Heat Exchanger Data Request Form Heat Exchanger Data Form for Quotation Company Name Contact Name Street Address 1 Street Address 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian EmpireAzerbaijanBadenBahamas, TheBahrainBangladeshBarbadosBavariaBelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicDuchy of ParmaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of TuscanyGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHHaitiHanoverHanseatic RepublicsHawaiiHesseHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/YugoslaviaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-SchwerinMecklenburg-StrelitzMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassauNauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOldenburgOmanPakistanPalauPanamaPapal StatesPapua New GuineaParaguayPeruPhilippinesPiedmont-SardiniaPolandPortugalQatarRepublic of GenoaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-LippeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexasThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo SiciliesUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWürttembergYemenZambiaZimbabwe Phone Number Email Address Material Solid Density Melt Density Output Rate Lb/hr or kg/hr lbs/hrkg/hr Material Specific Heat (J/kg*K) Material Thermal Conductivity (W/m.K) K Value Material Viscosity Delivered to H/E * Viscosity Unit of Measure . Pa.s (pascal seconds)P (poise)cP (centipoise) Material Viscosity Exiting the H/E * Viscosity Unit of Measure Pa.s (pascal seconds)P (poise)cP (centipoise) Material Entry Temperature to H/E Deg. F or C FC Material Exit Temperature from H/E Deg. F or C FC Heat Transfer Media type (oil/water) Heat Transfer Media Delivery Temperature Deg. F or C FC Allowable Pressure Drop (psi) Design Pressure (psi) Design Temperature Deg. F or C FC Material of Construction (SS unless Customer Specified) Code Requirements (ex. ASME, etc) Send * If Viscosity at Temperature is not available, please send an eight (8) ounce pellet sample of the specific material. The material supplier should have a Viscosity at Temperature curve available.