Home
Lightning Protection System
Lightning and Static Risks
Facility Protection Plan
How It Works
Products & Services
PG Electrical Services
Static Lasso®
SineUP®
Streamer Delaying Air Terminal
Turnkey Installation
Inspection Program
Engineering And Consulting
Technology
Coordinated Lightning Surge Protection Technology
In-Tank Static Neutralization Technology
Streamer Delaying Technology
Quick Quote
About
Video
News
Careers
Contact
Lightning Incident Report
New Customer Form
News
Tank Battery / Electrical & Instrumentation Questionnaire
Please complete this form and press submit
Step 1 of 4 - Customer Information
0%
Company Name
*
Name
First
Last
Email
*
Cell Phone
Office Phone
Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Account Manager
*
Michael LeBlanc
Melissa Rehage
Gabby Rumore
Don Barcelona
Not Assigned / Other
Ben Hearst
Physical Site Information
Site Name
Gate Code Access
Yes
No
Is this site in Production?
Yes
No
Job Site Location
Google Maps Link
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Coordinates
Latitude
Longitude
Files Requested
Upload Site Structural Drawing (PDF)
Accepted file types: pdf.
Upload Site Electrical Oneline Riser Drawing (PDF)
Accepted file types: pdf.
Upload Site P&ID (PDF)
Accepted file types: pdf.
Site Pictures
Drop files here or
Accepted file types: jpg, pdf.
5 Images Limit / 2MB Max Size Each
Structural Specifications
Do you have Sour Gas?
Yes
No
How many Tanks do you have?
Types of Tanks
Steel Tanks
100% Lined Steel Tanks
Fiberglass
Steel Tanks
Quantity
Diameter (ft)
Height (ft)
Steel Tanks
Quantity
Diameter (ft)
Height (ft)
100% Lined Steel Tanks
Quantity
Height (ft)
Diameter (ft)
Fiberglass Tanks
Quantity
Diameter (ft)
Height (ft)
Tank Arrangement
How are the Tanks Arranged Around the Catwalk?
Single Row - Catwalk on Side
Two Row - Catwalk in Center
Stairways
Do you have a Stairway from Catwalk to Ground?
Yes
No
Catwalks Terminating to Ground
Quantity INSIDE Containment
Quantity OUTSIDE Containment
Vent Pipes
Does the tank battery have a horizontal vent line running across the center of each tank?
Yes
No
Quantity of vertical vent pipes
Vent line material
*
Select material used ...
Fiber Glass
PVC
Steel
Pipe Outer Diameter (in)
Light Poles
Do you have light poles?
Yes
No
Type of Light Poles
Wood
Steel
Wood Light Poles
Quantity
Height (ft)
Outside Diameter of Light Mast Mounting Arm (in)
Steel Light Poles
Quantity
Outside Diameter of Light Mast Mounting Arm (in)
Loadouts
Do you have loadouts?
Yes
No
Quantity of Active Loadouts
Wind Socks
Quantity of wind socks on location?
SCADA Towers
How many SCADA Towers?
Vertical Process Vessels
Do you have Vertical Process Vessels?
Yes
No
Vertical Process Vessels (INCLUDE: VRTs/VRUs, Separators, Heater Treaters, etc.)
Quantity
Height (ft)
Diameter (ft)
Horizontal Process Vessels
Do you have Horizontal Process Vessels?
Yes
No
Horizontal Process Vessels (INCLUDE: Separators, etc.)
Quantity
Height (ft)
Length (ft)
Diameter (ft)
Flare Stacks
Quantity of Flare Stacks
Methanol Tanks
Do you have Polychemical Tanks?
Yes
No
Polychemical Tanks
Quantity
Capacity (gal)
Length (in)
Width (in)
Communication Towers
Do you have Communication Towers?
Yes
No
Communication Towers
Quantity
Height (ft)
Modular Buildings
Do you have Modular Buildings?
Yes
No
Modular Buildings
Quantity
Length (ft)
Width (ft)
Height (ft)
If you have multiple building of different dimensions, list each quantity having similar dimensions.
Electrical & Instrumentation
Main Power Panel
Do you have a Main Power Panel?
Yes
No
Class I Div II Environment Rating
Yes
No
Operating Voltage & Current (amps)
*
Quantity
Voltage
Current
Choose voltage ...
120/240VAC
120/208VAC
277/480VAC
480VAC
4160VAC
If you have multiple branch panels of different operating voltage and current, list each by quantity on a separate line.
ATS Panel
Do you have a ATS Panel?
Yes
No
Class I Div II Environment Rating
Yes
No
Operating Voltage & Current (amps)
Voltage
Current
480VAC
277/480VAC
120/208VAC
Control Voltage & Current (amps)
Voltage
Current
120VAC
12VDC
24VDC
VFD Panel
Do you have a VFD Panel?
Yes
No
Class I Div II Environment Rating
Yes
No
VFD Voltage
Quantity
VFD INPUT Voltage
VFD CONTROL Voltage
VFD CONTROL Voltage
480VAC
277/480VAC
120/208VAC
120VAC
120VAC
If you have multiple VFD panels of different operating voltage and current, list each by quantity on a separate line.
Branch Panel
Do you have a Branch Panel?
Yes
No
Class I Div II Environment Rating
Yes
No
Operating Voltage & Current (amps)
*
Quantity
Voltage
Current
Choose voltage ...
120/240VAC
120/208VAC
277/480VAC
480VAC
4160VAC
If you have multiple branch panels of different operating voltage and current, list each by quantity on a separate line.
UPS / Battery Panel
Do you have an UPS / Battery Panel?
Yes
No
Quantity of UPS / Battery Panels
Class I Div II Environment Rating
Yes
No
UPS / BATTERY INPUT
Voltage
Current
Quantity of Phases
120/208VAC
120/240VAC
120VAC
Single Phase
Split Phase
3 Phase
UPS / BATTERY OUTPUT
Voltage
Current
120VAC
12VDC
24VDC
PLC Panel for Level Transmitter (LT)
Do you have a PLC Panel for Level Transmitters (LT)?
Yes
No
Quantity of Power Supply Units
Class I Div II Environment Rating
Yes
No
Input & Output Voltage of the PLC Panel
Input Voltage
Output Voltage
120VAC
24VDC
12VDC
24VDC
Level Transmitters
Quantity
Connection Type
4-20mA Current Loop
MODBUS
Wireless
PLC Panel for Pressure Transmitter (PT)
Do you have a PLC Panel for Pressure Transmitter (PT)?
Yes
No
Quantity of Power Supply Units
Class I Div II Environment Rating
Yes
No
Input & Output Voltage
Input Voltage
Output Voltage
120VAC
24VDC
12VDC
24VDC
Pressure Transmitters
Quantity
Connection Type
4-20mA Current Loop
MODBUS
Wireless
RTU Panel
Do you have a RTU Panel?
Yes
No
Quantity of Power Supply Units
Class I Div II Environment Rating
Yes
No
Input & Output Voltage
Input Voltage
Output Voltage
120VAC
24VDC
12VDC
24VDC
Field Level Transmitters
Quantity
Connection Type
4-20mA Current Loop
MODBUS
Wireless
Pressure Transmitters
Quantity
Connection Type
4-20mA Current Loop
MODBUS
Wireless
Cameras
Quantity
Connection Type
F Connector
BNC Connector
Cat6 POE
Email
This field is for validation purposes and should be left unchanged.
