Infrared Thermography NFPA 70B Quote Request Form

Name *

Company Name *

Job Title *

Email *

Telephone Number *

Website URL

Your company's web address

Site Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Has your facility had an Infrared Survey in the past? *

What year was the survey completed?

Can you provide a copy of the report?

Industry & Manufacturing Process *

Facility Size (Total Square Feet)? *

Total Number of Utility Transformers?

Total Number of Switchgear?

Total Number of Motor Control Centers?

Total Number of Motor Control Centers Buckets?

Total Number of Bus Ducts?

Total Number of Bus Duct Plugs?

Total Number of Distribution Panels?

Total Number of Automatic Transfer Switch?

Total Number of Disconnects & Individual Motor Starters?

Total Number of 3-Phase Control Panels?

Other notes

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