Quote request form - Gen-Hy • Hydrogen Solutions

Customer:

Company name: *

Customer name: *

First

Last

Company's address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date:

Project name:

Project installation address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Technical contact details:

Name: *

First

Last

Phone: *

E-mail *

Sales contact details:

Name: *

First

Last

Phone: *

E-mail: *

Date of commissioning:

Identification of hydrogen demands and applications:

Project type: *

Autre (à definir) :

Mobilité (stations service):

Cars
Heavy vehicles
Other vehicles

Number of cars:

Numbers of heavy vehicles:

Numbers of other vehicules:

Comments:

Hydrogen consumption (kg/day):

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Peak of hydrogen consumption (kg/day):

Hydrogen consumption hours:

Daily
2x8
3x8

Required hydrogen quality:

Options

Storage:

Bottle (B50)
Buffer
Other

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Security level:

SIL0
SIL1
SIL2
SIL3

Service pressure:

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Purification:

Standard
Yes

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Maintenance:

5 years
10 years

Leasing:

Yes
No

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Duration :

ATEX installation:

Yes
No

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Oxygen:

Direct use
Not used
Storage

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Paragraphe (copier)

Infrastructure

Source of energy:

Grid
Renewable
Other

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Available power kW:

Installation location:

Interior
Exterior

Available services:

Nitrogen
Compressed air
Demineralized water
Other

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Available installation area:

Additional informations

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