COMPANY INFOMATION

Company name

Head of the company name

Name and position of the person responsible for filling in the order form

Phone number

Email

Commissioning date

The contracting company

The owner of the object where the modules will be installed

Name of the object

Where the modules will be installed

Visiting address of the object

For example: Industrial building, business center, vault, etc.

Type of Object

Your company for this project will perform

supply
design
installation

Key technical issues for the calculation

Number and destination of protected areas

Explosion and Fire hazard categories

Geometric dimensions of zones (length, width, height)

Plans for Protected areas

Schemes for placing equipment in the protected areas (advisable)

Maximum height of fire load (equipment, racks, etc.)

List of substances and materials located in the protected area (stored or used)

Operating temperature

Presence of leaking areas (constant openings)

COMPANY INFOMATION

Company name

Head of the company name

Name and position of the person responsible for filling in the order form

Phone number

Email

The company requesting the BiZone modules will carry out (select)

supply
design
installation

Need of technical support

Yes

Required Module Delivery date

The contracting company

The owner of the object where the modules will be installed

The Object

Where the modules will be installed

Project company that drafts the project

Number of modules