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Initial Facility Assessment
Company Information:
*
= required field
Company Name:
*
Location address where assessment is to be performed:
*
Contact Name:
*
Office Phone / Mobile:
*
Email:
*
Breakdown of energy usage in your facility:
(percentage)
Lighting:
%
Air Conditioning:
%
Refrigeration:
%
Equipment:
%
Resistive:
%
Assessment Information:
Does the facility have a significant quantity of non-linear loads?
Yes
No
Does the facility experience any power quality issues?
Yes
No
Does the facility currently have any power factor correction installed?
Yes
No
Do you anticipate adding more shifts or equipment in the next 12 months?
Yes
No
Does the facility have a recurring power factor penalty charge?
Yes
No
Does the facility have significant quantity of medium voltage equipment (greater than 600 volts)?
Yes
No
Average line distance between the meter and average equipment load:
ft
When was your last lighting retrofit?
approx. date
Square footage of facility:
sq ft
Average age of HVAC system and refrigeration units:
Does the facility have HVAC energy management system (EMS) installed?
Yes
No
Type of lighting:
T12
T8
T5
LED
HID
Other
What is your Power Factor Number coming into the facility?
Please upload your past 12 months of bills (max file size 4MB):
*
FILES SELECTED:
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