Date:
To:
Project:
From:
(Name)
Return Email:
Company:
Phone:
Location:
Return Fax:
Pipe Size (NPS)
Pipe Length (meters)
Insulation Material and Thickness
Nominal Pipe Insulation Size
Design Conditions
Heating Cable Specifications
Maintenance Temp(s). (T
p
): (°C)
Type of Cable Specified:
Low Ambient Temp (T
a
): (°C)
Overjacket Type:
Indoors or Outdoors?
Maximum Exposure Temp. (T
exp
): (°C)
Upper Temp. Limit(s) (T
p max
): (°C)
Available Voltage
(Vac)
Pipe Start-Up Temp. (if other than T
a
)
Area Classification
Comments
(Keep comments less than 360 characters.)
Thermon . . . The Heat Tracing Specialists®
For the Thermon office nearest you, visit us at
www.thermon.com
.
FORM # 50502 (6/04)
