SECTION 1: CLIENT INFORMATION (+Indicates Required Field)

+Company
+Station
Unit #
+Contact
Position
+Address 1
Address 2
+City
+State
 
Other
+Zip Code
   
+Phone #
+Email
Shipping Method
Shipping Other:
PO:
Shipping Tracking #

SECTION 2: REQUESTED LAB SERVICES (+Indicates Required Field)

+ Service Priority
Standard Semi-Rush Rush
  NOTE: RUSH Service is dependant on acceptance of project and availability at the time of submittal.


SECTION 3: BOILER OPERATIONAL DATA
(+Indicates Required Field)

Boiler Manufacturer
Boiler Size (MW)
Boiler Vintage (i.e. 1982)
Boiler Type
(i.e. PC, CFB, etc.)
Fuel Type (i.e. PRB Coal)
 
SH Outlet Pressure (psig)
Temp (F)
 
RH Outlet Pressure (psig)
Temp (F)
Last Chemical Cleaning
Month
Year
 
Solvents Used for Chemical Cleaning
Feedwater Chemistry
(Phosphate Treatment, Oxygen Scavenger, etc.)

Please select the number of Tubes/Samples you need to provide details for: