| AMTECH Contact |
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Date of Request |
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| Need Quote By Date |
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Requested Ship Date |
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| CUSTOMER INFO |
| Company Name |
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Contact Name |
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| Customer Phone/Fax |
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End User Name |
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| MOTOR AND LOAD INFO |
| Motor HP, Base RPM, & Speed Range |
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Motor FLA (Full Load Amps) |
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| Load – CT or VT |
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Is Starting Torque greater than 150%?
No or specify % |
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| Duty Cycle Profile |
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| POWER & WIRING |
| Incoming AC Voltage, Frequency and Phase |
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Incoming Power Problems? YES or NO |
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| AC Power supplied by Portable Generator or Public Utility? (If Generator, input line reactor required) |
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Motor Leads longer than 250 ft? NO or Length (If longer, Output Load Reactor Required) |
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| Motor Manufacturer and Motor Model Number |
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| APPLICATION & ENVIRONMENT |
| Type of Application |
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Overhauling Loads: Loads that might regenerate and speed
up the motor? YES or NO |
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| Is altitude above 3300ft? NO or Specify, |
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| Speed Regulation Required in % of Full Speed |
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| Stopping time faster than coast-to-rest time? |
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| Dynamic Braking Required? |
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| Will unit be installed Indoors or Outdoors? |
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| IndoorsOutdoors |
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| Ambient Temperature higher than 104°F? NO or Specify, |
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| Speed Range of Application? Operating above Base speed? |
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If you answered yes to requirements of stopping faster than
coast-to-rest time, then how many times will it stop in a
1-hour period? |
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If DB is required, can it be mounted in NEMA 1 Enclosure
separate from the VFD or VFD panel? |
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| ENCLOSURE REQUIREMENT |
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| NEMA1 (For INDOOR CLEAN environments) |
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| Ventilated NEMA12 with fans & filters |
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NEMA12 - no fans (requires air conditioning on 7.5HP 230V
or 15HP 460V & up; for INDOOR DUSTY environments) |
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| NEMA3R -RAINTIGHT outdoor enclosure |
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NEMA4 wash down or NEMA 4X wash down/rust resistant
(Specify) Requires air conditioning on 7. 5HP 230V or 15HP 460V & up) |
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| OTHER |
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| SHORT CIRCUIT PROTECTION AND DISCONNECT |
| None, customer responsibility |
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Circuit Breaker |
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| Fusible Disconnect |
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Other (Specify) |
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| COVER MOUNTED DEVICES (if yes, enter quantities) |
| Keypad (remote) |
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Speed Potentiometer |
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| Pushbuttons, i.e., Start, Stop and E-Stop |
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Pilot Lights, i.e., Power ON, RUN and Fault. |
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| Selector Switches, specify such as H-O-A |
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Other (Specify) |
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| OTHER DEVICES |
| Input Line Reactor |
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Output Load Reactor |
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| Lightning Arrestor |
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Other (Specify) |
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| OTHER SPECIFICATIONS |
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