Contact Information

*Name:

Title:

*Company:

*Address:

*City, State and Zip:

*Phone:

Fax:

*E-mail Address:

*Required Fields

Boiler Requirements:

Steam Capacity (lbs/hr):

Steam Pressure — Design (psig)

Steam Pressure — Operating (psig)

Steam Temperature:

Fuel:
Select One Natural Gas No. 2 Fuel Oil No. 6 Fuel Oil
Electrical Power Available:
amps @ 480VAC, 3Ø, 60Hz
Other:

Delivery Date:

Estimated Rental Period:

Reason for Need:

Piping
All piping from the rental boiler should be hard piped. In an emergency, high-pressure hose will be supplied.

Please list the length of runs needed:
Steam (Water) Supply
Water Return
Cold Water Supply
Make-up Water

Auxiliary Equipment Required
(please check all that apply)

Economizer
De-mineralizer or Water Softener
De-aerator
Chemical Feeder
Feedwater Pump
Blowdown Tank
Other (please specify):

Not included in rates:

• Provision for 24-hour oil delivery (Customer provides the fuel oil.)
• Provision for 24-hour propane delivery (If required, customer is responsible for providing propane.)
• Licensed stationary engineer (high pressure only)
• Overtime for any emergency hookup or disconnect (which will be at a premium rate)
• Street permits
• Supervision and start-up technician at Wilkinson Mobile Boiler’s standard labor rate (7 a.m. to 3 p.m.)
• Welding into steam header and materials required
• Customer will be charged for fuel used. (Fuel amount will be determined at time of shipping.)

These options can be provided at additional cost.