reciprocating Compressors, how many unloaders per circuit?:
Comp 1
0
1
2
3
Comp 2
0
1
2
3
Comp 3
0
1
2
3
Comp 4
0
1
2
3
Comp 5
0
1
2
3
Comp 6
0
1
2
3
Comp 7
0
1
2
3
Comp 8
0
1
2
3
If the unit has Hot Gas Bypass, which circuits have it?:
Circuit 1
Circuit 2
Circuit 3
Circuit 4
Circuit 5
Circuit 6
Circuit 7
Circuit 8
What is the compressor Model # and FLA?:
*
Comp 1
Comp 2
Comp 3
Comp 4
Comp 5
Comp 6
Comp 7
Comp 8