Equipment Submission Form


. . . First Name
. . . Last Name
. . . Company
. . . Address
. . . City
. . . State
. . . Country
. . . Zip Code

. . . Phone Number
. . . Fax Number

. . . E-mail


- Gas Compressors -


Manufacturer/
Ajax Ariel Chicago Pneumatic Energy Ind. Gardner Denver Ingersol-Rand Joy Knox
White Superior Worthington / Other
Compressor Model/ / Serial Number Stages/ One Two Three Four
Bore Sizes/ Stage 1 / Stage 2 / Stage 3 / Stage 4
Working Pressure/ Stage 1 / Stage 2 / Stage 3 / Stage 4

Engine/ Serial Number
Ajax Caterpillar Cummins Waukesha White Superior / Other
Model Horsepower Ignition Carburetor
Starter

Cooler/ Model
Air-Fin Amercool ACE Air-X-Changer Disler Fin-X Husky / Other
Sections/ Engine WJ Engine Turbo WJ Gas #1 Gas #2 Gas #3 Gas #4

Asking Price $ (US) / Make Offer
Location


- Natural Gas Process Plants -


Designer/Fabricator . . . Year Built . . . Design Pressure . . . PSIG
Design Capacity . . .MMSCFD Plant Type . . . (Ref. Propane, J/T, Cryo, Etc)

Asking Price $ (US) / Make Offer
Location


- Pumping Units -


Manufacturer . . . Model . . . Structure . . . Stroke . . .
Effective Counter Balance . . . High Prime Low Prime T-Base Wide Base
Driver/ Electric Motor Gas Engine Driver Model Horsepower

Asking Price $ (US) / Make Offer
Location


- Miscellaneous Equipment -


Please list any miscellaneous equipment items in the space provided below;



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