RYAN COMPANY, INC.
3361 Republic Ave, St. Louis Park, MN 55426
Phone (952)915-6475 - (800)966-9058 - Fax (952)915-6480
www.ryancompanyinc.com
  
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Steam Audit Qualification Form
The following questionnaire will help us determine if you have the type of steam system which can be upgraded for optimum system performance and energy savings.  If you do not know a specific answer, please provide your best estimate.  Please click Submit when you are finished.
 * Denotes required field.

*First Name:

*Last Name:

*Title:

Company:

*Address:

Address2:

*City:

*State:

*Zip:

*Phone:

(with area code)

Fax:

(with area code)

Email Address:

   
*Do you use steam for heating purposes? No Yes
*Do you use steam for process work? No Yes
*How do you obtain your steam? Purchase Generate
                   
*Approximate number of steam traps in the facility?
<100 100-250 251-500 501-1000 >1000
*Square Footage of facility?
*How many buildings?
*Age of buildings (Years)?
*Age of Boiler Plant (Years)?
         
*Any recent additions or repairs to the heating system? No Yes
If Yes, what & when? 
           
*Estimated fuel consumption? Oil (gal) Gas (therms)  
       
         
*Does your facility have a preventative maintenance program? No Yes
If Yes, when were the traps last repaired?  
         
*Does your mechanical staff frequently report equipment failures? No Yes
         
*Do your occupants complain about comfort issues (ie hot/cold spots)? No Yes
         
*Would you be interested in having Ryan Company trouble shoot your system and/or answer any specific questions? No Yes
 
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