87 Regional Office 1234 W. South Jordan Parkway #C-3; South Jordan, UT 84095 Phone: 801-878-3677, 801-649-2332, Fax: 919-227-5953 Email: [email protected], Visit us @ www.captiveaire.com THE PERFORMANCE COMPANY K i t c h e n V E N T I L A T I O N D a t a S h e e t HOOD # _____ Job Name: Location (MUST HAVE): Requested By: Company: Fax: Quotation Needed By: Bid Date: List cooking Equipment left to right (include type, model and size). Please forward a copy of the kitchen layout.

Hood Information

Type of Hood: Type 1 Type2 Fan Information Make Up Air Describe Duct Run (Distance & Directions of Run): Hood Dimensions: FORMTEXT Length x Depth x Height CFM x x cfm x x cfm Single Story Multi Story x x cfm x x cfm Exhaust Fan: Yes Ceiling Height CFM _ ____ sp _ ____ Hard Curb Soft – Lay in Other Options: ___ __ No Wall Locations: Rear (Std) Make-up Air Fan: Left Yes Right CFM _ ____ sp _ ____ None Discharge: Down or Side Heated: Direct or Indirect Wall Material: Gas Type: Natural or Propane Wood Studs – Check with code official Cooled: Evap or DX Metal Stud Remote Panel Block Wall Freeze Protection Motorized Backdraft Damper Filters: Options: ___ __ Aluminum Baffle Filters No Stainless Steel Baffle Filters (Std) High Velocity Cartridge Filters Voltage/ Phase High Efficiency Stainless Steel Baffle Filters 120 / 1 phase Captrate Solo 208 / 1 phase Captrate Combo 230 / 1 phase 208 / 3 phase Utility Cabinet for Pre-wire or Fire System: 230 / 3 phase Left Side Right Side 460 / 3 phase

Fire System Brand Type of Roof: Ansul R102 Ansul Piranha Flat Pyrochem Rangeguard Pitched _: _12__ Least Expensive Pitch along Length or Width

Wrappers: Yes No Electrical Control Package: Yes SS Backsplash: Efficient Energy Management System (Demand Ventilation) Yes Specifics ______No No

**** PLEASE PROVIDE EQUIPMENT LAYOUT WHENEVER POSSIBLE ****