Date:
To:
Project:
From:
(Name)
Return Email:
Company:
Phone:
Location:
Return Fax:
Design Conditions
Heating Cable Specifications
Length(s) Required
(meters)
Type of Cable Preferred:
Maintain Temperature (T
a
): (°C)
Overjacket (Yes/No):
Low Ambient Temperature
(T
a
): (°C)
Overjacket (Type):
Indoors or Outdoors?
Available Voltage
(Vac)
Maximum Exposure Temp. (T
pexp
): (°C)
Hazardous Area Class
Product Name
Max Process Temp Limit
(T
pmax
)
Process Tube Specification
Fluid Tracer Specification
No. of Heated Tubes
Heating Media
No. of Nonheated Tubes
Media Temperature (°C)
Tube Diameter(s) O.D.
Media Pressure (barg)
(1)
(2)
(3)
(4)
(5)
No. of Tracer Tubes
Tube Wall Thickness
Tube Diameter O.D.
(1)
(2)
(3)
(4)
(5)
Tube Wall Thickness
Tube Material
Tube Material
Seamless or Welded
Seemless or Welded
Accessories
Extra Wires
Factory Installed Sensors
Comments
(Keep comments less than 360 characters.)
Output By Thermon
Bill of Materials
Qty
Unit Price
Total
1.
2.
3.
4.
5
.
6
.
Ship Via
Total:
Thermon . . . The Heat Tracing Specialists®
For the Thermon office nearest you, visit us at
www.thermon.com
.
FORM # S50001AP (2/05)
