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Boiler Number	Make of Boiler	Water tube or Fire Tube	Horse Power or pounds of Steam/Hour Max/Actual	Hours Operated/Day Winter/Summer	Fuel Type used	Stoker or Burner Type Used	Main Fireside Problem

 

Days of operation/week:

Summer____

Winter____

Steam Pressure:_____psi

Fire Box Temp:____ Degrees F Degrees C

Average Daily Fuel Consumption: Summer____ Winter____

Can Stack Damper Be Closed? Yes No

How is soot and fire scale removed?

Frequency of Removal:__________________________

Preconditions:

Oil storage tank capacity:_________________________US gal Liters

Number of tanks:_____________

Condition of oil system:

Oil preheat temperature:_______________________ Degrees F Degrees C

Source of makeup water for boiler: City Well River Other (Specify)___________________

Is softened water used for boiler make-up? No Yes - type: Zeolite Demineralized Cold lime-soda Hot lime-soda Other

Boiler water treatment is added by this method (check all that apply) Directly to the boiler Injector Bypass feeder From makeup tank From return condensate tank Chemical Pump Other (specify)

Boiler blowdown schedule: ______ A.M. ______ P.M.

How often is boiler washed?_______________________________________

Heater type: (check all that apply) Open Closed Vented Dearating None

Length of feed line from point treatment is added to the boiler:_____________ feet meters

Condition of feed line:______________________________

Are any of these problems present in the boiler-water? Foam Prime Surge

Summary of boiler inspectors report:

Present condition of water side of boiler: (check all that apply) Scaled Corroded Pitted

Other (describe)

State all purposes for which steam is used. Please be specific. For instance, "processing" would be too generic as a description.

How will the sample of return condensate be taken?

How and where will any of the Alken Treatment-J series be introduced?

Present condition of steam lines:

Where is steam lost?_______________________________________

Treatments currently in use (product names and dosages):

Does engineer have boiler water testing equipment? No Yes - Manufacturers, models, & tests covered):

This survey was conducted for the following reasons: Proposal Letter Lab records Other

Incoming (Make-up) Untreated Water

Testing Frequency (check ONE) shift daily weekly monthly none