application request for quote form：报价形式应用要求

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1、APPLICATION/REQUESTFORQUOTEFORMEQUIPMENTFORHAZARDOUSLOCATIONS/EXPLOSIVEATMOSPHERESSECTIONI:Complete1–7onthispage,plusotherSectionsasdeemedapplicable1.ApplicantInformation:(asitshouldappearonthefinalcertificate/testreport)CompanyName:CompanyAddress:Cou

2、ntry:PostalCode:MainTelephone:MainFax:Website:ContactName:DirectTelephone:E-mail:Status:ManufacturerDesignControlOther:ProvideComment,ifOther:2.Manufacturingsite(s):(ifdifferentfromoradditionaltotheapplicant.Useseparatesheets(asnecessary)CompanyName:C

3、ompanyAddress:Country:PostalCode:MainTelephone:MainFax:Website:QAContactName:DirectTelephone:E-mail:3.Invoicingto:(ifdifferentfromoradditionaltotheapplicant)CompanyName:CompanyAddress:Country:PostalCode:MainTelephone:MainFax:Website:ContactName:Direct

4、Telephone:E-mail:4.FMApprovalsCertificationsRequired:UnitedStatesCompleteSectionIICanadaCompleteSectionIIIATEXCompleteSectionIVIECExCompleteSectionV5.TypeofCertificate:ProductComponentSystem6.TypeofApplication:NewProductCertificateSupplementtoExisting

5、ProductCertificateQualityAssurance:ISO9001ATEXQANIECExQARNo.ofEmployeesatSitetobeAudited:7.EquipmentDescriptionType(Model)ReferenceandName:Description:FORINTERNALPURPOSESONLYCustomernoProjectID&IssueEnquiryRefMAReceivedDateDatetoEngineerNominatedEngin

6、eerE-mail:approvals@fmglobal.comoratex@fmapprovals.comWebsite:www.fmapprovals.com1151Boston-ProvidenceTpke,Norwood,MA02062USA1WindsorDials,Windsor,Berkshire,UK.SL41RS743ReynoldsRoad,W.Glocester,RI02814USAT:+1(1)7817624300F:+1(1)7817629375T:+44(0)17537

7、50000F:+44(0)1753868700T:+1(1)4015675000F:+1(1)4015686241FMElectricalApplicationForm_001(Dec/13)Page5SectionII:ProductDetailsforUSApproval(CompleteinasmuchdetailaspossibleorforassistanceincompletingthisformcontactFMApprovals)1.AmbientTemperatureRangef

8、orProduct:Unlessotherwisestated,thestandardrange-20°C(-25°CforDivisions)to+40°Cwillbeassumed.°C≤Ta≤°C2.Select/IdentifyApplicableHazardous(Classified)Locations(DivisionRatingsperNEC500):IdentifyTypeofProtection(e.g.,IntrinsicSafety)ClassDesigna