BUILDING ENERGY SOLUTIONS AND TECHNOLOGIES
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EVALUATION FORM
Submitted By
Name
Company
Email   Preferred Method of contact - click below
Phone          Email Phone
Location
Address 1
Address 2
City
State
Zip
Building Information
Year Built Not Sure
Gross Square Footage
Conditioned Square Footage
Data/Computer Center Square Footage Not Sure   No Data/Computer Center
Parking Garage Square Footage
Building Type
Estimate Hours Of Occupancy
Weekdays 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
Saturday 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
Sunday 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
Estimated Number of building occupants Not Sure
Estimated Number of Personal Computers Not Sure
Lighting Type Not Sure
HVAC System
Chillers
Boilers
AHUs
Terminals
Estimate Hours of System Operation
Weekdays 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
Saturday 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
Sunday 12 Hrs 18 Hrs 24 Hrs Not Sure Zero
ECMS
Full DDC
       System    		Manufacturer
DDC System with Partial   Pneumatics 
Full Pneumatic Controls   
Thermostat control with DX units   
Other   

Not Sure   
Major Concerns
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