Cooling Tower Inspection Checkli

							KJR Associates Inc
E ne rg y P ro d uc ts a nd S e r v ic e s

    8905 South Patricia Blvd. Oak Creek, WI 53154  Office: (414) 764-7986  Fax: (414) 435-0618  Mobile: (414) 550-7422
                               Email: kevinr@kjr-associates.com  Website: www.kjr-associates.com


                                Midwest Towers - New Cooling Tower RFQ Form
RFQ Date:                                    Proposal Due Date:                              Estimated Award Date:
Customer:                                                                        Contact:
Phone:                                            Fax:                             Email:

Site Customer:                                                                   Site Contact:
Cooling Tower Site Address:
Phone:                                            Fax:                              Email:

Required Cooling Tower Completion Date:

Cooling Tower Site Location:

Cooling Tower Installation Restrictions:




Labor Requirements:                                       Union                                    Non-Union

Design Conditions:
Water Flow (GPM)
Cooling Tower - Inlet Water Temperature oF:
Cooling Tower - Outlet Water Temperature oF:
Cooling Tower - Wet Bulb Temperature oF:

Cooling Tower Structure Materials Required:
Casing Material:   Fiberglass      Douglas Fir                      Other - Please provide:



Structure Material:                  Fiberglass      Douglas Fir       Other - Please provide:



Fan Deck Material:                   Fiberglass      Douglas Fir       Other - Please provide:



Hot Water Basin Material:                    Fiberglass      Douglas Fir          Other - Please provide:
Please save a copy of this completed form for your records, and either attach it to an email and send to Kevin J.
Rutkiewicz @ kevinr@kjr-associates.com or Fax: 414-435-0618.
                                                                   Page 1 of 2
KJR Associates Inc
E ne rg y P ro d uc ts a nd S e r v ic e s

    8905 South Patricia Blvd. Oak Creek, WI 53154  Office: (414) 764-7986  Fax: (414) 435-0618  Mobile: (414) 550-7422
                               Email: kevinr@kjr-associates.com  Website: www.kjr-associates.com


                                Midwest Towers - New Cooling Tower RFQ Form


Stairway Material:                  Fiberglass       Douglas Fir      Other - Please provide:



Access Ladder Material:                      Fiberglass   Douglas Fir            Other - Please provide:



Is there an existing water basin available?                                                     Yes         No
If yes, what is the basin depth?


Variable Frequency Drives Required:                                                             Yes         No

Safety Equipment Requirements:
Cooling Tower Fire Protection Required:                                                         Yes         No
Cooling Tower Lightning Protection Required:                                                    Yes         No

Site Safety Requirements:                                                                       Yes         No
If yes, please explain:




Site Restrictions:




Other Information or Comments (Please provide photos if available):




Please save a copy of this completed form for your records, and either attach it to an email and send to Kevin J.
Rutkiewicz @ kevinr@kjr-associates.com or Fax: 414-435-0618.
                                                                   Page 2 of 2