Date                     

Customer Name   

Address               

Location              

E-mail                 

Phone                   

Fax                      

Transformers (Oil filled)

Qty        KVA      Phase  

Type:  Overhead      CSP      Conventional  

           Padmount     Live Front      Dead Front  

           Loop Feed      Radial Feed      Taps (if any)  

           Primary Voltage   

           Secondary Voltage   

           Accessories (if any)   List them:  

Regulators (Single Phase Only)

Qty      KVA   

          Amps      Voltage  

Type of Control:   Static      Electronic  

Oil Circuit Reclosers

Qty      Phase       Rated Voltage   

         Cont. Current      No. Fast(A) Curves  

         No. Delayed Curves      B,C, orD  

For 3 Phase Only:   Closing Coil Volts (L-GRD)  

                               Mounting:   Pole HGR  

                                                 Sub. Stand 

                                                None Req'd