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4/25/2016

Contact Information

RequestforQuotation­Noxerior

Company Name

Address

Post Code / CIty

Please choose your country

Please choose your country

Contact person

E-mail

Telephone / Fax

Actual gas supply

Type of gas (N2 / O2 / Instrument Air)

Short description of N2 / O2 / Instrument Air application

Actual cost per m3

Consumption profile

Quantity N2 / O2 / Instrument Air (Nm3/h)

Required Product Quality (purity for N2 / O2, dew point for Instrument Air)

Min. required product discharge pressure (barg)

Description of eventual peak consumptions

Working days (days/year)

Working hours (hrs./day)

Compressed air available (yes/no)

Type of air compressor (oil injected / oil free)

Compressor brand / model

Compressed air quality (max. oil content / particle size)

4/25/2016

RequestforQuotation­Noxerior

Ambient Conditions at Installation Site

Min./max. ambient temperature

Min./max. humidity (%RH)

Altitude (m.a.s.l.) or min. barometric pressure (hPa / mbar)

Submit

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NOXERIOR S.r.l. - Via Giordania 48, 58100 Grosseto, Italy Phone: +39 (0564) 45 80 41/42 - Fax +39 (0564) 45 80 43 - VAT No: 01242940532 - Fiscal Code: 12283700156 (c) 2016 NOXERIOR. All Rights Reserved.