Following are information requirements to properly select a heat exchanger. You may print this form and take a copy with you to your customer location and fill in the blanks. When you have finished either fax the form to American Industrial at 847-731-3440, or use the information to download to us via the Internet. Fill in the blanks on the following form and click on the "SEND" button to E-mail the application directly to our engineering department.

Company Name:	Your Name:
Telephone:	Fax:	Email:

Address:	City:	State:	Zip Code:

Hot Side					Cold Side
Fluid:	Other:				Fluid:	Other:
(Choose One) Air Water 50% Ethy Glycol/Water SAE 5 OIL SAE 10 OIL SAE 20 OIL SAE 30 OIL SAE 40 OIL SAE 50 OIL ISO 22 OIL ISO 32 OIL ISO 46 OIL ISO 68 OIL ISO 100 OIL ISO 150 OIL ISO 220 OIL ISO 320 OIL ISO 460 OIL MIL-L-7808 Polyglycol Phosphate Ester					(Choose One) Air Water 50% Ethy Glycol/Water SAE 5 OIL SAE 10 OIL SAE 20 OIL SAE 30 OIL SAE 40 OIL SAE 50 OIL ISO 22 OIL ISO 32 OIL ISO 46 OIL ISO 68 OIL ISO 100 OIL ISO 150 OIL ISO 220 OIL ISO 320 OIL ISO 460 OIL MIL-L-7808 Polyglycol Phosphate Ester
Operating Pressure:	Specific Gravity:				Operating Pressure:	Specific Gravity:
	Specific Heat:					Specific Heat:
Btu/lb F					Btu/lb F
	Conductivity:					Conductivity:
Btu/hr ft2 F/ft					Btu/hr ft2 F/ft
	Viscosity:					Viscosity:
Flow Rate:					Flow Rate:
Temperature In:	Temperature Out:				Temperature In:	Temperature Out:
Maximum Pressure Drop:					Maximum Pressure Drop:

Application Information
Heat Rejection:		Material Requirements:
Fouling Requirements:		Code Requirements:
Location in System:	(Choose One) Return Line Off Loop Case Drain Line Compressor Outlet Other

Comments:

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