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  Pre-qualifications Form
 

 

 

Here's your first step to saving money through compressed air efficiency. Simply
complete this short screening assesment to ensure your facility
meets the program qualifications.

Contact information

Name:
Position/title:
Company Name:
Phone Number:
E-mail Address:
Company Web site:

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Questionnaire
(Please answer as many as possible.)

What type of industry is your business?
How many shifts do you operate?
Is compressed air used in every shift?

How is compressed air utilized in your facility?
Where are the compressors located?
Number of compressors in your facility?

 

Please provide as much information as possible about each compressor:

comp 1
comp 2
comp 3
comp 4
comp 5
size in hp
 
 
 
 
 
age
 
 
 
 
 
pressure
 
 
 
 
 
discharge
 
 
 
 
 
type
 
 
 
 
 
Does the system have an air receiver tank?

If yes, what are the dimensions or gallons?
 
Do you have any problems with your compressed air system?
 
Who supplies or services your compressor?
 
Have you had audits or inspections in the past 3 years?

 
What is your total annual electric consumption?
kW kWh
 
Do you know your PG&E rate class/tariff?
 
Is there a control strategy for the whole compressed air system?