COMPANY NAME

ADDRESS

CITY

STATE

CONTACT NAME

PHONE NUMBER

EMAIL ADDRESS

 NOTES:

 Thank you

PROJECT EVALUATION  FORM

DATE

HOURS OF OPERATION

HRS PER YEAR (MIN 6000 HOURS PER YEAR)

CUSTOMER ELECTRICAL COST

PER kWh (FROM POWER BILL - MIN 6 CENTS PER kWh)

TEMP

FLOW

GPM

^o F

TEMP

FLOW

SCFM

^o F

HEAT SOURCE:  An analysis of the heat temperatures and flows are necessary to determine recoverable BTU.

AVG HUMIDITY

%

AVG AIR TEMP SUMMER

^o F

AVG AIR TEMP WINTER

^o F

INSTALLATION SITE CONDITIONS:

HOME

PERFORMANCE

NEWSROOM

VALUE PROPOSITION

CONTACT US

EVALUATION FORM

“Changing recoverable heat to discoverable power”

CAPTURE WASTE HEAT

TO DRIVE GENERATORS

THAT MAKE ELECTRICITY

WITH ZERO EMISSIONS

HOME

PERFORMANCE

NEWSROOM

VALUE PROPOSITION

CONTACT US

EVALUATION FORM

An analysis of the heat temperatures and flows are necessary to determine recoverable BTU. Additionally, an analysis of the condensing cycle and source are necessary in order to establish the Delta T for power generation. Your attention to detail while filling out this form is greatly appreciated. Missing information may prevent Roughrider Power and ElectraTherm from responding to your request for power output.

CONTACT INFORMATION:

TYPE OF LIQUID:

LIQUID HEAT

GAS HEAT OR STACK HEAT

TEMP

PRESSURE

PSIG

^o F

LOW PRESSURE STEAM

(MAX TEMP 300^o F) (MAX PRESSURE 15PSI) (MIN FLOW 2500LBS/HR)

(MIN TEMP 175^o F) (MIN 100 GALLONS PER MINUTE)

(MIN GAS TEMP 400^o F) (MIN 7000SCFM)

TEMP

TEMP

FLOW

GPM 

FLOW

CFM

^o F

^o F

CONDENSING SOURCE (HEAT SINK):  An analysis of the condensing cycle is necessary in order to establish the Delta T for power generation

(GALLONS PER MINUTE) (MAX TEMP 70^o F) (MIN 100 GPM)

(CUBIC FEET PER MINUTE) (MAX TEMP 80^o F) (MIN 7000 CFM)

EXHAUST HEATING SOURCES:

OVEN

NATURAL GAS ENGINE

HOT WATER BOILER

FURNACE

OTHER

STEAM BOILER

DIESEL ENGINE

THERMAL OXIDIZER

FUME INCINERATOR

(OPERATING STEAM PRESSURE:                PSIG)

WATER COOLED

AIR COOLED

SOURCE OF CONDENSING WATER:

BOILER FEEDWATER

COOLING TOWER

POTABLE WATER

OTHER

BOILER MAKEUP WATER

PROCESS WATER

SWIMMING POOL WATER

ATTENTION END USER

Your heat source and condensing source description as listed above including operating conditions has either been instrument measured and/or noted by you. Because our estimate is an analysis of expected power output for your specific application, please verify that the information is complete and accurate. This will allow us to proceed with estimated output for an ElectraTherm Green Machine.

VERIFIED BY: