Name Title Company Address City St/Prov. Zip Email Phone Fax	Propane-Air Plant Location
Natural Gas Supply
Local natural gas distribution company Do you purchase "transported" gas? Yes No Annual gas used (past year) Mcf or Therms Natural Gas delivery basis Interruptible Firm If both are used, provide breakdown if available. Total Annual natural gas cost $ If available, provide separate "demand" & "commodity" cost.
Load Profile
Total connected natural gas load MMBtuh Millions of BTUs per hour. Rating plate data is best source for this. Facility gas distribution pressure psig This is the pressure of the in-plant gas piping system(s). Do you have any processes that must Yes No use natural gas (methane)? Ex: atmosphere generators. Are any changes in gas use planned? Yes No Ex: facility and/or production expansions.
Insurance
Some insurance carriers have special criteria for propane systems.Factory Mutual Industrial Risk Insurers NFPA 58 Other
Other
Do you use propane-fueled forklifts? Yes No If yes, how many? Do you have other uses for propane? Yes No If yes, please explain in comments area. Is a lease program of interest? Yes No
Please provide whatever additional information you believe may be of use in evaluating a propane standby system for your facility.