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  General Information:  
       
  Name  
       
  Designation  
       
  Company Name  
       
  Address  
       
  City  
       
  State  
       
  Country  
       
  Zip / Postal Code  
       
  Telephone  
       
  Fax  
       
  Email  
       
  Technical Information:    
       
  Brief explanation of your process  
       
  Liquid to be chilled  
       
  Temperature entering process   °C
       
  Temperature returning from process   °C
       
  Rate of flow  
gpm ipm @ psi bar (at the above temp.)  
       
  Heat to be removed  
Maximum BTU kW per hour
Minimum BTU kW per hour
       
  Cooling Circuit  
From chiller thru process to drain (one pass)
From chiller to process thru closed circuit & back to chiller (closed loop)
From chiller to process thru open circuit (open sump or reservoir) & back to chiller (open loop)
     
Width Depth Height
  Space limitations (in mm.)    
       
  Condensers  
Aircooled
Water Cooled
   
       
  Special Instructions (if any)