Please note this is an abreviated version for a quick reply. We encourage you to use our full form in order for us to receive a  Rough CEMS vs. Sample Point Location Detail: Please Sketch the location with approximate dimensions for the sample point, CEM location, duct diameters/stack, distances to/from last obstruction in flow i.e. bend radius.
	Company Name
	Address
	Your Name
	Phone
	E-mail
	Fax
	Gas/Component Gas/Components to Be measured:Please list the components to be measured, their minimum and maximum expected swings, the normal expected values and the measurement criteria.
	Component
	In (% Vol./ PPM
	Maximum Expected
	Desired Full Scale
	Normally Expected
	Unusual or corrosive contents of Flue Please list all known or expected components including those that may cause operational or measurement problems for the CEMS. Include all acid mist gases with expected concentrations at the sample point.
	Component SO3 NH3 Others?
	In (%Vol/PPM)
	Concentrations
	Plant Details Fuel Type:  Please list any fuels that are used either as operational fuels, augmented fuels or start-up/Shutdown conditional fuels with the percent of fuel used and the times
	Fuel (coal, MSW, HazMat, Natural Gas etc. Specify
	Process:Power plant, Cement Kiln, Incinerator, Gas Turbine
	Flue Conditions
	Operating Temp (deg F) Min - Normal - Max
	Operating Pressure Psi Min Normal Max
	Water Dew Point deg F Min Normal Max
	Acid Dew Point deg F Min Normal Max
	Ambient Conditions
	Sample Point deg F Min Normal Max
	Sample Gas Line deg F Min Normal Max
	Analyzer/System deg F Min Normal Max
	Rel. Humid Max/year %
	Requested Analog Output	0-20mA 4-20mA Other
	Requested Digital Interface	RS232 RS422 MODBUSS Other
	Legislative Regulations
	EPA
	State
	Local
	Gas Sampling Questions
	Number of Units Required
	Are there any combustible or corrosives located at or near the sample system components	Yes No
	Please answer the following questions regarding the sample location
	Is there safe access available at the sample point and analyzer shelter phoint	Yes No
	Sample Probe enter length if heating of the probe is required
	Length of line from CEM shelter to sample point DO NOT RELY ON ENGINEERING PRINTS
	DATA ACQUISITION SYSTEM Required yes no This field requires additional information for accurate quote