| General Data Request |
| Name | | Title | | Organization | | |
| Email | | Phone: | | Desired energy | | |
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| Select an Industry Category | | Describe your location | | |
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| Select an operationing schedule | | Enter "other" hours | | |
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| Electric Data Request | |
| Provide your base load value (kWe ) | | Average Cost ($/kWh) | | |
| Provide your peak load value (kWe) | | Name of Utility Provider | | |
| Provide average monthly consumption. (kWh) | | | | |
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| Thermal Data Request | |
| Is your present thermal need met by a third party provider? | Select Current Steam Use | Current Fuel Source | Enter steam pressure (psig) | |
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| Provide the required steam output, (pounds/hour) | Provide any required steam temperature (F) | Fuel costs ($); decatherm, gallon, ton | Name of Utility Provider for Natural Gas or Steam . | |
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| Water Data Request | |
| Indicate source(s) of water | Identify the total volume available for daily use (Gallons) | Identify available flow rate. (Gallons Per Minute ) | Cost or Savings ($/1,000 Gallons) | |
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| Biomass Energy | |
| Has your organization previously evaluated the use of biomass boiler technology? What type or technology or which specific manufacturer was evaluated ? | |
| Is there a specific biomass material your organization is interested in using as fuel? | Is this material a byproduct of your business process? | |
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| Identify or describe the biomass material to be used. | Enter the volume of biomass material produced by your business process (tons) and the frequency of production. | |
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| Enter the anticipated or known moisture content of the material (%) | Enter the anticipated or published energy value of the material (Btu/pound) | |
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| Enter the known value to procure the biomass material or the known savings generated from avoided disposal fees ($/ton) | | |
