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       Which inhibitor, if any, is currently in use?
           Nitrite
           Sulphite
           Molybdate
           Silicate
           Other, please specify
           None. We are not using any chemicals

    How would you classify your closed loop system?

Confined (the system is not open to the atmosphere at any point (i.e., the entire system can be pressurized)).
Unconfined (the system is open to the atmosphere at some point).

    What is the usual operating temperature of the system?
          Above 140 degrees F.
          50 to 140 degrees F.
          Below 50 degrees F.

    Is your system corrosion free?
          Yes
          No

    Is your system operating under sever conditions?
          Yes
          No

    What is circulating pump RPM?
       

    What is the total water volume in the closed system?
      

    Is there any make-up?
          Yes
          No

    If yes, what is the average make-up per day?
       

    Would you like to receive your quotation by;

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          Fax      
          E-mail                

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