WFI System Application Summary and Contact Information

Purchaser Address and Contact:
End User Address and Contact:
Engineer Address and Contact:
If possible, please include phone, e-mail and full address.
Send Proposal to: Purchaser End User Engineer
Proposal Status: Budgetary Firm
Equipment Required at Site By: Quotation Due By:
WFI Systems Technical Information: Refer to RFQ attached

System Information
Ambient at all times Hot at all times Ambient with nightly sanitazation (if selected Mueller to suply HX Yes No)
Surface Finish:
SIP Capability Required: Yes No If yes, are temperature transitters and traps required at each drain? Yes No
Redundant pumps required for each loop? Yes No

Loop Information
Loop A Flow at pump: Discharge Pressure: Ambient Hot Loop A site usage:
Loop B Flow at pump: Discharge Pressure: Ambient Hot Loop B site usage:

WFI Tank Information
Working Volume: Pressure Rating: Jacket Required: Yes No Vertical Horizontal
Internal Surface Finish: External Surface Finish:
Working volume is 70 to 80% of total volume.

Instrumentation Requried
Conductivity: Yes No at pump discharge at loop return
TOC: Yes No at pump discharge at loop return
Loop Flow Rate: Yes No at pump discharge at loop return
Pressure: Yes No at pump discharge at loop return
Temperature: Yes No at pump discharge at loop return
VFD for Pumps: Yes No

Physical Limitations
Installation Space L W H
Site Access L W H

Notes:
Prepared by: Date: