Client Address
Company*
Department
Web
P.O. Box
Street*
City Code, City*
Country*
Contact person*
Tel.
E-mail*
	Plant
In what kind of incineration plant should be measured?	Coal-fired power station  Waste incineration plant
Other plant
	Firing material
Which firing material is burnt in the plant?
	Measuring point (please send related sketch to its@keller.de)
At which point of the plant should be measured?	Combustion chamber  Second pass  Firebed
Other point of the plant
	Measurement object
What should be measured?	Combustion gas  Wall  Firing material  Flame
	Combustion chamber / Assembly
Dimensions of the combustion chamber in mm
Wall thickness in mm
Is there a furnace opening?	Yes   No
If yes, what is the diametre of the furnace opening in mm
Is there a mounting flange?	Yes   No
If yes, what are the dimensions of the flange resp. of the drill holes?
Are heat exchangers in the opposite wall?	Yes   No
What is the pressure in the furnace in mbar?
	Other information
Temperature range (from / to in °C)
Ambient temperature at the installation site in °C
Desired sighting system	None  Through-the-lens  Video camera
Type of pyrometer	stationary  portable
Output	analogue  digital
Additional details or description
	Consent to use my data* I agree that my details from the contact form will be collected and processed to answer my request. The data will be deleted after the processing of your request. Note: You can E-Mail us at its@keller.de any time to revoke your agreement. Detailed information on how we handle user data can be found in our privacy policy. Send

Click on the PDF with the right mouse button, save it to your PC and open it with Acrobat Reader. There you can fill out the questionnaire conveniently on the screen, send it directly and print it out for your documents.