Integrated Solutions Improving Process Accuracy

O’Brien Corporation
1900 Crystal Industrial Court
Saint Louis, Missouri 63114
314/423-4444 Fax 314/423-1144
obcorp@obcorp.com

Enclosure Design Request

Use this form to request a design and quotation for an enclosure application.

Please provide the following contact information: (Required)

Name

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

Preferred method of contact: email Phone FAX Mail

Project name or how should we refer to this request when we respond?

Site Conditions:
Indoor Outdoor
Minimum Ambient (°F/°C): : -----Maximum Ambient (°F/°C): -----Wind (25mph if not specified):

Electrical Classification Class: -----Div: -----Group:

Required Approvals (select one) FM ----- CSA ----- CENELEC ----- Other ----- none

Process Lines
(This information is used to provide proper process plate sizing and openings) Tubing Bundle--—--- Model No.: -----or Bundle Size:

Tubing--—--- Number: -----Size:

Pipe--—--- Number: -----Size:

Insulated Tubing or Pipe? No Yes

Heating Method
(This data is for the enclosure heating system, not the impulse lines or tubing bundle) Steam--—--- Pressure: -----Temperature (°F/°C): -

Electric--—--- Voltage: ----- Class: ----- Div: ----- Group

Fluid--—--- Flow Rate (in gallons per minute): -----Temperature (°F/°C):

Enclosure Information
Instrument (Make and Model): ----- Factory Installalation: No ----- Yes

Manifold (Make and Model):

Other Components:

Enclosure Style: (indicate style if customer preference)

Enclosure Mount: Pedestal ----- Wall ----- Beam ----- On-Line ----- Flange ----- Other

Bracket: ----- Factory Installalation: No ----- Yes

Accessory Brackets: ----- Optional Panel: ----- Material

Heater Used for Freeze Protection ----- Temperature Maintentance ----- Limits

Heater Mount: -

Tracer Power Requirements: Raychem ----- Nelson----- Chromalox

Plates: -ES4, ES4S, ES5, ES6X----- Special Drilling:

Windows: ----- Location:

Options:

D Drain
SK Seal Kit
LS Lid Support
H Handle
LA Lift Access
R Retainer
BH Bottom Hinge
TH Top Hinge

LH Left Hinge
RH Right Hinge
BO Blow-Out Disc
LL Locking Latch
PT Plastic Tag
PH Plastic Hardware
DA Door Access
Others:

Model Number:

Notes:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Preferred method of contact:	email Phone FAX Mail
Project name or how should we refer to this request when we respond?
Site Conditions:	Indoor Outdoor Minimum Ambient (°F/°C): : -----Maximum Ambient (°F/°C): -----Wind (25mph if not specified):

Electrical Classification	Class: -----Div: -----Group:

Required Approvals (select one)	FM ----- CSA ----- CENELEC ----- Other ----- none

Process Lines (This information is used to provide proper process plate sizing and openings)	Tubing Bundle--—--- Model No.: -----or Bundle Size: Tubing--—--- Number: -----Size: Pipe--—--- Number: -----Size:

Insulated Tubing or Pipe?	No Yes

Heating Method (This data is for the enclosure heating system, not the impulse lines or tubing bundle)	Steam--—--- Pressure: -----Temperature (°F/°C): - Electric--—--- Voltage: ----- Class: ----- Div: ----- Group Fluid--—--- Flow Rate (in gallons per minute): -----Temperature (°F/°C):

Enclosure Information	Instrument (Make and Model): ----- Factory Installalation: No ----- Yes Manifold (Make and Model): Other Components: Enclosure Style: (indicate style if customer preference) Enclosure Mount: Pedestal ----- Wall ----- Beam ----- On-Line ----- Flange ----- Other Bracket: ----- Factory Installalation: No ----- Yes Accessory Brackets: ----- Optional Panel: ----- Material Heater Used for Freeze Protection ----- Temperature Maintentance ----- Limits Heater Mount: - Tracer Power Requirements: Raychem ----- Nelson----- Chromalox Plates: -ES4, ES4S, ES5, ES6X----- Special Drilling: Windows: ----- Location:
	Options:	D Drain SK Seal Kit LS Lid Support H Handle LA Lift Access R Retainer BH Bottom Hinge TH Top Hinge	LH Left Hinge RH Right Hinge BO Blow-Out Disc LL Locking Latch PT Plastic Tag PH Plastic Hardware DA Door Access Others:

Model Number:

Notes: