Standby Systems, Inc. - Propane Standby Systems ...An Overview

Form 636 EZ

Confidential Gas Energy Profile - Propane Standby System Data

Complete this form to get help in evaluating a propane standby sytem for your location!

Name		Company
Title		Address
Phone	ext
Fax	ext	City	State Zip
Email
Plant Location (if not shown above)

Natural Gas Supply How do you purchase natural gas at this location?
Local natural gas distribution company
Do you purchase "transported" gas?		Yes No
Annual gas used (past year)		Mcf Therms
Natural gas delivery basis If both used, provide breakdown if available:		Interruptible Firm
		Interruptible Firm
Total annual natural gas cost		$ If available, provide separate "demand" & "commodity" cost.

Load Profile What's your peak gas flow rate and normal distribution pressure?
Total connected natural gas load		MMbtuh Millions of BTUs per hour. Rating Plate data is the best source.
Facility gas distribution pressure		psig
Do you have any processes that must use natural gas (methane)?		Yes No For example, atmosphere generators.
Are any changes in gas use planned?		Yes No For example, facility and/or production expansions.

Insurance Some insurance carriers have special criteria for propane systems.
Factory Mutual Industrial Risk Insurers Other

Other What else may be of interest?
Do you use propane-fueled forklifts?		Yes No If yes, how many?
Do you have other uses for propane?		Yes No If so, please explain below.
Is a lease program of interest?		Yes No

Additional Information Please provide whatever additional information you believe may be of use in evaluating a propane standby system for your facility. If available, please send a site plan* showing property lines and the location of natural gas meter(s).*