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       CONTACT  INFORMATION

* NAME: TITLE: * COMPANY: * ADDRESS1: ADDRESS2: * CITY: * STATE: * ZIP: * EMAIL:  * Email will be used to communicate completed RFQ * CONFIRM EMAIL:  * Re-Enter Email * PHONE: FAX: * When will you be ready to buy this product? Select one Immediately Within 1 week Within 2 weeks Within 3 weeks Within 4 weeks This is a budget price only

* Fields required to be completed in  order to process request.

       HOW DID YOU FIND US

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      VESSEL INFORMATION

          More detailed information will result in a quicker RFQ response

Vertical Vessel      Horizontal Vessel Job Site Location: Vessel Material: Other SA 516-70 SA 240-304 SS SA 240-304L SS SA 240-316 SS SA 240-316L SS Other Material: Vessel Contents: Lethal Service: NO YES Temperature: ° F Vacuum: psi Specific Gravity: Pressure: psi Corrosion Allowance: in Vessel Diameter (OD): in Vessel Length (T/T): in Nominal Capacity: gal Insulation:

       VESSEL SUPPORT

 Legs

 Skirt

 Saddles

 Support Lugs

       Clearance from vessel bottom to grade: in

       VESSEL JACKET

Jacket Required? Yes No Jacket Description:

Temperature: °F Pressure: psi

Vacuum: psi Corrosion: in

       CONNECTIONS

 Slip On
 Weld Neck
 Long Weld Neck
 Lapped-Joint

 150 lb Flange
 300 lb Flange
 Other

Size FLG’D FLG’D W/ BLIND FLG’D W/ INT. PIPE W/ BLIND INT. PIPE 0.75" 1" 1.5" 2" 2.5" 3" 4" 6" 8" 10" 12" 14" 16" 18" 20" 24"

Special Flange Requirements:

Gasket Requirements:

SIZE THREADED COUPLING SOCKET WELD CPLG 0.25" 0.5" 0.75" 1" 1.5" 2" 2.5" 3" 4" 6"

Special Connection Requirements:

       VESSEL INTERNALS

 Trays
 Demisters
 Packed Beds

Other:

       VESSEL ACCESSORIES

 Lifting Lugs

 Anchor Chairs

 External Ladder

 Internal Ladder

 Ground Clips

 Platform w/Handrails

 Platform Clips Only

Other Requirements:

       TANK COATING (EXTERIOR)

Blast Clean NONE SP-5 SP-6 SP-10          Primer Coat NONE Red Oxide Epoxy Primer OTHER          Other Primer          Top Coat NONE Alkyd Epoxy Vinyl OTHER          Other Top:          Special Coatings:

       TANK COATING (INTERIOR)

Blast Clean: NONE SP-5 SP-6 SP-10 Special Coatings:

       ADDITIONAL INFORMATION

• See Terms and Conditions link below
• Quotation Good for 7 Days from Date of Inquiry
• Payment Terms are 1/2% 10 days net 10th of following month
• Other terms to be determined at the time of order by Modern Welding Co. Credit Manager