REFRIGERATION EQUIPMENT SCOPE - QUESTIONNAIRE

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REFRIGERATION EQUIPMENT SCOPE - QUESTIONNAIRE Please provide the following information to receive a no-cost estimate of how much money our control system could save your facility and to assist us in preparing our proposal for you. This questionnaire is designed for only one interconnected refrigeration plant. If your facility has more than one refrigeration system or more equipment then our questionnaire has space for, please make multiple copies of the appropriate pages and include in submission. Company/Plant: Name: Position: Address: Date: Phone: Fax: E-mail: Please Include: 1. 12 months of electric bills - To enable us to calculate energy cost savings projections, we ll need to be able to review your current rate structure and charges. Please include at least 2 recent electrical utility bills representing a high and low usage months (last 12 months is strongly preferred). If not readily evident on that bill, please contact your electrical utility for a copy of the electrical charge rate structure. 2. Site Layout - To aide in project design, controller selection, placement and cost factors. 3. P&ID This is highly desirable for us to better understand your refrigeration system. Note: Our energy savings analysis and controller selection is determined based on the information provided. Analysis may not be sent back for further clarification if information is missing or erroneous. Inadequate or inaccurate information on this Questionnaire may result in inaccuracies in savings projections. In addition, omissions or inaccuracies may cause redesign or installation delays. If equipment or installation additions are beyond the scope of the quote provided, additional project charges may occur.

Rev. 130405 Page 2 of 8 General Information: 1. What is the nature of the business? 2. Plant s refrigerant: Ammonia (R717) Freon (R22) Other 3. Approximate time your refrigeration system was built: Prior to 1950 1950s 1960s 1970s 1980s 1990s 2000s New Installation 4. Do you currently have a Central Refrigeration Control System(s)? Yes or No a. If yes, please describe 5. Do you currently have a Refrigeration Energy Management System? Yes or No a. If yes, please describe b. Pros/Cons 6. What is your primary Energy or CO 2 reduction concerns or goals? 7. What time frame are you looking to install a Refrigeration Energy Management System? Next 3 months 3-6 months 6-12 months 1-2 years Unsure 8. Are you planning any additions to your refrigeration s system in the next 2 years? Yes or No a. If yes, please describe 9. Do you have any compatibility concerns or questions regarding the addition of a Hench Energy Management System? a. If yes, please describe

Rev. 130405 Page 3 of 8 Compressor: Compressor ID Compressor Horsepower Type (screw, recip, rotary) Operating Stage Runtime (Hours per Year) 1. hp 2. hp 3. hp 4. hp 5. hp 6. hp 7. hp 8. hp 9. hp 10. hp 11. hp Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Screw Rotary Recip - Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr Runtime hr/yr

Rev. 130405 Page 4 of 8 Compressor (con t): 1. Are any of the screw compressors without micros or slide valves? Yes or No Details: Plan to purchase/install: Hench Micro (Please add to quote) Other Micro 2. Are existing micros capable of remote control? Yes or No 3. Do any of the screw compressors have VFD or variable Vi? Yes or No Details: 4. Do any compressors swing between stages? Yes or No Details: 5. Please list compressors that are decommissioned and will never used: Operating Pressures High Stage Low Stage Low-Low Stage Other Suction Winter range topsig topsig topsig topsig Suction Summer range topsig topsig topsig topsig Discharge Winter range topsig topsig topsig topsig Discharge Summer range topsig topsig topsig topsig 6. Discharge pressure needed for hot gas defrost: psig 7. When not defrosting, how low can the discharge pressure go? 8. How is your discharge pressure controlled? Set Point Floating on ambient temp Floating on wet bulb temp 9. Are there special processes that require the suction pressure to be lowered part of the time? (Examples: Glycol loop, Blast Freezers, Pre-cooler, Spiral Freezers, Plate freezers, tank cooling, ice rink, etc) What can the suction pressure be raised to when the process is not needed? Process: Pressure required for this process Est. hr/wk Est. wk/yr Process: Pressure required for this process Est. hr/wk Est. wk/yr 10. How is your suction pressure controlled? Fixed Suction Pressure Control Floating Suction Pressure Control

Rev. 130405 Page 5 of 8 Condensers: Condenser Number #1 #2 #3 Condenser ID Hp of pump @hp @hp @hp @hp @hp @hp Fan speed 1-speed 2-speed 1-speed 2-speed 1-speed 2-speed Variable speed (VFD) Variable speed (VFD) Variable speed (VFD) Number of fans and hp per fan. Circle fans that are bundled on to the same motor starter. fans @hp each fans @hp each fans @hp each fans @hp each fans @hp each fans @hp each fans @hp each fans @hp each fans @hp each 1. Do you plan to modify any of the condenser fans to VFDs in the next 2 years? Yes or No a. If yes, please describe Process Monitoring and Control: Our system was designed to easily handle customer additions for monitoring and ladder logic control. We can monitor, control and alarm on your existing gas leak detectors, tank levels and vessel pressures (see page 8). 2. Would you like to be able to monitor, receive alarms or control other items? Yes or No a. If yes, please describe 3. Would you like us to supply gas detectors? Yes or No a. If yes, please list

Rev. 130405 Page 6 of 8 Evaporators: Room ID Room ID Room ID # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other Room ID Room ID Room ID # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other # of Zones Zone Temp 0 F # of Evaps Fans/Evaps Motor hp/fan hp Minutes/cycle Defrost Freq./day Other

Rev. 130405 Page 7 of 8 Evaporator (con t): 1. Do you plan to modify any evaporator fans to VFDs in the next 2 years? Yes or No a. If yes, please describe 2. Are any of the rooms or docks not operated 24 hr/day, 7days/week? Yes or No a. If yes, please describe 3. Are any of the rooms or docks hot gas defrost capable, but not currently used? Yes or No a. If yes, please describe Electrical Usages: 1. Annual electric energy consumption? kwh/yr 2. What is your average cost of power? cents/ kwh? 3. How many power mains or meters supply electrical power to this facility? 4. Highest and lowest month kwh use: (H) (L) 5. Busy season months 6. Do you have Current Meter(s)? Yes or No a. If yes, how many? b. What areas of your facility or equipment do they measure (Compressor, engine room, whole plant, etc)? 7. Do you have Pulse Power Meter(s)? Yes or No a. If yes, how many? b. What areas of your facility or equipment do they measure (Compressor, engine room, whole plant, etc)?

Rev. 130405 Page 8 of 8 Controls (optional): These items can be added to any system for additional refrigeration safety, monitoring, alarming or control: Vessel ID High Pressure Receiver Intermediate Pressure Receiver Low Pressure Receiver Other Pressure Vessel Pressure Pressure Range: Is Hench to supply pressure sensor? Yes No Level High Level Switch Tank Level Sensor (continuous) Low Level Switch Level Other: Miscellaneous Temperature Is Hench to supply temperature sensor? Yes No Vessel ID High Pressure Receiver Intermediate Pressure Receiver Low Pressure Receiver Pressure Vessel Pressure Other Pressure Range: Is Hench to supply pressure sensor? Yes No Level High Level Switch Tank Level Sensor (continuous) Low Level Switch Level Other: Miscellaneous Temperature Is Hench to supply temperature sensor? Yes No Solenoid Valve, Solenoid Valve, SV Name: SV Name: Solenoid Valve, Solenoid Valve, SV Name: SV Name: Pump Auxiliary Pump Auxiliary Pump fail over logic? Pump Name: Pump Name: Yes No Pump Auxiliary Pump Auxiliary Pump fail over logic? Pump Name: Pump Name: Yes No Additional vessel monitoring, control or logic needs: Additional vessel monitoring, control or logic needs: Additional items for monitoring or control: