Audit Worksheet

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The following questionaire will help us determine if you have the type of steam system which can be upgraded for optimum performance and energy savings using the advanced Barnes & Jones Calibrated Steam Technology Maintenance Program. If you do not know a specific answer, please provide your best estimate. Upon receipt of your questionaire, we will respond within ten business days. 

Personal Name:    

Company Name:     

Address Line 1:   

Address Line 2:   

City:             

State:            

Zip Code:         

Voice Telephone:  

Fax Telephone:    

Email address:    

# of employees:   

Type of Business: 

Do you use steam for heating purposes?
Yes No

Do you use steam for process work?
Yes No

Do you buy your steam?
Yes No

Do you generate it yourself?
Yes No

Approximately how many steam traps do you have within your facility?
Few than 100  100-250  250-500  500+

How many square feet within your facility? 

How many buildings? 

How many rooms? 

Estimated Fuel Consumption (indicate in gallons, and monthly or annually)
 

What brand of steam traps do you have within your facility?
 

Does your facility have a Preventative Maintenance Program?
Yes No

If yes, when was the last time the traps were replaced?
 

From whom do you usually buy your heating products?
 
Would you be interested in having one of our technicians stop by
to troubleshoot your steam heating system and/or answer any specific
questions you may have?
Yes No

Comments:

Barnes & Jones, Inc.
91 Pacella Park Drive
Randolph, MA 02368
Phone: 781-963-8000 Fax: 781-963-3322
E-Mail:


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