Name: *required Title: Company: Address: City: State:   Zip: Phone: *required FAX: Email: *required Please describe your needs: 1. Specify Std. Model No, Size or Drum Capacity Required: Non Fire-rated (75' set-back) 2 Hr. Fire-rated (10' set-back) 4 Hr. Fire-rated (5' set-back) sq ft Capacity 2. Number of Compartments: 3. Hazardous Material Separation Wall(s): Solid Vented 2 Hour 4. Number of Doors: (minimum 1 per compartment) 5. Size of Doors: Min. 4' 6" x 6' 8" Other 6. Fire Suppression System: Automatic Dry Chemical w/alarm Back-up sprinkler assembly Fire department connection Other 7. Lighting: Number of Interior Fixtures, hazardous location Number of Exterior Fixtures 8. HVAC Requirement; Hazardous Location Passive Vents Electromechanical ventilation Heating: 12,000 btu/h 26,000 btu/h Air Conditioning: 14,000 btu/h 19,000 btu/h Insulation 9. Explosion Relief Construction: with blow-out panels 10. Safety Shelving: linear feet 11. Loading Ramp(s): total 12. Corossive Sump Liner: sump liner 13. Safety Station: shower/eye wash eye wash 14. Other Options and Customer Requirements: 15. How did you hear about us?: Note: All standard models are Warnock Hersey listed and include Class 1 Div. 1 electrical on the interior unless separately quoted; Operations manual; all standard features including secondary containment; and freight to customer site. All buildings and options meet or exceed applicable UBC, SBC, BOCA National Building Codes; NFPA, UFC, EPA, NEC, OSHA codes and regulations; and FM standard 6049; and meet or exceed all applicable ANSI, AWS, AISC, US Product, ASTM standards regarding materials and workmanship.

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