Type of Business:  

What Will Vacuum System Be Used For?  

Number of Persons Required To Vacuum At One Time: 

Elevation:

Line Voltage Available:  200   208   230    380   480   575   Other 

Phase: Single   Three                   Hertz: 50    60

Electrical Distribution (Circuit Breaker) Panel Total Amperage Service:

Vacuum Producer Electrical Will Be Provided From:

What Type of Debris Will You Be Vacuuming?

Will Debris Be:   Wet     Dry     Both 

Will Vacuum Producer Be Installed In A Hazardous Environment, 
Such As Near Gasoline Dispensers?      Yes     No

Where Will Piping System Be Installed:
Overhead Exposed       Overhead Concealed        Underground
Ground Exposed      Inside Wall        Outside Wall    Other 

Will Vacutech Provide Electrical Motor Controls Such As:

Across The Line Non-Reversing Magnetic Starter Yes   No
Fused Disconnect  Yes   No
On-Off Control Switch  Yes   No

Will Electrical Controls Be Installed In A Hazardous Environment: Yes   No

Will You Require Simplex    Or    Duplex   System?

Will You Require Installation?  Yes    No