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



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